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Liverpool Children's - Alder Hey

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Address:

Alder Hey Children's Hospital
Eaton Road
Liverpool

Post Code:

L12 2AP


Patients were first dialysed here in 1968

This unit has average 4 haemodialysis and average 10 peritoneal dialysis patients

This unit has the following transplant centres:

Manchester Royal Infirmary

This is a paediatric unit.


unit image

A sunny day at Liverpool's Alder Hey!


Telephone number:

0151 252 5221 or 0151 293 3601 (Office Hours)

Holiday dialysis enquiries:

As above

Fax:

0151 252 5928

Email Address:

renal@rlc.nhs.uk

Unit website:

Trust website:

http://www.alderhey.com/RLCH/home.asp

Consultants:

Dr Brian Judd
Dr Caroline Jones
Dr Richard Holt
Dr Henry Morgan

Page administered by:

Dr Richard Holt


About the unit

Alder Hey Children’s Hospital is a 300-bed specialist paediatric centre, providing local services for the children of Liverpool and tertiary referral services for Merseyside, West Lancashire, Cheshire, North Wales, Anglesey and the Isle of Man (regional population approximately 3.1 million). All major paediatric medical and surgical specialties are represented within the hospital.

The department of paediatric nephrology provides services for infants and children with the full range of renal problems, including congenital abnormalities, urinary tract infection, renal stone disorders, hypertension, nephrotic syndrome, glomerulonephritis, vasculitis, inherited renal conditions, tubular disorders, acute renal failure and chronic / end-stage renal failure.

As well as medical staff, the renal multi-disciplinary team is comprised of ward nurses, specialist dialysis nurses, transplant nurse practitioner, renal dietitian, pharmacist, clinical psychologist and hospital play therapists. We work closely with surgical colleagues in the department of urology to provide integrated treatment for patients with complex urinary tract abnormalities. We also provide support for renal problems arising in children under the care of other teams, particularly the intensive care unit, cardiology, rheumatology and oncology.

In-patient renal facilities are based on a 12-bed ward (shared with rheumatology). There is a separate day-case unit with haemodialysis and peritoneal dialysis support facilities. Renal out-patient clinics are held 3 times per week at Alder Hey. The consultant nephrologists also hold joint out-patient clinics with local paediatricians in a number of district general hospitals throughout the region, to support local provision of services for children.

The Alder Hey renal unit was among the first in the UK to offer dialysis to children with renal failure (haemodialysis from 1968 and peritoneal dialysis from 1973/74). The renal transplant service commenced in 1977/78. Since the early 1990’s, Alder Hey has collaborated with Royal Manchester Children’s Hospital and Manchester Royal Infirmary in a supra-regional paediatric renal transplant programme. Preparation for transplantation is carried out at Alder Hey, with transplant surgery performed in Manchester. After completion of post-operative in-patient care, patients return to Alder Hey for ongoing renal transplant management (usually about 2 weeks after the transplant operation).

Patients with long-term renal problems generally transfer to adult services at 16 – 18 years of age, depending upon individual needs. The Alder Hey unit has links with several adult nephrology units to facilitate transfer for continuing care.


Research and special expertise

The consultants have been involved in research in the fields of: fluid & electrolyte physiology; urinary tract infection; calcium metabolism & nephrocalcinosis; micro-albuminuria in childhood-onset diabetes mellitus; renal function after cardiac surgery; steroid-sensitive nephrotic syndrome; anaemia management in chronic kidney disease.

The unit has also taken part in multi-centre studies of varicella vaccination for chronic renal failure patients and immunosuppressive treatments for paediatric renal transplantation. We have recently participated in the multi-centre randomised controlled trial of long-term tapering or standard steroids for nephrotic syndrome and the TWIST study (tacrolimus and withdrawal of steroids in paediatric renal transplantation).





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