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Renal

 

SERVICE NAME: Renal Unit

Location

Ward 407, Haemodialysis Unit, Kidney Outpatients Department – all on Level 4, Royal Derby Hospital.

Best car park for patients:

Car park 1, 2, 8

Best entrance(s) for patients:

Main entrance or Entrance 9

Main enquiry contact

Name: Rani Uppal

Job title: Renal Services Manager

Telephone ext: 88261

Email: rani.uppal@nhs.net

 

General manager

Name: Liz Ryalls

Job title: General Manager

Telephone ext: 88113

Email: liz.ryalls@nhs.net

 

Clinical / professional lead

Name: Dr Nitin Kolhe

Job title: Lead Clinician

Telephone ext: 88251

Email: Nitin.Kolhe@nhs.net

 

Other key contacts

Name: Medical Secretaries

Job title: Medical Secretaries

Telephone ext: 89344

 

Name: Renal Main Reception

Telephone ext: 88259

 

Name: Dialysis Nurses Reception

Telephone ext: 89361/89362

Service description

Renal services at Royal Derby Hospital are based around a 24-bedded inpatient area (including a 4-bedded Renal high dependency area and another 4 bedded Medical high dependency area), and a 56-station chronic haemodialysis unit. With the reconfiguration of services in 2006, there has been increase in MDT involvement, both in in-patient and out-patient services.

The renal unit has a dedicated outpatient area with all the clinics held there. The outpatient area has treatment rooms where intravenous iron is administered by the kidney care team. The clinics are multi-disciplinary with involvement from dieticians, dialysis nurses, anaemia nurses, pharmacists, kidney care nurses and other professionals namely, vascular consultant and diabetologist. The unit has variety of clinics on various days: low clearance, nephrology, transplant, haemodialysis, peritoneal dialysis, home haemodialysis, anaemia, transplant transition, vascular access, joint renal and diabetes and anaemia clinics.

The in-patient area will have a higher skill mix related to acuity. The ward area has a procedure room, allowing for the placement of temporary lines and renal biopsies. Dedicated ultrasound equipment is based within this area. The High Dependency Unit is monitored, with the ability to deliver renal replacement therapy, plasma exchange or MARS therapy at the bedside. All beds are monitored with ability to measure intra-arterial BP with inotropic support. In addition the Intensive Care Unit is based below the renal ward. The Intensivists and Nephrologists manage all cases of acute kidney injury within the Intensive Care Unit jointly.

The unit covers a population of between 700,000-1,000,000, providing both acute and chronic renal failure support. 80% of the workload is based around Southern Derbyshire, but parts of South Staffordshire (Burton), North Derbyshire and North West Leicestershire are also served by the unit. The unit has dedicated home haemodialysis training facility and also has 9 isolation beds. The haemodialysis unit offers an adolescent service, daily HD, extend online convective therapies and have expanded isolation facilities. The community programme will continue to expand home HD by 4-6 patients per annum.
There are 210 patients on unit-based haemodialysis, 34 patients on home haemodialysis and 85 patients on peritoneal dialysis. The unit also follows approximately 200 transplant patients. The transplant patients are followed up 6 months after the transplant surgery.
The department carries out between 150-200 renal biopsies per year, and place 150-200 catheters (tunnelled haemodialysis or CAPD) under X-ray guidance.

A satellite medical school opened in September 2003, taking postgraduate students. In addition, Royal Derby Hospital provides placements for Nottingham University medical students. The renal department is at forefront in teaching both undergraduate, graduate entry medicine and postgraduate medical student

There are ample opportunities for involvement in medical education and clinical research. There are currently five research registrars in post, access to research nurses and one research dietician. Research interests within the dialysis unit include progression of chronic renal disease, acute kidney injury, renovascular disease, cardiovascular disease, dialysis stability and adequacy. In the last 6 years more than 120 peer reviewed articles have been accepted for publication. Professor Maarten Taal is the Chair of Medicine, and Dr. Nick Selby honorary associate professor, both at the University of Nottingham.


Click HERE to view our Home Haemodialysis Page

The Centre for Kidney Research and Innovation (CKRI) encompasses academic nephrology at the University of Nottingham and the clinical nephrology programme at the Royal Derby Hospital.

We believe that close links between research and clinical teams facilitate excellence in both. Our aim is to deliver an innovative programme of clinical and translational research in kidney disease and dialysis therapy, which will directly lead to improvements in treatments and outcomes for patients. We have an extremely strong track record in obtaining grant funding, publishing our results in peer-reviewed journals and in providing high quality training for research fellows. 

Our key areas of research activity are Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD), the haemodynamic and cardiovascular effects of dialysis and clinical application of MRI in renal disease.

More information can be found at www.nottingham.ac.uk/research/groups/renal

Our guiding principles are as follows:

  •  Research excellence: producing results of the highest quality 
  •  Being innovative: advancing core knowledge and developing novel ideas 
  •  Having impact: making a difference to our patients and their carers, and by so doing influencing policy and leading to improved health outcomes more widely across society 
  •  Collaboration: building strong relationships within the division, school and university as well as external national and international partnerships 
  •  Remain patient facing: involving patients and their carers in all stages of the design and prioritisation of our research 
  •  Conduct our research with integrity at all times 


We regularly have opportunities for research fellows who wish to undertake a dedicated period of clinical research with dedicated supervision and training; if you are interested or would like to know more about our research programme, please contact us by email: 

M.Taal@nottingham.ac.uk
nicholas.selby@nottingham.ac.uk

Renal Medicine Staff Publications 2005-2016