Read our latest advice on Coronavirus (COVID-19)


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Coronavirus update: kidney and transplant service

Information for all kidney and transplant patients at Guy's and St Thomas' regarding coronavirus (COVID-19).

All patients

As a kidney patient you are at an increased risk of becoming unwell if you are infected with coronavirus. Therefore it is important that you follow NHS national advice around thorough and frequent hand washing and hygiene.

The situation is changing rapidly, please visit the NHS website and follow the NHS national advice. Everyone should be observing social distancing and there are no additional measures for patients with chronic kidney disease. However, transplant patients, those patients taking a certain level of immunosuppression medicines and dialysis patients have been designated extremely vulnerable. From Saturday 1 August, the advice to 'shield' has been paused, however, you should still take particular care to minimise contact with others outside your household or support bubble and stay at home where possible. If you do go out, you should follow strict social distancing. Dialysis patients should attend for dialysis as usual or as directed by their dialysis team.

Further information is available on the Public Health England website.

Please see below for information and advice regarding outpatient appointments.

  • Outpatient/clinic appointments

    We are taking steps to minimise the need to attend clinical appointments in person, replacing this with telephone consultations. Some patients will need blood tests and we will contact you about how to get these done. If you have a temperature, cough or difficulty breathing, please call the clinic before attending.

    If you have concerns about the above advice, please talk to your dialysis or transplant team or phone us using the phone numbers on the right of this page.

    You may also find it helpful to read our leaflet 'Your outpatient appointment during the coronavirus (COVID-19) pandemic' (PDF 412Kb).

  • Blood tests

    Please try to have your blood test done in the week before your virtual clinic appointment. Blood test services for Guy's and St Thomas' kidney patients will be provided at:

    • Kidney clinic (PDF 263Kb), 4th floor, Tower Wing, Guy’s Hospital, 9am-4pm.

    Alternatively you can phone and book a blood test appointment at one of these centres:

    And at other locations in south London; further information will be sent to you with your appointment letter.

    Dialysis patients will have their blood tests done in the dialysis units as usual.

    If you have any queries about having your blood tests done, please contact us using the phone numbers on the right of this page.

  • Collecting your medications

    Hospital prescribed medications only

    If you are coming to the kidney clinic at Guy’s Hospital for blood tests and our records suggest you need more medication, this will have already been prescribed and you will be able to collect it from the outpatient pharmacy after having your blood test. If you need a prescription, please ask reception on arrival and this will be prescribed.

    If you are attending Sidcup or Tunbridge Well kidney treatment centres, please email TRUMedicinesManagement@gstt.nhs.uk at least five working days before you are attending. Please let them know what you need, which centre you are attending and when, and we will aim to have your medication ready for you to pick up. Please contact your GP for prescriptions for your other medications as usual.

  • Haemodialysis

    You need to attend dialysis and take all your medication as normal. We advise that you do not dialyse ‘away from base’ (holiday dialysis) until further notice.

    We will continue to provide transport for eligible patients. Our transport services are incredibly busy, please do consider if there is a friend or family member who can take you and/or collect you from the dialysis unit. Unfortunately they will not be able to stay with you during your treatment.

    If you are unwell with coronavirus and require admission to hospital we will provide dialysis to you at the bedside.

    If you have coronavirus but are well enough for community treatment we will offer dialysis in isolation.

    If someone in your dialysis unit is found to have coronavirus and potentially exposed other patients, we will take advice from the Trust’s infection control department.

  • Home haemodialysis and peritoneal dialysis

    You should continue as normal. We are in contact with the dialysis companies for assurance regarding the delivery of supplies.

  • Transplantation and patients taking immunosuppression

    If you are well you should continue taking your immunosuppression as normal. Current advice is that if you have been exposed to coronavirus but are well, you should continue your immunosuppression as normal.

    If you have symptoms (a temperature, cough or difficulty breathing, loss of smell or taste) or you are concerned that you may have contracted coronavirus, please contact us and we will advise you (details on the right of this page).

    There is currently no problem with the supply of immunosuppressive medicines but you should ensure you have a stock of around four weeks.

    We have now reopened our living donor and deceased donor kidney transplant programmes for patients that are at lower risk of serious illness from coronavirus (COVID-19). Our pancreas transplant programme is not yet reopened, but we are working hard to restart this as soon as possible.

    We will be regularly reviewing our policies on which patients we think are suitable for transplantation. These are difficult decisions, which involve balancing risks and benefits and at present we are considering all available evidence and monitoring the local and national situation with respect to infection rates.

    We understand that this is a difficult and stressful time; please know that you are in our thoughts and do not hesitate to contact our helpline if you have any queries or concerns, tel 020 7188 0549, Monday-Friday, 9am-5pm.

  • Would you like the opportunity to talk to us about your wishes if you were to become unwell?

    Most people who are affected by the coronavirus recover but sadly some people become very unwell and do not. Whilst this can be difficult to think about, we would like to provide you with the opportunity to let us know whether you have any particular wishes or preferences about your care should you become unwell.  This may, for example, relate to specific treatments you would like to have or where you wish to be looked after if you are less well. You may find it helpful to discuss your choices with your family, close friends and a member of your clinical team.

    Please visit our Let's talk page which has four short videos to support patient and carer conversations.

    If it would help to talk to us, you are very welcome to call. We are available on 020 7188 7746, 9am-5pm Monday to Friday.

    We may not be able to take the call immediately but please leave your name, hospital number and contact number and we will get back to you as soon as we can.

 

 

Contact us

Patient helpline
Tel: 020 7188 0549

Queries concerning appointments
Tel: 020 7188 5711 for transplant follow up appointments

Tel: 020 7188 8820 for Nephrology, CKD and AKCC appointments

The above phone lines are available 9am-5pm, Monday to Friday.

Evening and weekends, if you are unwell, please use the NHS 111 online service.

Existing contact details for the specialist nurses are unchanged.

Your outpatient appointment

Find out more about your outpatient appointment during the coronavirus pandemic (PDF 412Kb).

Coronavirus

Please visit the main Trust coronavirus (COVID-19) page for more information.

Your wellbeing

Find out how you can look after your wellbeing during the coronavirus (COVID-19) pandemic (PDF 360Kb).

Kidney Care website

Visit the Kidney Care UK website for advice and support.