Options for Kidney Care Clinic at Cossham Hospital

What is the Options for Kidney Care Clinic?

This is a specialist clinic for people whose kidneys are not working well, including:

  • People whose kidneys are working at 20% or less.
  • People who have recently been found to have advanced kidney disease.
  • People who have started dialysis recently after a new problem with their kidney function.

Why am I coming to the clinic? 

  • To treat the side effects of kidney disease and improve your symptoms.
  • To provide education and advice so you can make decisions about your treatment including dialysis and transplantation.
  • To support you and provide appropriate care if you decide you do not want dialysis or a transplant.

Who will I see at the clinic? 

  • Kidney specialist doctor: a consultant nephrologist who will assess your kidney function and symptoms, and suggest treatments.
  • Kidney education nurse: who specialises in giving information and support about kidney disease. They work with you, your relatives, and the medical team to help you manage your treatment and make decisions about the future.
  • Kidney dietitian: who will give you specialist advice about food and drink to help you reduce the effect of kidney disease on your general health. 

You will see each member of the team in one appointment for about 20 minutes each, so you will spend at least one hour in the clinic. You may also need blood tests at the end of the clinic. 

How many times will I come to the clinic? 

Most people will come to the Options for Kidney Care Clinic for a maximum of three appointments. We will then refer you back to your original consultant, and they will be kept informed of all the discussions at this clinic. 

What should I bring to my appointment? 

  • A list of your current medications.
  • A record of your blood pressure readings (if you have them).

Can I bring someone with me? 

Yes, it can be helpful to bring a friend or relative with you, as they can support you listen to the information being discussed, and talk about your treatment decisions with you afterwards.

Both you and your GP will also receive a letter with details of your appointments.

© North Bristol NHS Trust. This edition published February 2025. Review due February 2028. NBT003779

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Options for Kidney Care Clinic at Cossham Hospital