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Vascular Services


Lancashire and South Cumbria Integrated Care System is undertaking a programme of work as a partnership to improve vascular services


People tend to use vascular services for help with conditions that affect the blood vessels, for example, carotid artery disease, claudication, peripheral arterial disease, deep vein thrombosis, pulmonary embolism, varicose veins, venous leg ulcers, circulation problems in diabetics and amputations.

The vision for the Vascular services programme is to ensure that:

  • vascular services can continue to be provided in a safe and sustainable way and are consistent with national guidance and best practice
  • there is less variation in patients’ experiences of accessing the services
  • there is an improvement in patients’ diagnosis and treatment
  • the service fosters learning and growth for the workforce
  • a high calibre workforce is retained and attracted to work in the service
  • there are increased opportunities for research


Progress to date

A Vascular Programme Board meets monthly and drives this work forwards. The Board consists of vascular surgeons, radiologists, clinical nurse specialists, patients, service managers and commissioners. The commissioners' role is to plan and prioritise, purchase and monitor health services, to get the best health outcomes.

The group has worked on creating a long list of possible options for delivering vascular services across Lancashire and South Cumbria.

At the January 2019 meeting, the Board applied “hurdle criteria” to this long list of service delivery options. Hurdle criteria are conditions that must be met in order for an option to be shortlisted for further consideration. This exercise resulted in a shorter list of four possible options for service delivery. These options are now being worked up in more detail with fuller descriptions as it is essential that there is good understanding around what each option entails. The next step will then be to apply further criteria to arrive at the preferred clinical option. The process being followed is shown in the diagram below: 


Vascular key messages

The key message briefings aim to keep stakeholders informed and up to date about the work of the Vascular Programme Board by regularly providing key messages and inviting your comments and views.

Involvement from patients and their families and the vascular services’ workforce

Good quality and meaningful communications and engagement are essential in making progress with the aims of the Lancashire and South Cumbria Vascular services programme.

Below are some reports describing recent engagement activity with members of the vascular services’ workforce and people who use the services and the findings.