The Department of Paediatric Nephrology
Alder Hey Children’s Hospital
Nephrology Clinical Service
The Department of Nephrology provides inpatient, day care and outpatient services for children and young adults with kidney disease. The services provided include medical treatment, dialysis, and follow-up of kidney transplant patients. Given that most kidney conditions are chronic, children will be known to the service for a long time. This important issue influences the way services are delivered. The department works closely with other hospital departments to provide care to children with complex multisystem conditions.
Referrals are accepted from General Practitioners and Pediatricians throughout the region and
The Alder Hey Department of Nephrology was among the first in the
Acute and chronic renal replacement therapy is provided. For long term patients both in-center haemodialysis and home peritoneal dialysis are fully supported. Preparation for, and follow up of kidney transplant recipients is undertaken. The department also provides plasma exchange therapy and support for premature infants with kidney problems at Liverpool Women’s Hospital.
Future anticipated developments include:
Audit & Research
The department has an ongoing programme of internal audit to monitor clinical activity according to national guidelines. The department also participates in external audit through the British Association for Paediatric Nephrology (kidney biopsy outcomes, management of post-transplant hypertension) and the UK Renal Registry (end-stage kidney disease, dialysis and kidney transplantation).
The department has a Research Fellow who is undertaking laboratory and clinical research, jointly with the Department of Rheumatolgy, into the kidney inflamation associated with systemic lupus erythematosis. The consultants have been involved in research in the fields of: fluid & electrolyte physiology; urinary tract infection; calcium metabolism & nephrocalcinosis; micro-albuminuria in childhood-onset diabetes mellitus; kidney function after cardiac surgery; steroid-sensitive nephrotic syndrome; anaemia management in chronic kidney disease. The unit has taken part in multi-centre studies of varicella vaccination for chronic kidney failure patients and also immunosuppressive treatments for nephrotic syndrome and paediatric kidney transplantation
Patients with long-term kidney problems generally transfer to adult services at 16 – 18 years of age, depending upon individual needs. Young people are identified as early as 14 years to begin adjusting the way their care is delivered to prepare them for adult services. The department has links with several adult nephrology units to facilitate transfer for continuing care.
As well as medical staff, the multi-disciplinary team is comprised of ward nurses, specialist dialysis nurses, advanced nurse practitioners, specialist dieticians, a pharmacist, clinical psychologist and hospital play therapists. The team works closely with surgical colleagues in the Department of Urology to provide integrated treatment for patients with complex urinary tract abnormalities. Support for children who develop kidney problems when under the care of other teams, particularly the intensive care unit, cardiology, rheumatology and oncology, is provided.
Consultants: Dr. Brian A Judd
Dr. Caroline A Jones
Dr. Richard Holt
Dr. Henry Morgan
Advanced Nurse Practitioner Allison Birch
Associate Nurse Specialist
Dieticians Alison Holmes
Psychologist Clare Chamberlain-Parr
Play Specialists Jackie Glover (ward D2)
Elaine Richardson (ward C3)
Pharmacist Catrin Barker
Secretaries Gwen Webster
(Dr Judd & Dr Jones)
(Dr Holt & Dr Morgan)
To contact the Department please call 0151 252 5211 or 0151 293 3601