The Renal Network has six associated renal units:
Kettering General Hospital
Northampton General Hospital (Harborough Lodge Renal Unit)
Peterborough General Hospital
Lincoln General Hospital
Loughborough Renal Unit
Boston Renal Unit
Leicester General Hospital - Directorate of Renal Services and Urology
Outpatient and Inpatient Nephrology care
Combined Renal Obstetric clinic
Dedicated Low Clearance Clinic
Acute renal failure requiring renal replacement therapy
Haemodialysis: Outpatient, inpatient, and vascular access surgery
Peritoneal Dialysis: Outpatient, inpatient, and vascular access surgery
Transplantation: Donor and recipient work-up and transplantation surgery
Outpatient and inpatient care
Leicester General Hospital (LGH) is part of the University Hospitals of Leicester NHS Trust and provides a specialist renalservice for the total population Leicestershire, Lincolnshire andNorthamptonshire as well as a proportion of the population ofCambridgeshire. The total population served is approximately 2.3million. The number of patients with Established RenalFailure (ERF) is currently 1200 patients is expected to grow byapproximately 8% per year. Treatment options for patients includehaemodialysis, home haemodialysis, continuous ambulatory peritonealdialysis (CAPD), automated peritoneal dialysis (APD) and Renal Transplantation.
Nine Nephrology consultants (5wte) provide the renalservice at LGH. There is an 18-bedded inpatient Nephrology Ward thatadmits both Acute and Chronic Nephrology patients. A small 5-stationedhaemodialysis area is flexed to admit both inpatients and outpatientdialysis patients dependent upon service needs. This is attached to a9-bedded High Dependency area, which admits critically ill renal patients who require specialist care and close monitoring. The unit is in close proximity to the Trust's ITU which undertakes haemofiltration
A CAPD ward consisting of 24 beds (female and male) manages allpatients who require CAPD admission. The wards nursing team also visitspatients around the hospital who require CAPD care. The wards siderooms are all plumbed in for haemodialysis use, increasing flexibilityof the dialysis service.
A dedicated treatment area with daily booked sessions allows minor invasive procedures such as dialysis catheter insertion and renalbiopsy to be undertaken in a planned manner. Doctors in training aresupervised until assessed as competent to undertake proceduresunsupervised.
An active live donor and cadaver (including non-heart beatingdonor) transplant service is led by Professor M Nicholson. The14-bedded Transplant Ward cares for both donors and recipients. The twotransplant surgeons also undertake vascular access work. There are fourtransplant registrars, an SHO undergoing surgical training and a PRHOwho rotates with the nephrology wards.
The Live Donor Service has a dedicated Senior Nursing team whomanage the service and prepares both the donor and patient fortransplant. Laparascopic Donor nephrectomy is available. On average, 25live donor transplants are undertaken each year. This is an expandingservice. The cadaver transplant service has 4wte donor nurses and hasrecently combined rotas with the Trent Network to manage resources moreeffectively. Approximately 25 cadaver transplants are performed eachyear.
Outpatient ERF Services
A proactive Home Care Team Service of 20 wte nurses provide supportfor the large number of patients on home based treatments including renaltransplant recipients, and provide pre-dialysis counselling of therapyoptions. Regular patient information days are run by the team tosupport pre dialysis patients and enable them to make an informedchoice as to which type of dialysis treatment they would prefer whenthe need arises. These are accompanied by individual assessments ofpatients life goals often within their home environment.
A dedicated day case area accommodates programmed activitites suchas iron infusions and blood transfusions, and also provides anenvironment to assess patient. Patients either self present, or arereferred to the unit via clinics, GP's or via the Home Care Team. The unitis managed by the home care team and is staffed from 08.00 until 18.00Monday to Friday and has significantly reduced the number of emergencyadmissions saving acute beds.
Leicester General Hospital
Consultants: Dr J Medcalf, Dr K Harris
180 Peritoneal dialysis outpatients and inpatients are cared for
LGH Outpatient Haemodialysis Unit
Consultant: Dr G Warwick
Unit manager: Sr H Chamberlain
The main dialysis unit has 22 stations and two isolation rooms. The unit is staffed by qualified Renal Nurses who undergo a competency based development programme. The unitis open 7 days a week and provides three sessions each day exceptSunday which has two sessions. Home haemodialysis training is based andundertaken on the LGH site in specifically designed clinical area
Loughborough Community Hospital
Outpatient Nephrology care
Haemodialysis: Outpatient care
Loughborough Haemodialysis Unit
Consultant: Dr J Medcalf
Unit Manager: Sr S Price
The Loughborough is 1 of 5 satellite units within the East Midlands Renal Network. The unit has 12 stations and 2 isolation rooms. The nurse led unit is based within Loughborough Hospital. Dr J Medcalf is the managing consultant who undertakes an outreach clinic at the unit every week.