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Renal services

Images of Renal Services offered across East Kent Hospitals featuring Thomas Beckett Dialysis unit, blood pressure and Home-Haemodialysis

The Canterbury Renal Unit is based at Kent and Canterbury Hospital (K&C) and provides renal service for the 1.25 million population of East Kent and the Medway and Maidstone districts of West Kent. Kent and Canterbury Hospital was first established in 1793 and moved to its current site in 1937. The renal unit was built in 1971 and started to provide dialysis treatment in 1972. 

There are now 368 patients on haemodialysis, nearly 72 patients on peritoneal dialysis and over 360 patients who have functioning renal transplants. In addition to a haemodialysis unit at K&C, patients are dialysed at satellites units in Margate, Medway, Maidstone, Dover and Ashford. The Home therapies team is responsible for provision of peritoneal dialysis service and runs a growing home haemodialysis programme, thus allowing a full choice of renal replacement therapies tailored to the need of individual patients. Outreach services are currently provided in Ashford, Folkestone, Margate, Maidstone, Medway and Dover. Home and community outpatient services have also been recently established.

Patients suitable for Kidney Transplant are referred to surgeons from Guy's Hospital, London, who hold weekly clinics at Kent and Canterbury Hospital. Surgery for transplant is done at Guy's Hospital after which patients are transferred back to Canterbury for further follow up.

Both the medical and nursing staff take keen interest in research and regularly present their work at international meetings. The unit is carrying out research in a number of important areas. The department has a particular interest in epidemiology of chronic kidney disease, cardiovascular disease in renal patients, and use of IT in development of protocols for improving the quality and efficiency of renal service.

There is a weekly CME meeting where journal clubs and topic teaching is used to keep junior and senior doctors abreast of the latest developments in the field of nephrology. Renal unit actively participates in teaching house officers, medical students and nurses.

  • Advanced Kidney CareInformation for patients about our Advanced Kidney Care (AKC) clinics, treatment options and education programmes.
  • Haemodialysis at HomeHome haemodialysis offers people with end stage renal disease (ESRD) an opportunity to have their dialysis treatments in their own homes.
  • Haemodialysis UnitsInformation about our specialist Haemodialysis Units across east Kent.
  • Kent Renal Counselling ServiceCounselling is an opportunity to share your thoughts, feelings and experiences completely confidentially.
  • Marlowe WardInformation for patients about our renal ward at Kent & Canterbury Hospital.
  • Renal DieteticsRenal dietitians specialise in assessing nutritional requirements for those people with kidney problems, taking into account their complex needs. Renal dietitians aim to ensure patients are at their best nutritional status possible at all times.
  • Renal OutpatientsInformation for patients about our renal outpatients clinics at Kent and Canterbury Hospital.
  • Renal ResearchInformation about renal research projects at East Kent Hospitals.
  • Renal TransplantInformation about different types of kidney transplants.
  • Peritoneal dialysisInformation about peritoneal dialysis
  • Patient leafletsPatient leaflets

Renal Consultants

There are ten Consultant Nephrologist and an Associate Specialist, who in addition to Kent and Canterbury Hospital, provide cover and do clinics in several East and West Kent Hospitals:

David Hargroves
Name
Hargroves, Dr David
Job title
Consultant Physician and Clinical Lead for Stroke Medicine at EKHUFT
Specialty
Stroke Medicine, Health Care of Older People
Special interests
Thrombolysis for acute Ischaemic stroke, Hyper Acute Stroke Care, Primary Intra Cerebral Haemorrhage.
Education and career history
Dr David Hargroves MB BSc (Hons), MSc FRCP, Consultant Physician and Clinical Lead for Stroke Medicine, East Kent Hospitals University NHS Foundation Trust, and South East Coast Strategic Clinical Network and Senate. 
 
Dr David Hargroves graduated from University College London MB BSc (Hons) in 1996.  His postgraduate training was in London undertaking designated stroke fellowship training at St Helier's and St George's Hospitals; gaining his Masters from Kings College London with a research thesis titled 'Effects of position upon cerebral oxygenation in the acute phase post stroke using Near Infrared Spectroscopy'.   
 
He has been a consultant for over 10 years in East Kent and Clinical Lead for Stroke Medicine for the last 9 years.  He was appointed Clinical Lead for the Strategic Health Authority in October 2010 and now to the South East Coast Strategic Clinical Network and Senate 2013. 
 
The East Kent Hospitals University NHS Foundation Trust (EKHUFT) Stroke Service is in the top quartile of services in the country, and uses one of the country’s first examples of horizontal stroke telemedicine, with currently >25% of patients receiving IV thrombolysis, and one of the largest cohorts of patients treated with unknown time of onset (SUTO / wake up stroke) using CT perfusion in the country. 
 
David has personnally assessed, imaged and treated over 3000 pateints with transient neuological defecit with same day MRI / CEMRA and a similar number of patients with persistant neurological defecit. He chairs the IV Stroke Thrombolysis governance meeting and has reviewed the clinical histories and neuroradiology for over 1200 cases treated in East Kent.  Dr Foster and Care Quality Commission (CQC) recently ranked it the top performing stroke service in the country and in a recent round of SSNAP the WHH hospital achieved the highest overall rating level A for both patient and team scores. 
 
He has a keen research interest and has acted as local guarantor to stroke related publications submitted from East Kent for the last 8 years.  He has been local Principal Investigator for over 10 international clinical trials.  He has a particular research interest in: Use of advanced imaging in hyper acute stroke care using CT Perfusion for patients with Stroke of Unknown time of onset (SUTO) and MRI / CEMRA for transient neurological deficit; Obstructive Sleep apnea and neurovascular disease; Telemedicine use in Stroke care and medication compliance and adherence in patients with neurovascular disease. 
 
David was elected to the British Association of Stroke Physicians (BASP) Education & Training Board in October 2011 and Chaired this group from December 2013 until 2017, and remains co-opted and an active member. 
 
David has recently been appointed to the role of senior clinical advisor to the NHSI GIRFT programme to advise upon stroke services nationwide. 
 
David is winner of the prestigious 2017 Life After Stroke Award for Professional Excellence. 
 
Location
William Harvey Hospital 
Contact details
Adele Harman, adele.harman@nhs.net Tel: 01233 616801

Specialist Registrars

There are four training posts for Specialist Registrars from the South Thames rotation. The registrars spend one year in Canterbury and gain experience in all areas of Nephrology except acute transplantation.  A Research Registrar takes part in 1:5 on-call rota and does one outpatient clinic per week.

Foundation one and two doctors

The department provides training to two to four foundation doctors as part of their speciality rotation

Nursing staff 

Over 100 nurses are involved in the care of patients attending the Unit.

Each cclinical area has one Band 7 Manager / Sister who is responsible for the day to day care of patients.

At a senior level there is also a Nurse Consultant, Senior Matron, Matron for Marlowe ward and Renal Transplant services and Matron for Dialysis. Links have been established with Christchurch Nursing College in Canterbury to improve education and training of renal nurse practitioners. The Unit provides a high level of education and training for all levels of staff.

Marlowe Ward staff

The ward is staffed by two teams of specialist nurses and Healthcare assistants, one lead by the Ward Manager and one lead by the Acute Inpatient Dialysis Manager. The acute dialysis nurses are responsible for providing dialysis for our inpatients and the nurses rotate between these two teams thus maintaining their specialist skills. The short stay area is staffed by a dedicated nurse and Healthcare assistant.

Multidisciplinary Team

Full cover is provided by a multidisciplinary team including;

  • Renal Counsellor
  • Dietitian
  • Social worker
  • Occupational therapist
  • Physiotherapist
  • Advanced Kidney Care Nurses
  • Home Dialysis Nurses
  • Transplant nurses
  • Pharmacist

The ward team are complimented by our ward clerks and house-keepers.

Getting to our hospitals

For information of getting to our hospitals by car, public transport or NHS transport, plus details of car parking availability - please see the link below:

Find your way around our hospitals

Click the links below to view and download maps of our hospitals:

Contact Marlowe Ward

General Nephrology Ward Area

  • 01227 783100

Short Stay Area

  • 01227 783100

Acute Nephrology Area

  • 01227 866456

Allan Squirell Renal Unit, Margate

  • Tel: 01843 234270

Frequently Asked Questions

Q: What should I bring with me when I stay in hospital?

 Please refer to the 'You stay in hospital' section of our website.

Q: What are the visiting hours for the Marlowe (Renal) Ward at K&C?

Marlowe Ward visiting hours and contact details can be found below:

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