REMEDY : BNSSG referral pathways & Joint Formulary


Home > BNSSG ICB > Development Area >

Vascular Hot Clinic (DRAFT)

Checked: 27-05-2025 by Jenny Henry Next Review: 27-05-2027

Overview

The Vascular Hot clinic runs in Southmead Hospital Monday-Friday 9:00-13:00 and is set up to review people with conditions that sit within time dependent pathways, namely:

Chronic limb threatening ischaemia (CLTI)

  • Pain in the foot at rest (often at night) with or without tissue loss.

Symptomatic carotid artery stenosis

  • These patients are referred to vascular surgery via the local Stroke or TiA service
  • Patients presenting the acute neurological symptoms should NOT be referred to the vascular service.

People with diabetes and a new foot problem should be managed via the pathway set out Diabetes Foot Care (Remedy BNSSG ICB).

Refer

Access to the clinic is via eRS to the Vascular Surgery Triage service (daily triage Mon-Fri) or by discussion with the on call vascular registrar (Call via NBT switchboard 0117 9505050 or contact via referapatient.org).

Red Flags

CLTI – people with tissue loss and signs of infection in the foot, or with symptoms of systemic infection have a limb or life-threatening condition. They should be referred as emergencies.

AAA - people with suspected symptomatic AAA should be discussed immediately via the on call vascular team at NBT. If a ruptured AAA is suspected (classic triade of hypotension, abdominal pain or back pain and a pulsatile abdominal mass) then call 999 and liaise with on call vascular team at NBT.



Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.