Regular dialysis replaces part of your kidney function on a steady schedule. Sessions usually last about four hours and include weight, blood pressure, and access checks before and after. We tailor your prescription and review results often so treatment stays effective and comfortable.
Steady care, steady life
Regular slots, familiar faces…
Most people attend three times a week, morning or afternoon. We try to keep your chair and nurse consistent, and we can discuss transport options if needed. If your routine changes, we will help you switch to a new slot.
Comfortable and effective…
We manage cramps, low blood pressure, and nausea with clear protocols. We track adequacy (Kt/V and URR) and aim for stable dry weight and good energy. Your results are shared in plain English after each review.
Fast help when it matters
Gentle but precise…
We confirm the cause where possible, repeat key blood tests, and adjust dialysis dose as your condition changes. Fluid removal is gentle to protect your heart and brain. If you need imaging or specialist input, we help arrange it quickly.
Clear next steps…
Before discharge to routine care, we agree a simple follow-up plan. You receive clear sick-day rules and a number to call if you feel worse. Your GP or nephrologist gets a concise summary the same day.
Your access is your lifeline, so we protect it at every visit. Nurses examine thrill, bruit, skin, and dressings, and teach you simple daily checks at home. We refer early for ultrasound or surgical review if we spot bleeding, pain, redness, or flow changes.
Protect your lifeline
Small habits, big impact…
We show you how to feel for the thrill, avoid tight clothing, and keep the site clean and dry. We explain needle positions, rotation, and ways to reduce pain with local measures. Any sign of infection or prolonged bleeding is treated as urgent.
Fix issues early…
We monitor access flow and recirculation where indicated and document pressures each session. If results drift, we escalate for fistuloplasty or further review before failure occurs. Our goal is long access life with minimal complications.
We make tests and referrals simple, with one named contact who tracks each step. You get a clear checklist, help gathering records, and plain-English updates after every result. When complete, we send a tidy pack to the transplant team and stay in touch while you wait.
Make progress, step by step
Tests made simple…
Typical work-up includes blood grouping, tissue typing, infection screens, heart tests, and imaging. We chase outstanding items so your file moves without delay. You always know what is next and why it matters.
Stay ready, stay informed…
We also offer counselling on living donation and post-transplant care. If you are not yet eligible, we agree actions to get there, such as weight, blood pressure, or diabetes control. Your dialysis plan supports these goals.
Kidney disease can lower blood counts and weaken bones; we check both on a schedule. We review haemoglobin, iron, vitamin D, calcium, phosphate, and PTH, then agree a practical plan. Treatment may include iron, EPO, binders, or vitamin D, alongside diet tweaks that fit local foods.
More energy, stronger bones
Clear numbers, clear plans…
We set clear targets and explain the reasons behind each medicine. Bloods are timed to match dialysis and dosing so decisions are accurate. You receive a short summary after each review with next steps.
Right dose, right time…
We watch for side effects like high blood pressure, itching, or leg pains and act early. Fall-risk and fracture prevention are built into the plan. When targets are met, we reduce doses to the minimum that keeps you well.
Our dietitian gives you a small, workable plan that fits your culture, budget, and routine. We use portion guides, easy swaps for salt, potassium, and phosphate, and a fluids plan that works on hot days. You get follow-up to adjust meals for dialysis days, travel, celebrations, and fasting.
Local food, practical choices
Easy swaps, real meals…
We teach label reading and simple cooking methods that lower salt without losing flavour. If you use binders, we show exactly when to take them with meals. You receive a one-page plan you can keep on your phone.
Keep moving, enjoy life…
Activity is part of the plan: light walking, chair exercises, and safe strength moves. We support stopping smoking and keeping alcohol within safe limits. For fasting periods, we agree a personalised approach with your clinician.