2018 Annual Report

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2018 Annual Report

This 2018 Annual report is the sixth since the NVR was launched in 2013. It contains comparative information on five major interventions for vascular disease:

  • Carotid endarterectomy
  • Repair of aortic aneurysms, including elective infra-renal, ruptured infra-renal, and more complex aneurysms
  • Lower limb bypass
  • Lower limb angioplasty/stenting
  • Major lower limb amputation

The metrics used to describe hospital activity, the process of care and patient outcomes are drawn from a number of national guidelines. These include: the Vascular Society of Great Britain and Ireland (VSGBI) “Provision of Vascular Services” document published in 2015 (and due to be updated later in 2018), the VSGBI Quality Improvement Frameworks, and the National Institute for Health and Care Excellence (NICE) guidelines on stroke and peripheral artery disease.

An organisational audit of NHS vascular services was performed to describe how vascular networks were evolving within the UK, and to investigate the extent to which NHS vascular services meet the organisational standards recommended by the VSGBI. Responses were received from 83 out of 92 NHS trusts / Health Boards performing major vascular surgery, although 6 of these were not fully complete.