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Bristol Royal Hospital for Children |
| Department of Paediatric Nephrology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ |
This unit has 7 haemodialysis and 18 peritoneal dialysis patients
| Contact Information: | |
| Holiday dialysis enquiries: | HD 0117 342 8355 PD and community team 0117 342 8548/9 Secretaries 0117 342 88 79 or (80)(81)(89) 24 hour Ward number 0117 342 8337/8264 |
| Members of the team : | ||
| Dr Mary McGraw | Consultant Paediatric Nephrologist |
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| Dr E. Jane Tizard | Consultant Paediatric Nephrologist |
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| Dr Moin Saleem | Reader Paediatric Nephrology |
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| Dr Jan Dudley | Consultant Paediatric Nephrologist | |
| Dr Carol Inward | Consultant Paediatric Nephrologist (lead clinician) | |
| Dr Richard Coward | MRC Clinician Scientist and Senior lecturer Paediatric Nephrology | |
| Dr Tim Chambers | Consultant Paediatrician and Nephrologist | |
| Mr Guy Nicholls | Consultant Paediatric Urologist | |
| Mr Mark Woodward | Consultant Paediatric Urologist | |
| Dr Ezzat Afifi | Staff Grade Paediatric Nephrology |
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History:
The Bristol based Children’s Renal unit provides comprehensive nephrology services for the South West of England (population over 4 million) and in addition renal transplantation for children of South Wales. We moved to a purpose built Children’s Hospital in April 2001, having previously been based at Southmead hospital in Bristol. The unit has 9 inpatient beds, 5 of which are cubicles, and a 4 bedded haemodialysis unit. We have excellent links with the district general hospitals in the region and regularly perform joint outpatient clinics in these centres allowing children and their families to receive care closer to their homes.
About the department
Dialysis numbers:
We dialyse on average between 20-30 patients per annum with Acute Renal Failure in our unit and care for between 25 to 35 patients per annum on chronic dialysis.
Transplant numbers: In the past 5 years (Jan 2001-2006) we have performed 69 renal transplants including 16 live donors and 53 cadaveric transplants.
Shared care clinics: We perform regular joint clinics in Bath, Barnstaple, Cheltenham, Exeter, Gloucester, Plymouth, Swindon, Taunton, Torbay, Truro, and Yeovil.
Speciality clinics: We run speciality joint clinics in renal/endocrine, vasculitis and transplantation. These occur quarterly. A transition clinic is also held in the Bristol adult unit.
Special interests:
We are committed to improving the health of our patients by being active in research, in training of doctors, and in audit and the development of clinical guidelines.
Clinical trials – We are currently involved in the following trials: :
» The role of steroids of steroids in HSP by a prospective double blind placebo controlled trial (Dr Jan Dudley and Jane Tizard in collaboration with Dr Graham Smith [Cardiff]),
- » Assessing if 7 valent pneumococcal vaccines are efficient in protecting immunosuppressed renal patients.
- » Were involved in studying if EBV vaccine is useful in immunising susceptible pre renal transplant patients.
» We are also collaborating in a large number of multi-centre trials.
Nephrological training:
We are an approved centre for tertiary training and have recently secured a Walport academic clinical lecturer post. In addition we always have at least 2 general paediatric trainees (SHO and SpR) gaining exposure to nephrology. We offer a comprehensive seminar programme on induction into nephrology and regular educational support. Dr Mary McGraw has a special interest in training and was recently elected to the position of vice-president of the Royal College of Paediatricians (Training and assessment).
Audit and guidelines:
We are constantly auditing medical practice based on national standards and attempting to improve clinical practice. Furthermore we regularly produce and review a number of guidelines for a number of nephrological problems which we put on our hospital intranet (Dr Carol Inward and Dr Jan Dudley). Dr Jane Tizard is involved in setting up the European registry which will prove helpful in establishing best practice in the future.
