The department of Nephrology at Morriston Hospital was established in 1985 to provide a service for patients with renal disease living in South West Wales. This covers a relatively large geographical area extending from Bridgend and Milford Haven in the south east and west to Llanidloes and Machynlleth in the north.
The catchment population is 800,000 of whom approximately half live in West or Mid Glamorgan which as well as having several urban conurbations (Swansea,Neath,Port Talbot & Bridgend)has many areas of outstanding natural beauty including the Gower Peninsula.The other half of the population served lives in either Dyfed or Powys. These counties cover a large area and are in the main sparsely populated. East Dyfed (237,200) has three centres of population....Carmarthen, Llanelli and Aberystwyth in each of which is a DGH. Further west Pembrokeshire (113,700) has a DGH in Haverfordwest but in Powys whilst there are several community hospitals there is not a DGH.
With the exception of acute renal transplantation the department of nephrology in Morriston Hospital provides a full range of services for patients with renal disease living in south west Wales.
As well as caring for patients with general nephrological problems the department runs a renal replacement programme with a pool of patients receiving chronic dialysis that has risen steadily during the past 20 years and now totals over 425 (Main Unit 211 patients; Satellites 127 patients; Home HD 18 patients; PD 70 patients).The dept has satellite units in :
Aberystwyth (Bronglais Hospital;25 patients; started 2000)
Carmarthen (West Wales Hospital;80 patients; started 1985)
Haverfordwest (Withybush Hospital;22 patients; started 2008)
The unit also has a self care, nocturnal and home haemodialysis programme.
Approximately 200 patients are treated annually for acute end stage renal failure needing dialysis and the department also provides a plasma exchange service for patients in Morriston Hospital.
Renal transplantation is carried out for patients living in south west Wales in Cardiff. Transplant follow up is undertaken for approximately 200 patients in Morriston.
The Dept runs outreach nephrology clinics in:
Bronglais Hospital, Aberystwyth
Princess of Wales Hospital, Bridgend
West Wales Hospital, Carmarthen
Withybush Hospital, Haverfordwest
Prince Phillip Hospital, Llanelli
A new satellite haemodialysis unit opened in Carmarthen in April 2008 which increased resource for patients in Dyfed and in December 2008 a temporary unit opened in Haverfordwest for patients living in Pembrokeshire. A permanent structure is scheduled to replace it early in 2011. It is anticipated that there will be development of additional resource for patients requiring haemodialysis who live in the Bridgend / Port Talbot area within the next 2 years.
Vascular and peritoneal access surgery is performed exclusively by thee vascular surgeons who have particular interest in the surgical aspects of renal disease. The vast majority of patients are haemodialysed using peripheral arteriovenous fistulae.