Articles

National Wound Care Strategy Programme: past, present and future

November 21, 2022

Introduction Wound care consumes a considerable proportion of NHS resources, particularly for services that deliver healthcare outside hospitals.1 It is estimated that around 50% of community nursing time is spent delivering wound care.2 The burden is considerable for people living with wounds who too often cannot access the right care early enough in their wound…

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Bullying, undermining and harassment in vascular surgery training: a stubborn problem that damages the specialty

November 21, 2022

Introduction There has been growing recognition and concern related to workplace bullying, undermining and harassment (BUH) in the NHS. Although some overlap exists between BUH behaviours, they are well defined. Bullying is unwanted, offensive, intimidating, malicious or insulting behaviour related to an abuse or misuse of power towards a more vulnerable peer. Undermining is a…

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Intraoperative management of REBOA: experiences and lessons learned from the London Trauma Network – 10 points for consideration

November 21, 2022

Introduction Trauma accounts for a significant proportion of annual worldwide mortality, with the World Health Organisation (WHO) estimating that 5 million people died following injury in the year 2000, accounting for 9% of total global annual mortality.1 In the same year, 12% of the global burden of disease occurred following injury.1 Traumatic vascular injuries are…

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Bullying and harassment: a disease for eradication

November 21, 2022

Some diseases are endemic and persistent. In this edition of the journal, the paper by vascular trainees Madurska et al points to bullying and harassment being such a disorder which is stubbornly resistant to intervention.1 Previous surveys have highlighted this problem and, although reported here in vascular surgery, it pervades much of surgery. Why is…

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Research priorities for vascular services: results of the UK Vascular James Lind Alliance Priority Setting Process

November 21, 2022

Background Vascular disease covers a broad spectrum of conditions and treatments, with over 40,000 vascular surgical procedures performed in England each year.1 It is one of the largest contributors to morbidity and mortality globally, accounting for 40% of deaths in the UK and estimated heath and care costs of £9 billion annually.2 Work conducted under…

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