The South East Vascular Network includes:

• King’s College Hospital NHS Trust (King’s College Hospital and Princess Royal University Hospital)

• Dartford and Gravesham NHS Trust (Darent Valley Hospital and Queen Mary’s Hospital, Sidcup)

• Lewisham and Greenwich NHS Trust (Lewisham Hospital and Queen Elizabeth Hospital, Woolwich)

• Maidstone and Tunbridge Wells NHS Trust (Tunbridge Wells Hospital)

Managing vascular

conditions workshop

Miss Rachel BellConsultant Vascular Surgeon

Clinical Director Cardiovascular

Guy’s and St Thomas’ NHS Foundation Trust

Linking together for greater impact

South East

Vascular Network

South West

Vascular Network

Cardiac Operational

Delivery Network

King’s Health Partners

Cardiovascular

South London

Cardiovascular

Networks

Improve outcomes

Increase efficiencies

Reduce variations

Best value

healthcare

Key:

King’s Health Partners Cardiovascular

South London Cardiac ODN

South East Vascular Network

South West Vascular Network

South London cardiovascular networks

• St Thomas Hospital

• Guy’s Hospital

• King’s College Hospital

• Princess Royal University Hospital

• University Hospital Lewisham

• Queen Elizabeth Hospital

• Queen Mary’s Hospital

• Darent Valley Hospital

• Tunbridge Wells Hospital

South East Vascular Network

9Hospital

sites6Trusts

8CCGs

Where our patients come from

St George’s

King’s

Guy’s & St Thomas’

All vascular

procedures

Urgent Vascular Opinion

Stable patient requiring review within 2 weeks

Refer urgently to clinic at Queen Mary Hospital, Sidcup

Routine Vascular Opinion

Stable patient

Refer routinely to clinic at Queen Mary Hospital, Sidcup

Refer as routine on ERS

Symptomatic varicose veins

Asymptomatic carotid stenosis

Claudication

Leg ulcers (non-arterial/ non-diabetic)

Asymptomatic small aortic aneurysm (<5cm)

OU

TPA

TIEN

T R

EFER

RA

LSU

RG

ENT

REF

ERR

ALS

*For diabetic foot referrals please

also see the footcare pathway*

Chronic limb ischaemia (rest pain, night pain)

Asymptomatic abdominal aortic aneurysm (5-6cm)

TREA

T IN

C

OM

MU

NIT

Y

No Vascular Referral Required

Manage in the community

Varicose veins not meeting criteria for intervention

Asymptomatic peripheral vascular disease

Refer as urgent on ERS to arterial clinic

The Queen Mary Hospital vascular medical secretary can be contacted on 020 3260 1146

VASCULAR REFERRALS TO QMH SIDCUP

GREENWICH VASCULAR REFERRALS to QEH

Stable, yet require an urgent opinionRefer urgently to clinic at

Queen Elizabeth Hospital

Systemically well Refer to your local outpatient clinics at Queen Elizabeth Hospital

Refer as routine on ERS

• Symptomatic varicose veins • Asymptomatic carotid stenosis• Claudication • Leg ulcers (non-arterial/ non-diabetic)• Post-thrombotic syndrome (>28days from

iliofemoral DVT)OU

TPA

TIEN

T R

EFER

RA

LSU

RG

ENT

REF

ERR

ALS

*For diabetic foot referrals please

also see the footcare pathway*

• Chronic limb ischaemia (rest pain, night pain)

• Incidental findings of abdominal aortic aneurysm

TREA

T IN

C

OM

MU

NIT

Y

Not requiring a vascular referralManage in the community

• Varicose veins not meeting criteria for intervention

• Asymptomatic peripheral vascular disease

Refer as urgent on ERS to arterial clinic

The QE vascular medical secretary can be contacted on 0208 836 5489

Emergency Vascular Admission

Life or limb threatening emergencies

Immediate transfer to St Thomas’ Hospital Emergency Department

07717 513348

Acute limb ischaemia

Aortic dissection

Ruptured or symptomatic aortic aneurysm

Severe signs of sepsis related to critical limb ischaemia

Severe diabetic foot infection / gas gangrene

Critically unwell patient

EMER

GEN

CY

R

EFER

RA

LS

Urgent Vascular Review

Stable patient requiring review same week

Refer to the St Thomas’ Hospital One-Stop Emergency Vascular Clinic (EVC)

07717 513348You will also be asked to complete the urgent vascular referral form -https://tinyurl.com/gstt-evcPatients will be seen at the urgent clinic at STH within 24-72 hours.

Critical limb ischaemia (gangrene or rest pain, no sepsis)

Acute iliofemoral DVT

Digital ischaemia

Asymptomatic large aneurysm (>6cm)UR

GEN

T R

EFER

RA

LS

VASCULAR REFERRALS TO ST THOMAS’ HOSPITAL

*For diabetic foot referrals please also see the footcare pathway*