University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the highest performing NHS organisations in Europe with a proven international reputation for its quality of care, information technology, clinical education and training and research. The Trust manages the Queen Elizabeth Hospital Birmingham in Edgbaston, as well as a number of satellite clinics across the West Midlands, and employs over 9,000 staff. The Trust treats over 1 million patients per year including over 35,000 day case procedures, including more 752,000 outpatient appointments, over 139,000 inpatient episodes and more 102,000 A&E attendances.
UHB is a regional centre for cancer, has the second largest and highest performing renal dialysis programme in the UK and has the largest solid organ transplantation programme in Europe. It also provides a series of highly specialist cardiac and liver services and is a major specialist centre for trauma, burns and plastic surgery.
The QE Hospital has a 24 station units offering emergency inpatient haemodialysis, plasma exchange and lipidaphresis and a small 15 stationed chronic dialysis unit catering for higher dependency and co-morbid haemodialysis outpatients.
We have a large chronic dialysis program with over 1000 patients at 10 satellites dialysis units; Aston 24 stations, Smethwick 28 stations, Greatbridge 24 stations, Kings Norton 20 stations, Hereford 20 stations, Worcester 19 stations, Woodgate Valley 24 Station, Redditch 16 stations, Sparkhill 24 station and Llandrindod Wells 4 stations; run by our partner dialysis providers FMC, Diaverum and Assure Dialysis and at Home Dialysis Program of over 50 patients.
Current Activity :
UHBFT currently cares for :
1200 patients -Hospital & satellite haemodialysis
50 patients -Home Haemodialysis
140 patients -Peritoneal dialysis
1100 patients -Renal transplant recipients under follow-up
Outpatients - approximately 32000 outpatient FCEs are seen each year with roughly a 50% increase per annum over last 5 years.
Dialysis - each year around 200 new cases of End Stage Kidney Disease are taken on to the dialysis program. The dialysis program annual growth is around 2%
Investigational Nephrology and Acute Renal Failure services - the unit manages around 500 cases of acute renal failure/acute renal disease per annum of which around 250 require acute dialysis. Approximately half of these cases are generated from within the Trust whilst the other cases are referred from secondary care hospitals in the region predominantly from City and Sandwell Hospitals, Worcester, Hereford, and Redditch
Renal Transplantation & Access Surgery :
The renal transplant program for UHB and surrounding dialysis units is delivered at the QEH Renal Transplant Unit. The unit has performed over 2,500 renal transplants since 1980 and is currently performing around 110 grafts annually. There is an expanding live donor kidney program projected to implant 35 - 40 kidneys each year and a newly implemented 'non-heart beating' transplant donor service. The assessment and management of patients pre/post renal transplant is performed jointly by physicians and surgeons.
The renal transplant surgeons predominantly provide vascular access surgery support to the renal failure program. There are a total of 8 IP theatre sessions available to cover all renal surgery for the service.