Volume 5 Issue 3

The ulcer with no fixed abode: barriers in accessing venous healthcare for individuals experiencing homelessness and using intravenous drugs in Bristol, UK

May 27, 2026

Introduction Unstable housing is a growing UK issue with 178,000 households assessed as homeless in 2023–24.1 Health inequalities exist for this population,2 with untimely healthcare utilisation often via Accident and Emergency (A&E) when health is critical resulting in long periods of inpatient care,3-5 higher mortality,2 National Health Service (NHS) financial strain6 and ‘tri-morbidity’ (poor physical…

Risking life and limb: no hiding from failure

April 15, 2026

Introduction Acute limb ischaemia (ALI) is one of the few vascular emergencies where time is quite literally tissue. Delays to treatment risk permanent limb impairment or amputation and death. With that in mind, the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report Risking Life and Limb (2025)1 makes uncomfortable reading. Despite firm principles…

Calculating and reducing the environmental impact of hybrid endovascular surgery

March 31, 2026

Introduction Background Climate change refers to long-term shifts in global temperatures and weather patterns, driven predominantly over the past two centuries by human activity, particularly the combustion of fossil fuels. The release of greenhouse gases such as carbon dioxide (CO2) and methane (CH4) traps heat within the atmosphere, raising global temperatures,1 which is known as…