The first dialysis treatments in Leeds were carried out by Dr Frank Parsons at the Leeds General Infirmary over 50 years ago. During the Trust reconfiguration, the nephrology services at the LGI relocated to St. James's Hospital and a new unit for out-patient haemodialysis was created at Seacroft Hospital. A mobile Renal Support Service now takes dialysis to the bedside of patients who are admitted to the specialist wards at the General Infirmary.
The Leeds renal service currently provides acute and chronic kidney disease services to a population of 1.6 million in the West Yorkshire conurbations of Leeds, Wakefield, Pontefract, Dewsbury, Huddersfield and Halifax.
The main renal unit at St Jamesís University Hospital is housed in purpose built accommodation that was first commissioned in 1995 and upgraded in 2011 and 2013. The unit comprises:
- Forty two inpatient beds
- A sixteen station haemodialysis unit for chronic patients which operates a morning and afternoon shift for new patients and those who need a high level of medical care, and a 'twilight' shift for patients who prefer to dialyse during the evening.
- A three station unit for haemodialysis patients with hepatitis B.
- An eight station acute haemodialysis facility.
- The peritoneal dialysis service base, with 5 single rooms assigned for patient training and review.
- The shared Outpatient Department, which delivers nearly 20,000 consultant and nurse led outpatient attendances per annum, for nephrology, predialysis care, anaemia management, preassessment, transplantation (work-up and follow-up), PD and HD review.
Away from the main site, consultant led outpatient nephrology services are provided at the DGHs in Wakefield (Pinderfields), Huddersfield, Dewsbury, Pontefract and Halifax.
There is further provision for out-patient haemodialysis for about 140 patients at the Intermediate Unit (Seacroft R&S Wards) where limited medical cover is provided, and for about 270 patients at the nurse-led Satellite Units at Pontefract, Dewsbury, Huddersfield, Halifax, Beeston and Seacroft Ward B.
The dedicated home haemodialysis training suite is located adjacent to R&S Wards at Seacroft Hospital, but home training is also provided in the main and satellite units as part of the 'shared care' programme. Most patients who choose home haemodialysis have opted for short 'daily' dialysis with 5 or 6, 2-3 hour sessions each week.
Approximately 200 kidney transplants are performed each year for CKD patients under the care of Leeds, Bradford, York and Hull, and over 1000 recipients and donors are followed up in clinic at St James's. Earlier review and listing has resulted in a dramatic increase in pre-emptive transplantation with over a quarter of recipients in 2015 receiving a kidney before requiring dialysis, the highest rate in the UK. There is a well established donation after cardiac death (non-heartbeating donor) organ retrieval programme. The live donor renal transplant programme, which includes laparoscopic donor retrieval, actively supports transplantation for both ABO incompatible and HLA mismatched donor/recipient pairs.
St James's University Hospital is one of the largest Teaching Hospitals in the UK and has close links with the University of Leeds School of Medicine. The Renal Department is actively involved in undergraduate teaching, welcoming 2nd, 3rd and 5th year medical students to learn in the department. The department has a substantial commitment to postgraduate education and has supported medical students research and audit projects which are presented at Departmental meetings.
There are close links between the Renal Department at St James's and many other departments in the Trust, particularly Paediatric Nephrology, the Intensive Care Unit, The Liver Unit, Anaesthetics, Radiology, Histopathology, Urology and Vascular Surgery.