Manchester Royal Infirmary is the centre of the East Sector Network, which provides nephrology services to North, South and Central Manchester, Tameside & Glossop, Stockport, Trafford and South Cheshire PCTs (population 1.8 million), including North Manchester General, Wythenshawe, CMFT, Macclesfield, Stepping Hill, Tameside, Prestwich and The Christie hospitals. 'Outreach' renal clinics are held in each of these hospitals (except Christie) with sizeable maintenance haemodialysis units at MRI (>120 patients), Altrincham (72 patients), Tameside (72 patients) NMGH (36 patients), Macclesfield (48 patients) and Prestwich selfcare (8 patients). In addition the Directorate manages around 80 PD patients, 65 home haemodialysis patients and 120 patients who have opted not to have dialysis (conservative management).
Within Central Manchester Trust, the Renal Directorate has close ties with the clinical disciplines of diabetes and vascular surgery, the Departments of Biochemistry, Immunology, Nuclear Medicine, Radiology and the University Medical School. It undertakes peritoneal and haemodialysis for the treatment of acute and chronic renal failure, and has an acute renal failure unit. It is a partner in the Regional Kidney/Pancreas Transplantation Unit, also based within Manchester Royal Infirmary, which performs around 300 renal transplants per year. In addition the Directorate provides renal support to the Regional Cardio-thoracic Transplant Unit at Wythenshawe Hospital. Home haemodialysis training is based at Altrincham Hospital (8 stations + dedicated staff).
In-patient care of renal patients for the Network is provided at MRI on Ward 36 (24 beds) and Ward 37 (24 beds). The Dialysis Unit comprises facilities for managing patients receiving haemodialysis (26 stations) in addition to out-patient peritoneal dialysis and CAPD training. The department manages over 200 acute renal failure patients per year.