EUROPEAN TRAINING CENTRES

lancashire

Renal Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK

 

About Lancashire
Lancashire is a non-metropolitan county of historic origin in the North West of England. The county was established in 1182 and takes its name from the town of Lancaster in the North of Lancashire. The Red Rose of Lancaster is the traditional symbol for the House of Lancaster, immortalized in the 15th century War of the Roses between the House of Lancaster (Red Rose) and the House of York (White Rose). Today, the administrative capital of Lancashire is Preston. People from the county are known as Lancastrians. The Duchy of Lancaster is an ancient institution that manages the inherited property of the monarch and originates in a grant of land made in 1265 to a Plantagenet prince. Lancashire is somewhat divided in two areas, the industrial and densely populated South and Central areas with Preston and Blackpool and the rural North. There is also a lot of beautiful countryside with the seaside, the Pennines and the Forrest of Bowland, an area of outstanding national beauty. North of Lancashire, the Lake District offers magnificent countryside with fells and lakes; the Yorkshire dales are not far away either.

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Pendle Hill in central Lancashire (©BBC and Clive Banks)

Haweswater from Harter Fell in the Lake District (©BBC and Roger Gorman)

Lancashire Teaching Hospitals

Lancashire teaching hospitals NHS Foundation Trust provides healthcare for the major part of central Lancashire as well as specialist services for all of Lancashire and South Cumbria. It operates two hospitals in Chorley and Preston and was awarded Foundation hospital status in 2005, providing greater freedom from central Government control.

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Royal Preston Hospital

 

Renal Unit
The Directorate of Renal Medicine provides a comprehensive regional service for renal medicine for a catchment population of approximately 1.5 million.  The Royal Preston Hospital has been designated as a renal hub for Lancashire and Morecambe Bay.  The Directorate comprises a renal unit containing 26 haemodialysis stations and 2 infectious disease isolation stations and a dedicated Nephrology Ward of 27 beds at the Royal Preston Hospital site.  There is a separate CAPD and home haemodialysis training facility at the Chorley and South Ribble Hospital unit and a CAPD training facility in Barrow-in-Furness. The Directorate supports five satellite haemodialysis units – Accrington, Blackpool, Chorley, Kendal and Burnley. The Kendal unit is being expanded this year.  There are satellite out-patient clinics in Accrington, Barrow, Blackburn, Burnley, Blackpool, Chorley, Lancaster and Kendal.

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Lancashire on a UK map and Renal services offered by the unit (green – hemodialysis unit, red peritoneal dialysis unit, yellow – out-patient clinic)

 

HEAD OF THE UNIT R.A. Coward

CONSULTANTS

John G. Anderton, Ramzana B. Asghar, Simon Gibson, Patrick MacDowall, Harish Shetty, Laurie R. Solomon, Alexander Woywodt

ASSOCIATE SPECIALISTS

Mila Garrues, Elisabeth Bailey

STAFF GRADE DOCTORS

Dr. Das, Two further staff grades (to be appointed autumn 2007), 7 Registrars

SPECIALIST NURSES

Dianne Almond, RGN, Pre-dialysis Sister
Fiona Biggins, RGN, Living Donor Coordinator Sister
Mags Delargy, RGN, Transplant Sister
Jacqui Furnell, RGN, Vascular Access Sister
Sara Gallagher, Holiday Coordinator
Nora Kerrigan, RGN, Adequacy Sister
Louise Lockwood, RGN, Pre-dialysis Sister
Debbie McGregor, RGN, Anaemia Sister
Rachel  Rawley, RGN, Anemia Sister
Lynda Smith, RGN, Research and Patient information Sister
Chris Wroe, RGN, Home Therapy Nurse Manager

 

CONTACT INFORMATION
E-MAIL Robert.Coward2@lthtr.nhs.uk
FULL POSTAL ADDRESS

Renal Unit, Royal Preston Hospital, Sharoe Green Lane, Preston PR2 9HT, UK

 

CLINICAL FACILITIES
NEPHROLOGY BEDS N° 30
GENERAL MEDICAL BEDS N° 10
HEMODIALYSIS PATIENTS N° 375
HOME-HEMODIALYSIS PATIENTS N° 25
PERITONEAL DIALYSIS PATIENTS N° 100

RENAL TRANSPLANTS/YEAR (surgery performed in Manchester)

40

DEDICATED LIVING DONATION PROGRAMME WITH CO-ORDINATOR

 

RENAL TRANSPLANT RECIPIENTS UNDER FOLLOW-UP

350

ACUTE DIALYSIS AND PLASMA EXCHANGE (RPH)
NURSE-LED PRE-DIALYSIS TEAM (RPH)
NURSE-LED VASCULAR ACCESS TEAM (RPH)
NURSE-LED ANAEMIA TEAM (RPH)
FACILITIES FOR OUT-PATIENT I.V. IRON FOR PRE-DIALYSIS PATIENTS (RPH AND SATELLITES)
TRAINING FOR HOME HAEMODIALYSIS (CHORLEY AND SOUTH RIBBLE HOSPITAL SITE)
TRAINING FOR CAPD (CHORLEY AND SOUTH RIBBLE AND BARROW SATELLITE)
RENAL BIOPSY (NATIVE AND TRANSPLANT) WITH ELECTRON MICROSCOPY, IMMUNO- CYTOCHEMISTRY AND IMMUNO-FLUORESCENCE (RPH)
IMMUNOLOGY LAB WITH SAME-DAY ANTI-GBM AND ANCA
INTERVENTIONAL RADIOLOGY (RENO-VASCULAR AND VASCULAR ACCESS) (RPH)
VASCULAR ACCESS SURGERY (RPH AND MORECAMBE BAY)
DEDICATED RENAL SOCIAL WORKER
RENAL DIETICIAN SERVICE

 

 

SCIENTIFIC PROJECTS

Antimicrobial lock with Taurolidine for tunneled dialysis lines

Gene expression profiles in ANCA-associated vasculitis (cooperation with Div. Immunology at Royal Preston Hospital and Univ. of Manchester)

Herbs and renal failure in the Asian community in the North West of England

 

TRIALS

The unit participates in the following trials:

ASTRAL (Angioplasty and STent for Renal Artery Lesions) – Univ. of Birmingham

MyQol (Enteric-Coated Mycophenolate Sodium on Quality of Life in Patients With Gastrointestinal Symptoms Related to Mycophenolate Mofetil Therapy After Kidney Transplantation) – Novartis

SHARP trial (study of heart and renal protection). effects of lowering LDL-cholesterol with the combination of simvastatin 20 mg and ezetimibe 10 mg daily on the time to a first “major vascular event”. (Univ. of Oxford)

Study of Growth Hormone in Malnourished Dialysis Patients (Fresenius)

 

Educational Facilities

Weekly renal teaching sessions
Journal Club
Regular X-ray meeting
Regular renal biopsy meeting
Close links with the University of Manchester

 

European Fellows programme

Specify if the Unit accepts fellows from European countries for:
Short (1-2 month) well focused training programs either clinically or laboratory oriented: Yes
Long (at least 1 year) research fellowships: Yes
Specify corresponding availability of grants: to be discussed
Specify if the Unit may provide help for accommodation: No

Prerequisites for Fellowship

Language: English

Work/Research experience:to be discussed