This unit provides a full range of renal services (except for acute transplantation) for the population of North, South and East Ayrshire and the islands of Arran and Great Cumbrae (total catchment population 371,110).
Our unit's performance compared to other Scottish units is published in the annual Scottish Renal Registry SRR report .
Acute service (Sr Marion Docherty, tel: 01563-827918)
There is a 12-bed high dependency renal ward (Ward 2F), which offers intermittent haemodialysis, haemodiafiltration and plasmapheresis. Less ill renal patients are managed in our 22 general medical beds (12 beds in Ward 2D, and 10 boarding beds in Ward 5A). The intensive care unit also offers intermittent and continuous renal replacement therapy, under the guidance of the nephrologists.
Outpatient haemodialysis (Sr Fiona McFadyen, tel: 01563-827492)
Haemodialysis is provided in a spacious, modern, purpose-built unit. There are 41 dialysis stations. The unit has two shifts per day: morning and afternoon. We also offer 8-hour overnight dialysis for a small number of self-transporting patients (currently capped due to lack of funding). There is a central water purification plant, and high flux dialysis filters are used for all patients. There is no re-use of dialysis filters. About 95% of patients are treated with post-dilutional haemodiafiltration and 5% with pre-dilutional. There are consultant ward rounds on each shift weekly. Home haemodialysis is available and encouraged in patients who wish it (currently 10). we have the highest proportion of patients on home haemodialysis in Scotland.
Peritoneal dialysis (Sr Audrey Jones, tel: 01563-827916)
The PD team has a reputation for success with a good patient recruitment rate and excellent peritonitis rates. APD is freely available to patients who wish it, or need it. Patients are looked after by a dedicated team of nurses, and in a weekly clinic.
Kidney and pancreas transplantation (PRT Administrator, tel: 01563-827491)
Kidney transplants are carried out at the Glasgow Kidney and Transplant Unit, Queen Elizabeth University Hospital, and combined kidney-pancreas transplants at Edinburgh Royal Infirmary. Follow-up is transferred to our clinic at one year post-transplant. Transplant patients are seen predominantly by consultants at the twice weekly clinic in University Hospital Crosshouse.
Chronic kidney disease
General nephrology outpatient clinics are offered on four sites (University Hospital Crosshouse -Tue AM, University Hospital Ayr - Wed AM, Thu PM, Ayrshire Central Hospital - Wed AM and East Ayrshire Community Hospital - Mon AM). Additionally, there is a renal immune clinic -Thu AM, and a hypertension clinic - Thu PM at University Hospital Crosshouse.
Low clearance and renal anaemia service
(S/N Laurie Kirkland, tel: 01563-825211)
The low clearance clinic -Mon AM, is supported by three nurses, who also co-ordinate the renal anaemia service.