Access Surgery Policy Statements - ACCESS SURGERY Passed by the NKF 12th July 2008 The National Kidney Federation demands that all Vascular Access and PD catheter access surgery be undertaken early and in good time to achieve the best possible outcome. Delays and long waiting times for this surgery are deplored. The National Kidney Federation expects this surgery to be an NHS priority. An Arteriovenous fistula (AVF) is considered the best and most reliable form of access to the patients blood supply in haemodialysis. Note Permanent access should be established as soon as possible in people undergoing Haemodialysis and Peritoneal dialysis. Current best practice suggests this should be six months before starting Haemodialysis and four weeks before starting peritoneal dialysis.