Local Renal Health Centre Program
The Manitoba Renal Program (MRP) Local Renal Health Centres (LRHC) Program oversees Manitoba’s Local Renal Health Centres in partnership with Regional Health Authorities.
Patients in the LRHC program are assessed to ensure they are suitable to dialyze in a local centre. Patient care is nurse-managed and nurses consult with physicians weekly and as needed to ensure optimal patient care. Local centres offer a chance for patients to dialyze in a smaller centre that may be closer to home or more accessible. All care provided by the program is standardized and coordinated throughout the province.
Local Renal Health Centres are located in:
- Berens River
- Pine Falls
- Flin Flon
- The Pas
- Garden Hill
- Norway House
- Winkler (Boundary Trails)
- Swan River
The LRHC Team is located at Health Sciences Centre:
The team consists of:
- A nephrologist
- A manager
- Program Director
- Social Worker
- Aboriginal Liaison Coordinator
To be placed on the waiting list for the dialysis unit closest to your community, please ask your current dialysis unit to send a referral. When you are added to the waiting list for a LRHC, your current dialysis unit will receive a letter of confirmation. If you have questions about how long you will need to wait, please speak to your Renal Social Worker or contact the LRHC Program.
How the Waiting List Works
In Manitoba, you are placed on a Local Renal Health Centre (LRHC) hemodialysis waiting list based on your in-centre hemodialysis start date. Despite time spent on peritoneal dialysis, home hemodialysis or as a transplanted patient does not count. You are placed on the waitlist according to your recent in-centre hemodialysis start date. If you have refused a spot, or do not want be on the list and then change your mind, you are placed on the list as per your new request date.
If you receive a transplant, are training for home hemodialysis or peritoneal dialysis, your permanent dialysis space or place on the LRHC waiting list is not given up until you have been successful in the new modality for at least one month. At that time your name is removed from both the permanent and waiting lists.
Prior to being placed in a permanent dialysis space in a LRHC, the LRHC Program will do a review and assessment at Health Sciences Centre to see if you are suitable for transfer to your preferred dialysis unit. The assessment team includes the kidney doctor, nurse, pharmacist, dietitian and social worker.
Our mandate is to offer assigned dialysis spots. We will assign dialysis spaces as soon as possible using our waiting list. This means that there are very limited opportunities for transient visits (temporary spots for dialysis patients visiting from another town/city/province).
- Requests for transient dialysis are given priority on a first-come, first-serve basis depending on availability.
- Requests can be made by speaking to your Renal Social Worker or calling the LRHC Program office.
- All transient visits depend on the situation in the dialysis unit and each individual’s medical status.
- It is expected that you will follow a recommended schedule for transient treatments. If you are found to be a disruption to the dialysis unit, or if there are issues with your return to the city/town where you receive dialysis, you will not be considered for transient visits again until the LRHC Program
Please note: Patients are responsible for their transportation for visits to other communities and three times a week for their dialysis appointments. This is not covered by Northern Patient Transport or First Nations Inuit Health Branch. If you need to fly Perimeter Air to go home and are not missing dialysis you can speak to your Renal Social Worker to see if you are eligible for a discounted fare.
Transient Visit Approval Process
All Transient Dialysis requests are looked at by the LRHC Program team. Many factors are considered when looking at transient dialysis. Primary focus is on filling the spots permanently and taking care of the more than 250 people on dialysis in rural areas throughout the province. We do our best to make this as fair a process as ossible, however due to patients’ medical status and transient space available there will be limits on who can visit the unit. There are likely to be times when patients are unable to visit other towns/units when they wish to. Thank you for your patience and cooperation.