The Wessex Renal & Transplant Service (WRTS)
The Wessex Renal & Transplant Service (WRTS) is located in newly commissioned premises at Queen Alexandra Hospital. The WRTS provides a comprehensive renal service to an adult population of approximately 2 million, covering the majority of Hampshire, the Isle of Wight and the adjacent parts of Wiltshire and West Sussex. The unit is currently part of the Portsmouth Hospitals Trust Division of Medicine.
Dr Robert Lewis (Clinical Director),
Paul Gibbs (Clinical Lead, Transplantation).
Sheila Humphrey (Lead Nurse),
Tim Hebditch(Operational Manager),
Configuration of Clinical Services
WRTS manages patients with all nephrological illnesses including acute, chronic, and end stage renal failure in patients of age 16 years upwards. All modalities of Renal Replacement Therapy (RRT) are available – haemodialysis (HD), haemodiafiltration (HDF), peritoneal dialysis (PD), automated peritoneal dialysis (APD) and Renal Transplantation. A comprehensive range of investigative procedures for all renal diseases is provided. The transplantation service provides an organ retrieval service, which has strong links with intensive care units and multi-organ transplant centres nation-wide.
Outpatient nephrology clinics (including general nephrology, haemodialysis, CAPD and transplant review) are held every day of the week. Owing to the large geographical area covered by WRTS, great efforts have been made to provide local expert services close to patients’ homes. The Consultant Nephrologists are therefore responsible for peripheral clinics and ward referrals as outlined above.
In the main unit there are four dedicated In-patient wards. The current in-patient bed complement is 42, with an additional 6 day unit beds. There is also an outpatient dialysis ward, with 25 stations and a dedicated PD unit with training facilities and community outreach nurses. The WRTS has its own integral outpatient department and the facility to see patients as emergencies during the day. The majority of nursing staff on the Wards are nephrology trained and there is a locally run Nephrology Nursing Course. The service also has the benefit of 2.5 wte Dieticians, and a renal Pharmacist. There are nurse specialists in vascular access, transplantation and pre-dialysis care. Dedicated multidisciplinary low clearance clinics are held three times a week providing conservative management where patients express this preference. There is a team of anaemia specialist nurses who oversee the prescription and delivery of ESAs and parenteral iron at the main unit and in the satellite dialysis units.
Satellite haemodialysis facilities are available in Totton (10 stations), Basingstoke (12 stations), Bognor Regis (9 stations), Chandlers Ford (10 stations), Hayling Island (3 stations) and the Isle of Wight (6 stations). Three further satellite units are currently being planned.
There is an infrastructure of six full time transplant coordinators and we are one of the pioneering units for the Donor Action Programme in the UK. The unit also runs its own EDHEP course. The unit undertakes transplants from cadaveric donors, living donors and non-heartbeating donors. Currently, approximately 50 transplants are undertaken per year.