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St Helier's South West Thames Renal & Transplantation Unit

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Address:

Epsom & St Helier University Hospitals NHS Trust
St Helier Hospital
Wrythe Lane
Carshalton
Surrey

Post Code:

SM5 1AA


Patients were first dialysed here in 1967

This unit has 650 haemodialysis and 150 peritoneal dialysis patients

This is a transplant centre - view transplant data.

This centre has the following satellite units:

Crawley Dialysis Unit

Farnham Dialysis Unit

Kingston Dialysis Unit

The Elizabeth Ward Dialysis Unit, Mayday Hospital

West Byfleet Dialysis Unit


unit image

[default image]


Telephone number:

020 8296 2384

Holiday dialysis enquiries:

020 8296 3454 / holiday.dialysis@epsom-sthelier.nhs.uk

Fax:

020 8296 2941

Email Address:

James.Marsh@epsom-sthelier.nhs.uk

Unit website:

http://www.swtirr.org.uk

Trust website:

http://www.epsom-sthelier.nhs.uk/

Consultants:

Clinical Director of Renal Unit
Dr James Marsh MA FRCP

Consultant Nephrologists:
Dr Jonathan Kwan MSc MBA MD FRCP
Dr Michael Bending MA MSc FRCP
Dr Peter Andrews MA MD FRCP
Dr David Makanjuola MRCP
Dr Fiona Harris PhD FRCP
Dr Hugh Gallagher PhD MA MSc FRCP
Dr Ginny Quan PhD FRCP
Dr Vipla de Silva
Dr Pauline Swift BSc MBBS MRCP
Dr Mysore Phanish
Dr Mona Wahba MA MRCP

Page administered by:

Gary Beach


About the unit

The Renal Unit at St. Helier Hospital was founded in 1969 by Dr. William Rogers. Upon his retiremnet, the Unit was directed by Dr. Anthony Eisinger from 1971 until his retirement in 2001, when he was replaced by Dr Jonathan Kwan. The Renal Unit has been offering renal dialysis for 40 years and renal transplantation for 30 years (until 2004). As a tertiary renal referral centre the unit has become one of the busiest in the south east of the UK. Currently renal services are provided to the residents of South West London, Surrey and Surrey Borders. Associated with the unit there is an unique network of out-reach renal clinics (15 sites)and 5 satellite dialysis units in 10 district general hospitals and other sites in the region.

FACILITIES:

- 3 renal in-patient wards - 52 beds
- 31 station haemodialysis unit
- 5 satellite units in Croydon, Kingston, Farnham, Crawley and West Byfleet
- Plasma exchange facility
- Self-contained Peritoneal Dialysis unit with separate training area
- Dedicated renal out-patient clinic and waiting area
- Fully equipped with an advanced information system linked to UK Renal Registry, UKT, CTS.
- Clinical trials unit operating to Good Clinical Practice Standards
- Ambulatory Care Centre


PATIENTS (total population covered approximately 2 million):

- approximately 1160 in total on renal replacement therapy
- some 480 on haemodialysis
- some 130 on peritoneal dialysis (both CAPD and APD)
- over 550 with functioning renal transplants
- approximately 50 transplants per annum (>95% success rate at 1 year)
- The rate of acceptance of new patients is approximately 120 p.a. and increasing
- approximately 150 patients p.a. with acute renal failure
- approximately 5000 patients attending as out-patients in the Renal Unit and in 14 different outreach hospitals.

STAFF:

At present there are 10 consultant nephrologists, 4 consultant transplant surgeons, a consultant Urologist and a consultant scientist. They are supported by 17 other junior medical staff, 200 whole-time equivalent nursing and 30 secretarial and administrative staff. In addition there is a range of other specialist staff including:

3 full time dieticians
1 part-time occupational therapist
1 full time pharmacist and a pharmacy technician
1 full time social worker (qualified counsellor)
3 full time dialysis technicians
3 full time specialist clinical research nurses

All consultant staff have honorary senior lectureships in the Joint Academic Department of Renal Medicine headed by Professor David Oliveira at St. George's Hospital Medical School.


Research and special expertise

All members of the renal team are encouraged to place personal development on a parallel with patient care and development of service. Many have registered for higher degrees. The Unit has thus developed excellent collaborative links locally, nationally and internationally. Particular emphasis (over the years) has been placed on improving the treatment and understanding the pathophysiology of diabetic kidney disease. Some highlights include:

- Reducing peritonitis rates in diabetics on PD

- Reducing steroid usage in diabetic transplants by the early introduction of new immunosuppressents

- The award of 2 patents for improvements in haemodialysis equipment

- Providing a co-ordinating role in European Union vasculitis trials

- Developing improved techniques for assessing kidney damage e.g. new markers of GFR

- The investigation of cardiovascular risk assessment in dialysis patients

- The identification of uraemic toxins using NMR spectroscopy

- The development of a wide ranging clinical and scientific consultancy, bridging clinical, academic and industrial interfaces

- Involvement in a broad range of Phase I, II, III and IV clinicaltrials looking at the pharmacokinetics of novel therapeutic agents,CAPD fluids, anaemia, haemodialysis, transplantation, cardiovascular disease and multi-system auto-immune disorders

Clinical research efforts are increasingly looking at healtheconomic issues through the development of multi-disciplinary research collaborations and by developing appropriate clinical outcome measures.This effort has resulted in improvements in patient care, publications in the medical and scientific literature, patents, winner of the firstNHS Intellectual Property Rights prize in December 2000. To further develop the research activities of the renal unit the South West Thames Kidney Fund was formed. The charity which comprises patients of the Renal Unit and their relatives is chaired by Dr. Michael Bending and has Lord Rogers of Riverside (son of the unit's founder Dr. Will Rogers) as its Patron. The primary aim of this charity was to raise funds to build a permanent base for a renal research laboratory on the St. Helier Hospital site in Carshalton. This ambition has been realised with the opening of the South West Thames Institute for Renal Research in March 1998.

For further information on the South West Thames Institute for Renal Research please go to:
http://www.swtirr.org.uk





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