Vascular Surgery

Referring via e-Referral

• Routine patients: these should always be referred via the e-Referral Service
• Urgent patients: these should now go through e-Referral, rather than being faxed to the department.

Directly Bookable Service for Vascular Surgery

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

To select a directly booked appointment, please see the guide at the link below, which shows how to use the system.

Directly Bookable Service quick guide (pdf, 720 KB)

An electronic proforma or appropriate letter needs to be attached to the e-Referral system by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

For further information please visit 'e-Referral':

e-Referral

Referring direct

If the patient has chosen to use the John Radcliffe Hospital and the complaint is either General Surgery, Vascular or Gastro, send a letter via the post to:

• Consultant (if known) or specialty
  John Radcliffe Hospital
  Headley Way
  Headington
  Oxford OX3 9DU
• Alternatively fax to: 01865 221117

Common conditions

Common conditions treated in Vascular Surgery are:

• abdominal and thoracic aortic aneurysms
• aortic and iliac occlusive disease
• carotid artery disease - carotid artery stenosis, carotid aneurysms, carotid body tumours
• peripheral vascular disease - intermittent claudication and critical ischaemia
• lower limb ulceration - venous, arterial and mixed aetiology ulceration
• varicose veins (must conform to Lavender statement in Oxfordshire. Non-Oxfordshire referrers, please contact your PCTs for commissioning agreements)
• hernias (must conform to Lavender statement in Oxfordshire. Non-Oxfordshire referrers, please contact your PCTs for commissioning agreements) (Miss Hands does not see these cases)
• facial flushing and sweating (Mr Perkins)
• palmar and axillary hyperhidrosis (Mr Perkins, Mr Collin)
• lymphoedema.

Vascular surgery clinics also have input from Neurology, for assessment of cerebriovascular cases, and from Podiatry.

Where possible we will attempt to coordinate Vascular Laboratory Duplex ultrasound scans with clinic appointments.

Procedures which may be performed in clinic:

• Measurement of ankle/brachial pressure indices
• Limited ulcer debridement