King's Renal Unit provides adult nephrology, dialysis and renal transplant clinic services to a diverse patient population, estimated at 1.2 million, based in SE London, and covering Dartford, Woolwich and Bromley. The current work of the Unit includes the care of about 650 patients with end-stage renal failure. Of these patients, about 300 are on HD, 90 on CAPD and 300 have functioning transplants. The main HD unit with 22 stations is based at King’s College Hospital, Denmark Hill. Satellite dialysis facilities are based at Woolwich Hospital (10 stations), Darent Valley Hospital, Dartford (12 stations), Dulwich Hospital (12 stations) with additional nocturnal dialysis, Sydenham and in Bromley (17 stations). King's also operates a joint HD unit with GSTT known as Somers place (32 stations).
King's operates a joint transplant program with Guy's Renal Unit. Patients called for a renal transplant have the surgery at Guy's and are then followed up in the King's Transplant Outpatient Clinic. The vast majority are repatriated within a week.
The Renal Unit is a twenty-nine bed inpatient area in KCH. The area is dedicated to the care of renal patients. In addition, the Unit has a close working relationship with the surgical, medical and liver intensive care units. We co-manage patients at any one time.
There are 6 clinical renal StRs at King’s, who together with 4 research fellows work a 1 in 10 non- resident on call rota. Each clinical StR rotates through periods covering the wards, referrals, clinics and ‘floating’. The local population provides invaluable experience treating diseases such as HIV nephropathy and sickle cell disease. Several specialties provide tertiary referral services within King’s, which give the opportunity to jointly manage complex liver, cardio-thoracic and haematology patients either on the renal HDU or as outliers. You will be trained in line insertion and native and transplant biopsies.