Renal services at Salford Royal Hospital are in the Hope Building. We help people with all types of kidney problems.
Our team cares for people with:
- Short-term and long-term kidney disease
- People preparing for dialysis
- Patients on dialysis
- People who have had kidney transplants
We have the biggest peritoneal dialysis programme (a type of home dialysis) in the North West of England. Our kidney department is the main centre for the West part of Greater Manchester. We look after patients from:
- Oldham
- Rochdale
- Bury
- Wigan
- Bolton
Our kidney doctors run clinics at or near all the local hospitals in these areas, as well as at Salford Royal.
Our Dialysis Services
Dialysis is a treatment that does some of the work your kidneys would normally do. We have:
- A main dialysis unit at Salford Royal Hospital
- Four smaller dialysis units in Bolton, Wigan, Oldham and Rochdale
Hospital Beds
For patients who need to stay in hospital, we have Ward H3 with:
- 25 beds in total
- Three areas with 4 beds each
- 13 private rooms with their own bathrooms
Research
Salford Royal Hospital is one of the UK's most important places for kidney care and research. Our department studies many different kidney problems to find better treatments.
Prior to your Renal telephone consultation with your Consultant, you will need to organise to have a blood and urine test.
Please see below for information on where blood testing is available for Renal patients. Appropriate social distancing measures are in place at all sites.
You will need to bring along your blood request form, which is enclosed with your letter. If you do not have a blood form please contact us on 0161 206 1429 and we will organise for this to be sent to you. You will not be able to have your blood test without this request form.
Please note, the Bolton Kidney Care Centre is not currently available for blood test appointments.
Salford Royal Hospital, Renal Outpatient Department
Blood tests are available by appointment only. Please telephone the booking office on
0161 206 5330
Lines are open between 09:00am and 15:00am, Monday to Friday. Blood appointments are available Monday to Friday.
Please note, patients may only access the Hospital by the Main Entrance located from the Central Car Park.
Royal Bolton Hospital
Strictly by appointment only. Please telephone the booking office on 01204 390923. Lines are open between 09:00 to 12:00 Monday to Friday. The blood room itself is open until 16:30.
Unfortunately our Bolton Kidney Care Centre is not open for Outpatient Services, including blood tests.
Wigan Kidney Care Centre
Blood tests are available by appointment only. Please telephone the booking office on
0161 206 5330
Lines are open between 09:00am and 15:00am, Monday to Friday. Blood appointments are available Monday to Friday.
Thomas Linaker Centre
Blood tests are planned using an appointment booking system. Please call the booking line below:
01942 773151
Blood appointments are available Monday to Friday.
Oldham Kidney Care Centre
Blood tests are available by appointment only. Please telephone the booking office on
0161 206 5330
Lines are open between 09:00am and 15:00am, Monday to Friday. Blood appointments are available Wednesday morning and afternoon and Thursday afternoons. Patients living in the Oldham area are also able to use the Rochdale and Fairfield hospitals, or alternatively book into one of the blood clinic sessions at Salford Royal Hospital.
Rochdale Infirmary
Rochdale Infirmary operates a drop in blood clinic. You should attend the Blood Room, Outpatients Level C with your blood request form anytime between 08:30am and 16:00pm, Monday to Friday. You do not need to telephone to book an appointment.
Fairfield General Hospital
Fairfield General Hospital operates a drop in blood clinic. You should attend the Blood Room, Renshaw Suite in the Outpatients Department with your blood request form anytime between 08:30am and 16:00pm on a Monday, Tuesday, Wednesday or Friday.
Nephrology Outpatients
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General Nephrology
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Specialist Nephrology Clinics
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Vasculitis and SLE
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Complex Glomerulonephritis
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Multiple Myeloma
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Metabolic Renal Cardiac (including Renal Diabetes)
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Renovascular
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Fibromuscular dysplasia
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Polycystic Kidney Disease
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Tuberous Sclerosis
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Hypertension
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Young Adult
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Obstetric Renal 
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Renal Tubulopathy
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Metabolic Stone Urology MDT
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Advanced Kidney Care Service
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Vascular Access (including on site vascular access creation and interventional radiology service)
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Renal Assessment Service
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Transplant
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Live Donor
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Transplant Work-up/Assessment
Service Details
Transplant Work-up
The Chronic Kidney Disease (CKD) team do the transplant work up for patients with CKD optimise the chance for a pre-emptive renal transplant. Patients with CKD can be activated on to the cadaveric transplant list when the kidney function is 15% or less.
Patients who need complex transplant work up – which would involve a dobutamine stress echocardiogram - would attend our Transplant work up clinic and have all the investigations done on one day and also have a discussion with the specialist nurse about transplantation.
Patients who require simple work up would have the basic cardiology investigations done in cardiology, then attend x-ray for a chest x-ray and then attend renal outpatients for bloods, then would have a virtual telephone appointment to discuss transplantation with the specialist nurse.
Following completion of all the investigations, the patient would have an appointment with a nephrologist to re-cap the pros and cons of transplantation. The patient would then be referred to Manchester Royal Infirmary to get an appointment with the transplant surgeon to be assessed for transplant listing.
Post-Transplant
The Post-Transplant nursing team are based in the Hope Building within the Renal Outpatients, department and consist of one Senior Specialist Nurse, Two Specialist Nurses and a transplant Liaison Nurse. There are two transplant clinics per week at Salford, these are held I the mornings. We also provide transplant clinics at Bolton and Wigan and Oldham in the future, however your care will remain under NCA and you will see the same staff. When attending clinic you will see the Consultant/registrar.
The Specialist Nurse team also provide Nurse Led Clinics and annual review clinics alongside the medical team. The Nurse led clinic offer extra support to patients that perhaps changing their medication or require additional review. You will also see the specialist nurse on return after transplant. We encourage patient to attend their clinic appointments on time to avoid delays. Each time you attend clinic, blood samples and a urine test will be required. Post-transplant patients are at risk of developing some skin conditions, including cancer. You will be sent an appointment to see one of our Dermatology consultants every year, it is important that you follow skin care advice and that you attend your review, so that early detection of problems and treatment can occur .
Live Donor Team
The Live Donor team is a Consultant and Nurse Led Service that supports partners and family members through the live donor process.
The most donated organ by a living person is a kidney. A healthy person can lead a normal life with only one functioning kidney and therefore they are able to donate the other to help someone in need of a kidney transplant.
As a live donor you can donate a kidney to someone you know or to someone you don’t know which is called a non-directed altruistic kidney donor. You can do this by registering your interest in donating a kidney by contacting your nearest or preferred transplant centres. Once you have registered an interest to donate your kidney to a family member, or friend or to someone you don’t know. The Live donor team will contact you to make arrangements to commence the work up process which will involve multiple attendances at the Hospital; When you attend your appointments, re-imbursement can be discussed with your Live Donor Special nurse
Once you have been passed as suitable for donation you will attend The Manchester Royal Infirmary for donation surgery.
Peritoneal Dialysis
The Peritoneal Dialysis nursing team are based in the Hope Building within the Renal Outpatients, department and consists of one Clinical Nurse Specialist, six specialist nurses and five health care assistants. The team provide training, support and monitoring to over 100 patients and their families and carers who are at home on peritoneal dialysis.
The team cover a wide geographical area over the West sector of Manchester including Oldham, Rochdale, Bury, Bolton, Wigan, and Salford.
Alongside the home visits from the nursing team, there are also 3 clinics per week at Salford, with a nurse-led clinic running alongside. At these clinics’ patients will be reviewed by a specialist consultant or registrar.
The Specialist Nurse team provide support and education to patients before their journey onto home dialysis starts to ensure shared decision making for patients and their families and carers.
Once established on dialysis the nursing team provide regular review and follow up to ensure optimum therapy for the patients, also offering support with any problems or queries having a dedicated ’in-house’ service available to triage problems over the telephone and arrange review if necessary.
The in-house team also support any peritoneal dialysis patients that have been admitted to hospital, ensuring that safe, adequate dialysis is prescribed and maintained during their admission.
The team also provide an ‘Assisted dialysis’ program with support from an external provider. This service enables patients who may need some support to have a home therapy. The team can assist in the daily setting up of dialysis machines and monitoring the therapy being provided.
Vascular Access
Vascular access is the term used to describe access to someone’s bloodstream for the provision of haemodialysis treatment. Types of vascular access are arterio venous (AV) fistula, arterio venous (AV) graft and central venous catheter. The Renal Association guidelines (2015) recommends the AV fistula as the first choice of access. An AV fistula provides better quality of haemodialysis, has less risk of infection, and carries less risk of complications in comparison to the other types of vascular access.
An AV fistula is formed when an artery and a vein are joined during an operation. This allows more blood into the vein making it larger than normal. It is usually created in the forearm or the upper arm. When haemodialysis is required, two needles are inserted into the fistula and then removed at the end of each haemodialysis session. It takes approximately 6-12 weeks for the vein to develop enough to accommodate the needles required. It is therefore important that your fistula is ready before you need to start haemodialysis. Some patients will have their fistula created several months ahead of requiring haemodialysis.
Your doctor or nurse will discuss the need for vascular access with you when it’s required and if agreed, you will be referred to the vascular access team. The vascular access team consists of 2 specialist nurses, consultant transplant surgeons, consultant nephrologists, a vascular access co-ordinator and a consultant anaesthetist.
The vascular access team will aim to see you in either the surgeon’s clinic (option A) or nurse led surgical assessment clinic (option B) at Salford Royal within 4 weeks. The decision for either option A or B is dependent on clinical criteria (see below). You will be sent an appointment letter for the vascular access clinic date with at least 2 weeks’ notice or will receive a phone call if the appointment is less than 2 weeks away.
It’s always helpful for patients to bring up to date list of medications with them.
Specialist Clinics and Services
The AKCS clinic is run by the chronic kidney disease (CKD) team. It cares for patients with advanced CKD (stages 4 and 5). The team has expert knowledge in high blood pressure, too much fluid in the body, bone problems, and anaemia. They also help patients prepare for kidney treatments, including transplants, haemodialysis, peritoneal dialysis, or supportive care.
As a team, we help patients make decisions about treatment for kidney failure. We also arrange one-to-one sessions where patients can see dialysis machines. These sessions take place in different locations, including Oldham, Bolton, and Wigan. Patients can get information by phone or in person, and we provide leaflets with details.
Most patients with kidney function below 20% come to this clinic. However, every patient is different. Doctors decide if AKCS is right for each person based on their health and how quickly their kidneys are getting worse. Patients in AKCS usually stop going to their previous kidney clinics. However, in some cases, they may continue seeing their old consultant as well.
The CKD team also treats anaemia, a common problem in chronic kidney disease. Patients may need iron through a drip, injections, or tablets. The team helps with prescriptions and checks the treatment is working.
The AKCS clinic runs most weeks in Salford, Oldham, Rochdale, Wigan, and Bolton.
Consultant Nephrologists
Dr Rosie Donne
Dr Robert Nipah
Dr Maharajan Raman
Dr James Tollitt
Prof Helen Hurst
Dr Rony George
Dr Ibrahim Ali
Dr Thili Abeyguneratne
Dr Yasser Al Mula Abed
Advanced practice and comprehensive geriatric assessment.
An integrated service for people with heart failure, kidney disease, and diabetes. A regional team gives advice to heart failure teams across Greater Manchester using the PatientPass online system.
The diabetes clinic is part of a team clinic for Salford patients with kidney disease. It helps reduce hospital visits and makes sure care is joined up at different stages of kidney disease. The clinic runs twice a month with Dr. Angela Paisley and nurse Caroline Eden.
Team members:
Consultant Nephrologists
Prof Darren Green
Prof Smeeta Sinha
Prof Dimitrios Poulikakos
Dr Helen Alderson
Clinical Research Fellow
Dr Saif Al Chalabi
Consultant Cardiologist
Dr Nehal Hussain
Lead Heart Failure Specialist Nurse
Penny Darby
We are a team of specialists working together to treat kidney problems. Our team includes consultants, nurses, a pharmacist, and support staff. We all work together to help patients with a condition called glomerulonephritis.
About Glomerulonephritis
Glomerulonephritis is when the filters in your kidneys become inflamed or swollen. This can happen to the kidney tissue too. It's not a common condition, but it can be serious and often needs special medicines to treat it.
How We Help You
Our job is to:
- Figure out what's causing your kidney problem
- Create a treatment plan that works for you
- Explain your condition in ways you can understand
- Include you in all decisions about your care
Research Opportunities
Many patients are interested in helping with research studies. These studies are important because they help doctors learn more about kidney diseases and find better treatments.
If you're interested in being part of a research study, our research nurses might talk to you about it. You can also tell your consultant if you want to learn more about getting involved.
Consultant Nephrologists
Dr Helen Alderson
Dr Tina Chrysochou
Prof Philip Kalra
Dr Dimitrios Poulikakos
Dr Francesco Rainone
Dr Jim Ritchie
Prof Smeeta Sinha
Helpful resources:
Our clinic started in 2016 to help patients with rare diseases that affect both the kidneys and blood. These conditions can be cancerous or non-cancerous, but all of them need experts from different medical fields working together.
How Our Clinic Works
We see patients once a month. We help people who are:
- Being tested for certain conditions
- Already diagnosed with Multiple Myeloma (a type of blood cancer)
- Living with Amyloidosis (a disease where abnormal proteins build up in organs)
- Dealing with MGRS (a condition where abnormal proteins damage the kidneys)
After seeing patients, our team of kidney doctors, blood specialists, and imaging experts meet to discuss each case. Most patients need both kidney and bone marrow samples taken to confirm their diagnosis. We work with experts at our hospital and partner with specialists at Imperial College in London, the National Amyloid Centre, and the Leeds blood disease testing service.
Our Goals
If we catch and treat these conditions early enough, patients can often go into remission, meaning the disease becomes inactive. Our main aims are to:
- Diagnose patients quickly
- Start treatment early
- Prevent kidney failure
- Evaluate patients for possible stem cell or kidney transplants
- Provide careful follow-up care after transplants
Team members
Consultant Nephrologist
Dr Francesco Rainone (Clinical Lead for MGRS & Pan-Manchester Amyloidosis MDT Lead)
MDT Lead (Haematology Oldham Care Organisation)
Dr Satarupa Choudhuri
Resources
Guidelines for diagnosis and management of MGRS in the UK can be found at the following link: DOI: 10.1111/bjh.19956
Further information about the conditions covered by the MGRS label can be found at the following links: www.myeloma.org.uk www.amyloidosis.org.uk
Monoclonal Gammopathy of Renal Significance | UK Kidney Association
The national Fibromuscular Dysplasia (FMD) clinic was created in 2019 at Salford Royal Hospital following high interest after the UK's first FMD patient information day. This clinic has grown to include doctors who specialise in kidneys, brain and nerve disorders, and medical imaging—all working together to help patients with FMD.
What is FMD?
FMD is an uncommon condition that causes:
- Narrowing in one or more arteries
- Sometimes enlargement or other changes in small and medium-sized arteries
This condition affects each person differently, which is why a specialized clinic was needed. While FMD is found most often in middle-aged women, it can affect men and people of all ages.
How We Help
Our clinic team works to:
- Confirm whether you have FMD
- Provide care from multiple medical specialists
- Lead the UK FMD study
- Offer you opportunities to join research studies that match your situation
Team members
Consultant Nephrologists
Dr Tina Chrysochou (FMD Clinic Lead)
Dr Aine de Bhallis
Consultant in Stroke Medicine
Dr Philip Thomas
Consultant Neuroradiologist
Dr Amit Herwadkar
Consultant Interventional Radiologist at MFT
Dr Ed Lake
At our kidney clinic, we see new patients and patients who need follow-up care. You might be sent to us by your GP or another hospital doctor if you need tests for kidney problems.
What happens at the clinic?
When you come to our clinic:
- You will often have regular blood tests
- You will get information that's made just for you
- Our doctors will try to find out what's causing your kidney problem
Sometimes we might need you to have:
- An ultrasound scan of your kidneys
- A CT scan of your kidneys
- Sometimes, a small sample (biopsy) of your kidney
How we help you stay healthy
Our doctors and nurses will:
- Help you to live a healthy and active life
- Tell you about places near you or websites that can help you lose weight if needed
- Show you ways to be more active
- Talk to you about treatments that can slow down kidney disease
- Sometimes suggest treatments that might make your kidneys better
Who you might see
You might see or talk to:
- A Consultant (senior doctor)
- A Nurse practitioner
- A doctor who is training to be a kidney specialist
- A junior doctor
If they find anything unusual in your tests or scans, they might ask you to see another type of specialist doctor. They might also suggest you meet with our kidney dieticians, who know all about the best foods for people with kidney problems.
Before your appointment
Before you come to see us, we ask that you:
- Get your blood tested (we'll usually send you a form in the post weeks or months before)
- Check your blood pressure at home
Helpful resources
https://kidneycareuk.org/kidney-disease-information/
Blood pressure test - NHS (www.nhs.uk)
https://www.nhs.uk/conditions/blood-pressure-test/
https://beamfeelgood.com/kidney-disease
Our Kidney Genetics Clinic was set up after suggestions from the Northwest Kidney Network Genomics project. We aim to bring genetics services directly into the kidney department and create clear, standard ways of testing for genetic conditions.
What We Do
We help arrange genetic testing for patients who:
- Meet certain requirements
- Might have kidney disease caused by their genes
Each patient's case is discussed at our Northwest Kidney Genomics team meeting. At these meetings, genetics experts from Manchester and Liverpool work together with kidney doctors. Ideally, the doctor who referred you should attend this meeting.
Why This Matters
Finding out if your kidney condition has a genetic cause can:
- Help doctors better understand your condition
- Guide treatment choices
- Provide information for family members who might be affected
- Give you clearer answers about your health
Team members
Consultant Nephrologist
Prof Smeeta Sinha
Highly Specialist Nurse RAS
Toni Clough
Helpful resources
Inherited metabolic disorders are rare conditions you get from your parents through your genes. They can cause problems in many parts of your body, including your kidneys. The main conditions that affect kidneys include Fabry's disease, Cystinosis and Methylmelanoic acidaemia.
Our Special Clinic
The Mark Holland Metabolic Unit at Salford Royal Hospital is a special centre that treats adults with these inherited conditions. It's one of only five expert centres in England. People travel here from all over, including Scotland, Wales, Newcastle and the Isle of Man.
How Our Clinic Works
We run a joint kidney and metabolic medicine clinic every three months. This clinic is for patients who have:
- Metabolic disorders
- Kidney problems (chronic kidney disease)
- Had a kidney transplant
- Need dialysis treatment
At this clinic, you'll see a team of experts working together, including:
- A doctor who specialises in metabolic medicine
- A kidney doctor
- A specialist nurse for metabolic conditions
- A dietician
- A pharmacist
This special clinic gives patients with these rare genetic disorders the chance to get advice from different specialists all in one place.
Team members
Consultant Nephrologist
Dr Rajkumar Chinnadurai
Consultant in Metabolic Medicine
Dr Reena Sharma
Helpful resources
Fabry Disease - Symptoms, Causes, Treatment | NORD (rarediseases.org)
Cystinosis - Symptoms, Causes, Treatment | NORD (rarediseases.org)
Methylmalonic Acidemia - Symptoms, Causes, Treatment | NORD (rarediseases.org)
Our team helps people who want to give one of their kidneys to someone else. We support donors from start to finish.
What We Do
We work with kidney donors through every step of their journey:
- First meetings and check-ups
- All the tests in between
- Final blood tests before surgery
Our job is to help donors make good choices. We make sure they fully understand what donating a kidney means and that it's safe for them to do so.
We also help donors with money matters. Donating a kidney shouldn't cost you money, so we help donors get back money they spend on travel and any wages they lose while recovering.
Looking After Our Donors
We're proud of how we care for all our donors - both past and present. We check up on every donor once a year for the rest of their life. This helps us make sure they stay healthy overall, not just their remaining kidney.
At these yearly check-ups, we:
- Take routine measurements
- Do blood tests
- Have a chat with one of our nurses about kidney health
If we spot any problems, we'll let the donor's GP know straight away.
Retry
Our kidney stone clinic brings together a special team to help people who get kidney stones often. The team includes:
- Kidney doctors
- Surgeons who work on the urinary system
- Food experts (dietitians)
What We Do
We work to find out why people keep getting kidney stones, especially if there might be rare or inherited causes. Our goal is to stop stones from coming back.
We work closely with:
- Genetics experts who can tell if your stones run in your family
- Other stone clinics across Greater Manchester
How We Help You
We aim to:
- Check you quickly and find out what's causing your stones
- Help you get long-term care closer to your home
- Connect with special centres across the country for the newest treatments
- Explain why you're getting kidney stones
- Suggest changes to your diet and lifestyle
- Recommend medicines that might help
Our food experts (dietitians) are very important to our team. When you visit us, you can get all the advice you need in one place.
Team members
Consultant Nephrologist
Dr Jim Ritchie
Consultant Urologist
Mr. David Ross
Renal Dietitian
Rebecca Pearce
Helpful resources
Dietary advice for patients with kidney stones
What We Do
Our clinic helps patients move smoothly from advanced kidney care to peritoneal dialysis. When your kidneys aren't working well enough and you choose peritoneal dialysis (PD) as your treatment, we're here to support you.
How It Works
- First, the kidney disease team checks if PD is right for you. They'll visit your home to make sure it's suitable.
- When your kidney function drops to a level where you'll soon need dialysis, you'll get an appointment at our clinic at Salford Royal Hospital.
- At the clinic, you'll meet with:
- A PD specialist nurse
- A PD consultant
They will explain:
- How PD works as a home treatment
- What you'll need to do each day
- How our team will help you
- We'll check if you're suitable for a PD catheter (the tube used for dialysis) by:
- Reviewing your medical history
- Doing an ultrasound scan of your abdomen
- Explaining the procedure and its risks
- Getting your written permission
Follow-up Care
Once you start peritoneal dialysis, we'll see you regularly to check how you're doing.
Special Support for Older Patients
We have a special clinic called the Peritoneal Dialysis Frailty Clinic for older patients or those with different needs. This clinic:
- Creates personalised dialysis and medicine plans
- Assesses needs like mobility and memory
- Checks your mood and other symptoms
Professor Helen Hurst and Advanced Clinical Practitioner Joanne Martin usually visit these patients at home.
Team members
Consultant Nephrologists
Prof Dimitrios Poulikakos
Dr David Lewis (PD team lead)
Dr Rajkumar Chinnadurai
In-house Specialist Nurses
Joanne Collier
Laurie Crosby
Joanne Martin
Prof Helen Hurst
Community Specialist Nurses
Janet Blood
Mena Chauhan
Andzelika Kot
Emma Hayes
Laura Hayes
Ameer Gause
Community Health Care Assistants
Kim Kirkwood
Paula Tooby
Claire Baxter
Clarissa Duffy
Helpful resources
Kidney Care UK, https://kidneycareuk.org/
Association of Nephrology Nurses, https://ann-uk.org/
International Society for Peritoneal Dialysis (ISPD), https://ispd.org/
Leaflets
Expertise / What the clinic offers
- Specialist Clinic started 2016.
- Over 300 APDKD patient within service.
- Holistic multidisciplinary management of PKD patients and families.
- Close collaboration with PKD Charity.
- Industry links to foster research.
Team members
Consultant Nephrologists
Dr Grahame Wood
Dr Anie De Bhaillis
Our special clinic helps young people (40 years old or younger) and those with difficult-to-treat high blood pressure. We don't see patients whose high blood pressure is caused by long-term kidney disease.
What Makes Our Clinic Different
Our clinic looks for hidden causes of high blood pressure that normal doctors might miss, such as:
- Hormone problems
- Blood vessel issues in the kidneys
- Heart conditions
If we find that something specific is causing your high blood pressure, we'll refer you to the right specialist for treatment.
How We Help
We also check whether your high blood pressure might be:
- Only happening at the doctor's office (called "white coat hypertension")
- Due to not taking medicines properly
- Because of incorrect blood pressure measurements
For patients with truly stubborn high blood pressure, we create a step-by-step treatment plan to help get it under control.
Team members
Consultant Nephrologists
Dr David New
Prof Dimitrios Poulikakos
Dr Rajkumar Chinnadurai
Helpful resources
Working closely with consultants and other medical colleagues, the Renal Same Day Emergency Care service is focussed on getting patients out of hospital faster and avoiding the need to stay at hospital overnight.
Team members
Consultant Nephrologists
Dr James Tollitt
Dr Aine DeBhailis
Dr Rony George
RAS Specialist Nurses
Sr Vicky Sutch (Team Leader)
Sr Toni Clough
Renovascular diseases affect the blood vessels that carry blood to your kidneys. Our kidney artery clinic (renovascular clinic) is run by doctors who are experts in these conditions and have done lots of research about them.
Our Experience
Our centre has been studying kidney artery problems for 25 years. We've done important research about a condition called atheromatous renovascular disease, where fatty deposits narrow the kidney arteries.
How We Help You
Our team:
- Helps you understand your condition
- Supports you in making choices about treatment
- Works with you to prevent the disease from getting worse
- Meets with specialist X-ray doctors to discuss the best options for some patients
Visiting Our Clinic
The clinic happens once a month. You can either:
- Come to see us in person at Salford
- Have your appointment over the telephone
This is an online kidney clinic for patients who are already on the best treatment for their condition but still need a kidney doctor to keep an eye on them.
How it works
Two weeks before your check-up:
- You'll get a text message reminder
- You'll need to go and have your kidney blood tests done
A few days before your check-up:
- You'll get another text with an online form
- You'll need to fill in your blood pressure readings
- You'll need to record your weight
- You can write down any worries you have
What happens next
The doctor won't phone you. Instead:
- They'll look at your form, blood pressure, weight and any concerns
- They'll text you back with a plan
- They'll also let your GP know what's happening, as usual
If you have any problems with this clinic, please ring 0161 206 1429.
When your kidneys work at less than 15% (CKD stage 5), the best treatment for many people is getting a new kidney from a living donor before you need dialysis. This is called a "pre-emptive transplant."
Our Clinic's Purpose
Our clinic helps patients with failing kidneys get a transplant before needing dialysis machines. Your kidney doctor and CKD team will refer you when they think you're ready to start the transplant process.
Important things to know:
- You can join the waiting list or receive a kidney from someone you know when your kidney function drops to 15% or less
- Not everyone with kidney disease can have a transplant
- If you need a kidney from the national waiting list, you might wait 2-3 years
The One-Stop Clinic Experience
Our one-stop clinic helps you avoid multiple hospital visits by doing several tests in one day:
- Heart tests
- Chest X-ray
- Transplant assessment with specialist nurses
This visit might take up to 4 hours, but it saves you making several separate trips.
Dr Gavin Freeman runs a special heart assessment clinic for patients who need more detailed heart checks. You might have a stress echo test (which shows how your heart works during exercise) and other heart assessments.
What Happens Next?
After your tests:
- Your kidney consultant reviews your results
- If everything looks good, you're referred to transplant surgeons at Manchester Foundation Trust
- You'll meet with a kidney specialist to talk about the good and bad points of having a transplant
- You'll have a face-to-face meeting with a transplant surgeon
- You might be placed on the active transplant list or the suspended list depending on your assessment
- Some patients need to see anaesthetists or other specialists before a final decision
Planning Ahead: Transplant First Clinic
We also run an earlier education clinic called "Transplant First." This teaches you about living kidney donation (getting a kidney from family or friends). You can attend this clinic years before you might need a transplant.
Helpful resources
Kidney Research UK https://www.kidneyresearchuk.org
Blood and Transplant https://www.nhsbt.nhs.uk/organ-transplantation/kidney/
Manchester Foundation Trust
https://mft.nhs.uk/mri/services/transplants/
KidneycareUK
https://www.kidneyresearchuk.org/kidney-health-information/living-with-kidney-disease
British Transplantation Society
National Kidney Federation
Social Media
Salford Royal Renal Department Twitter - @salfordrenal
Salford Royal Renal Department Facebook - www.facebook.com/SCOrenal
MFT renal transplant coordinators Twitter - @MRI_TxRecipient
MFT Transplant unit Twitter - @MRITransplant
Renal Patient Led Advisory Network Twitter - @RPLANNW
KidneyCareUK Twitter - @KidneyCareuk
NHS Blood and Transplant - @NHSBT
Our Tuberous Sclerosis (TS) Clinic opened in 2015. We help patients with TS and support their families and carers across the region.
What We Do
We check for all the main problems that can happen with TS, especially:
- Kidney growths called angiomyolipomata (AMLs)
- Brain tumours called subependymal giant cell astrocytoma (SEGAs)
- Seizures (epilepsy)
Our Team
When needed, we work with other specialists who are keen to help, including:
- Brain surgeons
- Kidney and bladder specialists
- Heart doctors
- Skin doctors
- Lung specialists
- Doctors who help with brain-related mental health
- Psychologists who test how the brain works
We also work closely with:
- Genetics experts from Central Manchester Trust
- Eye specialists from Manchester Royal Eye Hospital
- Anaesthetists (sleep doctors) who are very important when patients need scans while asleep
- Dentists who can check teeth when patients are asleep, which helps when patients find it hard to visit normal dentists
Team members
Consultant Nephrologists
Dr David New
Epilepsy Specialist
Dr Peter Clough
Senior Clinical Pharmacist
Dr Jude Allan
Helpful resources
Our service offers special care for patients with vasculitis and lupus from all over the region. We're what's called a tertiary centre, which means we provide advanced specialist care.
Our Team
We bring together different kinds of doctors to help look after you:
- Kidney specialists (renal consultants and doctors in training)
- Joint and muscle specialists (rheumatology)
- Ear, nose and throat doctors (ENT)
- Medicine experts (pharmacists)
Working Together
We hold team meetings where all these specialists discuss how to best help each patient. Often, we also invite:
- Brain and nerve specialists (neurologists)
- Lung specialists (respiratory doctors)
This teamwork is really important because vasculitis and lupus can affect many different parts of your body at once. Having all these experts working together means you get the right care for all the parts of your body that might be affected.
Our clinic was created in 2013 by young people for young people. If you have any type of kidney condition and are between 16 and 30 years old, this clinic is for you.
Who We Are
We are a team of different healthcare professionals who really care about young adults. We work closely with children's kidney doctors to:
- Help you move smoothly from children's services to adult care
- Support you if you've come straight to adult services
You can choose to have your appointments in person or over the telephone.
How We Help You
We want to help you understand your kidney condition and discover the best ways to look after yourself. We do this by:
- Using special toolkits like "Ready Steady Go" to help with your transition
- Checking on your mental health with questionnaires
- Offering support with your mood and diet
- Connecting you with other young people who have similar conditions
If you're interested, we can also tell you about research studies that might be right for you.
Further information can be found here:
Reach - UK Wide Renal Youth Club
Team members
Consultant Nephrologists
Dr Tina Chrysochou (Clinic Lead)
Dr Jim Ritchie
Clinical Psychologist
Dr Amy Waugh
Helpful resources
InfoKid: https://infokid.org.uk/
EdRen: https://edren.org/ren/
YAKidneyGroup: https://kidneycareuk.org/get-support/young-adult-kidney-group-yakg/
Kidney Care UK: https://kidneycareuk.org/get-support/kidney-care-uk-patient-support-advocacy-service/
National Kidney Federation: https://www.kidney.org.uk/helpline-leaflets
GMKin: https://kinet.site/gmkin/
Guidance for schools
Ready Steady Go Transition Programme: