Editorials
Bullying and harassment: a disease for eradication
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…
How do you solve the problem of aortic dissection?
“The tragedies of life are largely arterial” – Sir William Osler1 Every vascular surgeon can remember stories of patients with aortic dissection having thrombolysis for a presumed myocardial infarction, or a V/Q scan and full anticoagulation for a likely pulmonary embolus. My most memorable story is of an international sports coach who developed tearing intrascapular…
The future of exercise therapy for people with intermittent claudication?
National Institute for Health and Care Excellence (NICE) guideline 147 recommends supervised exercise therapy (SET) for all patients with intermittent claudication, consisting of 2 hours of SET per week for a 3-month period.1 This is supported by good evidence from Cochrane reviews2,3 that SET shows improvement in mean walking performance compared with home-based exercise and…
Neither here, nor there, but all good: my personal journey with respect to Equality, Diversity and Inclusion
This invited editorial is an adapted version of a talk on Mr Bhasin’s Twitter Feed originally recorded for the EDI module of the Calderdale and Huddersfield NHS Foundation Empower Leadership Programme.1 It has also been presented at the Vascular Society of Great Britain and Ireland and Rouleaux Club Joint Symposium on Equality, Diversity and Inclusion,…
The Vascular PAD-QIF CQUIN: what is it, why is it important, what does it mean for vascular units?
The Commissioning for Quality and Innovation (CQUIN) indicators for 2022/23 were recently published by NHS England and for the first time include a vascular indicator, the “Achievement of revascularisation standards for lower limb ischaemia”.1 This is great news and will drive quality improvement for patients with chronic limb-threatening ischaemia (CLTI). In this editorial we describe…
The 2021 Vascular Surgery Curriculum journey
In August 2021 the new Vascular Surgery Curriculum became active as the approved framework for the training of doctors to the level of independent consultant practice in Vascular Surgery, inclusive of a change to phases of training (1–3) and the introduction of a new assessment system with the Multiple Consultant Report (MCR). The MCR has…
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