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.
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