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Renal Unit 

Renal Services

Renal Dialysis Care service profile


The Broomfield hospital based specialist renal team provides a regional renal service for patients in Mid Essex . We provide comprehensive renal services for patients with either Chronic or Acute Renal Failure on an in-patient and an out-patient basis.  

Patients benefit from a comprehensive service that includes Nephrologists, nurse specialists, specialist dieticians, haemodialysis, and peritoneal dialysis staff.

We also offer pre kidney transplantation workup and post kidney transplantation follow up (recipient and donor).

Weekly clinics are held at Broomfield Hospital in Chelmsford, St Peters Hospital in Maldon, Braintree Community Hospital.  Not all renal clinics are held in all locations.

 

Location and Contact details


The Mid Essex Renal Dialysis Centre is located at Broomfield Hospital.

Renal Dialysis Unit (A208)
Court Road
Broomfield Hospital
Court Road
Chelmsford
CM1 7ET

Tel: 01245 514208
Fax: 01245 514247 

We are located on the second floor of the PFI building and our wayfinder number is A208.

 

Referrals


Referrals to the renal clinics should be made via the GP to ‘The Consultant Nephrologist’ at the address above, or through electronic referral systems.

 

Consultants


Dr Sumith Abeygunasekara - Lead Clinician

Secretary: Lynn Greaves - Tel 01245 514414 

Special interest in Peritoneal Dialysis, Hypertension, Acute Kidney Injury,

Renal Transplantation and chronic kidney disease.


Prof Galil Ali 

Secretary: Joseph Morris - Tel 01245 514590

Special interest in Haemodialysis, Hypertension and Proteinuria.


Dr Anthony Chan

Secretary: Lynn Greaves - Tel 01245 514414

Special interest in Lupus, Haemodialysis and Kidney Transplantation.


Matron

Matron Katheryn Hobbs

Responsibilities include the leadership, co-ordination and supervision of the nephrology nursing teams and nursing services.

The matron manages the running of the Home Therapies Service and oversees the running of the Haemodialysis Unit.  The matron also has additional duties outside of the Renal Services.


Senior Sister

Senior Haemodialysis (HD) Sister:  Shiny Singh 


Haemodialysis Service

We are a 23 station unit and offer haemodialysis treatment for acute and chronic kidney patients in the Mid Essex Area along with Holiday Haemodialysis for patients wishing to visit Chelmsford and the local area, subject to availability.  Patients dialyse over three shifts, Morning (7am start), Lunchtime (1pm start) and Twilight (6pm start).  We promote self care and our multidisciplinary disciplinary team meet regularly to discuss each patient’s condition.  We are also able to offer Holiday Dialysis, when capacity allows, for patients with a valid NHS or EHIC entitlement.


Home Therapies Service 

There are three different Home Therapies: PD, APD and HHD.

Peritoneal dialysis is an alternative renal replacement therapy (RRT) for patients in End Stage Renal Failure (ESRF).  This nursing team provides a service to patients undergoing peritoneal dialysis – CAPD (continuous ambulatory peritoneal dialysis) and APD (automated peritoneal dialysis).  APD and PD patients are dialysed at home. We now offer Home Haemodialysis (HHD) where a dialysis machine is set up at home. The home therapies team also carry out house calls, when appropriate.

The Home Therapies specialist nurses follow patients through from pre-dialysis, support patients at home and monitor the efficacy and suitability of their treatment.

The Home Therapies team are Liz O’Mahoney, Janette Faux and Rachel Johnson 

Tel: 01245 516563


General Nephrology

We offer main outpatient clinics for patients with abnormal kidney function for assessment and follow up care. 

Renal anaemia is treated by the use of iron therapy and administration of erythropoiesis-stimulating agents (ESAs, also commonly called EPO, an abbreviation for erythropoietin).  Responsibilities of the “Anaemia Nurses” include the monitoring of renal anaemia and iron deficiency, especially in pre-dialysis and conservative management patients. As they have regular contact with these patients they also provide on-going support and patient education.

The pre-dialysis nursing team work closely with the Consultant doctors seeing outpatients approaching end stage renal failure (ESRF).  They provide advice and information on all aspects of care including options for treatment, treatment modality and dialysis access, supporting them in making informed choices and giving them and their family’s psychological support at a very difficult time in their life.

Anaemia clinical nurse Specialists: Lisa Whitehouse Contact: 01245 514364

Pre-dialysis clinical nurse Specialist: Stephanie Lal & Emma Brown  Contact: 01245 514364


Access & Transplantation Services

•Patients need either vascular access for HD or peritoneal access for PD; these operations need to be performed in theatre and the Access nurse manages the waiting list, ensuring that patients in most need are operated on first.  Once the access is in place she monitors the patient to keep the access healthy.  The unit works closely with our in house surgical team who provide specialist Vascular Access surgery. 

•Many patients are either hoping to be activated on the UK transplant list or already on and awaiting a transplant.  The transplant nurse counsels the patients, communicates with the transplant teams and organises specific tests to ensure that the patients are fit for the operation. 

•Three to six months after the patient is transplanted, patients are given the opportunity to repatriate to Broomfield for their follow up care at our weekly transplant clinics to ensure they and their new kidney stays healthy.  

•Access clinics run fortnightly and pre-transplant clinics run 10 times a year, with a team visiting from Addenbrooke’s Hospital.  Our Clinical Nurse Specialist co-ordinates these two services under the Lead Nurse.  Patients can also choose to come under the care of the Royal London Hospital’s transplant team and in this instance the tests and pre-transplant clinics are carried out at the Royal London Hospital in Whitechapel. 

Clinical Nurse Specialist: Veronica Smith - Contact 01245 514330


Nutrition & Dietetics

We have 2 full time specialist renal dietitians who care for all dialysis patients; Haemodialysis, nephrology outpatients, home therapy dialysis and ward A305 (Terling) inpatients.

Responsibilities include giving individual dietary support and advice to patients and their families based on monitoring of blood results.  

Aleutia House - Advanced Specialist Renal Dietitian contact: 01245 514204

Marisa Wiszniewska - Specialist Renal Dietitian contact: 01245 514204


Inpatient Renal Services

We manage a wide variety of Acute Kidney Injury and other patients with Nephrology problems.  We have facilities for acute dialysis, renal biopsies and line insertions.  The medical team includes Renal Consultants who are available for assessments.  The dialysis unit works closely with the renal medical ward (A305) in caring for renal patients and senior ward nurses have post-registration renal qualifications. 


Pharmacy

In addition to the both the inpatient and outpatient Hospital Pharmacy teams, our renal services benefit from a specialist renal pharmacist for both our dialysis and inpatients.

Specialist Renal Pharmacist: Sarah Cox


Other services: 

We provide a comprehensive and integrated service covering all features of Nephrology within a hospital environment.  In addition to the above we also offer the following:

New patient renal assessment

Invasive investigations (biopsy and angiography)

Telephone advisory service for patients and Primary care health care professionals. 

Education programme for Low clearance patients, including haemodialysis, peritoneal dialysis and transplantation.

Nephrology support for other specialities.

Access to Patient View, an online service for patients under our Nephrology Team is available: Contact Sanjeev Khinder 01245 516396 for further details.


Renal Research

We believe that everyone has the right to take part in clinical research, and that involvement in high-quality studies should be a care option available to every patient.  

We deliver cutting edge research which shapes new models of healthcare to improve patient safety and care.  Our research may be investigating the use of the latest medicines and medical devices, whereas other studies could be looking at the prevention of health problems by collecting questionnaires or blood samples.

Taking part in any research study is completely voluntary.  If you do decide to volunteer, the most important thing we consider is your freedom and safety. You will never be asked to do anything that you are not comfortable with, and you are free to say NO and to change your mind at any point.

Should you choose to take part in a research study all information collected from you will be anonymised and stored safely.  We will not give out your contact details to third parties. At no point will taking part in research affect the level of your clinical care or change the way your doctor/nurse treats you.

Our two specialist Renal Research Nurses are:

Sharon Reid - 01245 516921

Christine Catley - 01245 516458

For details of the current research studies available to you as a patient of Broomfield Hospital, please visit the Trust’s Research & Development website by clicking here.

Counselling Services

Psychological Therapies Service for renal patients & their families

Being diagnosed or living with renal problems can be a worrying and stressful time for patients and their families.

While many people manage with the support of family and friends, some psychological input and support at these difficult times can help. 

The Psychological Therapies Service based at Broomfield Hospital is available Monday to Friday and can provide assistance to patients and their families.   

The Renal unit has two experienced part time therapists for our renal patients - Carl Bramer, Counsellor and Lara Lopes de Jesus, Counselling Psychologist.

If you feel it may help you or your family members to talk, then please do not hesitate to ask the Renal Unit staff to make a referral to us.