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Oxford University Hospitals (OUH) is a world renowned centre of clinical excellence and one of the largest NHS teaching trusts in the UK.
The Trust is made up of three hospitals in Oxford – the John Radcliffe Hospital (which includes the Children’s Hospital, West Wing, Eye Hospital, Heart Centre and Women’s Centre), the Churchill Hospital, and the Nuffield Orthopaedic Centre. The Nuffield Department of Anaesthesia consists of over 120 Consultant anaesthetists and up to 60 trainees.
We have strong links with the Nuffield Department of Surgery at the John Radcliffe Hospital, and we work closely with the Donor Transplant Coordinators.
In 2018, the Oxford Transplant Centre formed a new collaboration with University Hospital of Coventry & Warwickshire (COxNet).
In 2018, we performed 295 transplants in Oxford: 219 kidney transplants, 54 simultaneous pancreas/kidney (SPK) transplants, 4 pancreas after kidney transplants (PAK), 4 pancreas alone (PAT), 3 pancreatic islet transplants, 8 small bowel transplants, 1 multi-visceral transplant, and 8 auto-transplants.
The Oxford Transplant Unit carried out its 1000th Pancreas Transplant on 11th November 2019. We have performed 800 SPKs & 209 PTA or PAK to date. A great achievement for the entire team!! This makes us the 3rd Transplant Unit in the world to have achieved this after the units in Minnesota & Wisconsin.
We are one of the biggest centres in Europe for SPK transplants.
A Fellow is assigned each day to see the patients that are candidates to be listed for transplant and seen in the outpatient clinic. The Fellow will assess the patient, review the considerations for transplant with the Consultant, and together they will plan further investigations and optimisation. There is an expanding living related program for kidney recipients. In addition to transplant recipients the Fellows will be involved in the screening of prospective living related donors.
Transplants are carried out every day in at least one theatre.
High risk Renal and Transplant patient clinics (usually Wednesdays).
Targeted MDT’s (Listing meeting every Monday, Cardiology MDT every other Wednesday, Intestinal Transplant MDT second Monday of the month).
Exposure to complex and advanced types of surgery and treatments (including auto-transplants, modified multi-visceral, small bowel, simultaneous kidney-pancreas (SPK) and pancreas as well as kidney transplants). Postoperative follow-ups and continuous engagement is considered as standard.
Anaesthesia for vascular access and other types of dialysis including HERO grafts and “resurfacers”.
Head of Transplant Anaesthesia Fellowship Programme Head of Anaesthesia for Cancer surgery Head of Upper GI Anaesthesia Fellowship Programme
Email: andris.klucniks@ouh.nhs.uk