Salisbury Foundation Trust

FOI_8404

Internal Reference Number: FOI_8404

Date Request Received: 24/01/2025 00:00:00

Date Request Replied To: 10/03/2025 00:00:00

This response was sent via: By Email

Request Summary: Claudication Services

Request Category: Health

 
Question Number 1:
Claudication Services

Does your Trust currently provide a vascular service for the diagnosis and treatment of vascular diseases, specifically including vascular surgery and interventional vascular radiology?

Yes

No
 
Answer To Question 1:
Yes, but any intervention is done in Bournemouth Hospital / Other than treatment of varicose veins
 
Question Number 2:
If vascular services are available, is your organisation designated as a specialist vascular care centre or a hub centre within the network of care providers? (please select all that apply)
Specialist services: providing diagnostics and expert advice in an outpatient setting and providing elective and 24/7 emergency vascular services.
Hub centre: providing diagnostics and expert advice in an outpatient setting.

Specialist Hub

Hub

Other - please specify
 
Answer To Question 2:
We are a Non-arterial centre within a Vascular Network.
 
Question Number 3:
Claudication clinics
Intermittent claudication: Intermittent claudication is the most common clinical symptom associated with peripheral arterial disease — walking (exercise) induced pain in the lower limbs caused by diminished circulation that is relieved by rest.

Yes

No

If no please skip to Question 10
 
Answer To Question 3:
Yes
 
Question Number 4:
If yes to Q3, which healthcare professional usually sees patients in these clinics? Please select all that apply.

Vascular surgeon/medical doctor

Vascular nurse specialist

Allied health professional

Other (Please specify)
 
Answer To Question 4:
Vascular Specialist Nurse or Vascular Consultant.
 
Question Number 5:
In your organisation, what is the format of claudication clinics? Please select all that apply.

Diagnostic testing

Disease counselling and treatment planning

Offer lifestyle management

Offer exercise

Other (Please specify)
 
Answer To Question 5:
All of those.
 
Question Number 6:
How frequently are claudication specialist clinics held?

Weekly

Every 2–4 weeks

Every 2–4 months

Less frequently than all the above options

Other (Please specify)
 
Answer To Question 6:
Weekly.
 
Question Number 7:
What is the standard interval for routine follow-up for patients diagnosed with intermittent claudication?

Every 1 month,

Every 3–6 months

Every 12 months

Determined by clinical need

No formal follow-up

Not Known

Other (Please specify)
 
Answer To Question 7:
Determined by clinical need.
 
Question Number 8:
In your organisation, what is the current waiting time for patients with intermittent claudication between referral and 1st appointment in the vascular specialist clinics?

Please specify …………………………………………………………………….
 
Answer To Question 8:
Currently it is around 5-6 weeks wait.
 
Question Number 9:
Exercise

Are patients with intermittent claudication who attend your Trust offered a supported exercise programme specifically designed for claudication? Please select all that apply.


Yes

No

Verbal advice only
 
Answer To Question 9:
Yes - exercise info given, referred to local Health providers if in agreement.
 
Question Number 10:
What is the format of the exercise programme for patients with claudication? Please select all that apply.


Supervised classes in hospital or community setting

Virtual Supervised classes at home

App based directed exercise at home

Home/Unsupervised

Don’t Know
 
Answer To Question 10:
Supervised Community Home/unsupervised.
 
Question Number 11:
If a structured programme exists, where is this programme provided?


Your hospital/ Trust, i.e within your organisation

Another hospital/ Trust, i.e outside your organisation

Referral to primary care setting outside your organisation

Referral to a private setting outside your organisation

Other (Please specify) …………………………………………………………………….
 
Answer To Question 11:
Referral to primary care setting outside your organisation.
 
Question Number 12:
Over what duration do these supervised exercise programmes typically last for patients diagnosed with claudication?

4-8 weeks

12–16 weeks

More frequently than all the above options (Please specify) …………………..

Less frequently than all the above options (Please specify) …………………..
 
Answer To Question 12:
12–16 weeks
 
Question Number 13:
How long are the classes (in minutes)?

30-60 minutes

60–90 minutes

More frequently than all the above options (Please specify)

Less frequently than all the above options (Please specify)
 
Answer To Question 13:
30-60 minutes but may be different depending on County. The referred team discuss needs with patient.
 
Question Number 14:
How often/frequently (times per week) do the classes meet?

Once per week

Every 2–4 weeks

Every 2–4 months

Less frequently than all the above options

Other (Please specify)
 
Answer To Question 14:
Other - we refer out to the health exercise for different counties. In Wiltshire it is Active Health Wiltshire. Dorset it is Live well Dorset.
 
Question Number 15:
Which healthcare professionals are involved in delivering the classes? Please select all that apply.

Physiotherapist

Nurse

Exercise professional

Other (Please specify)
 
Answer To Question 15:
Exercise professional
 
Question Number 16:
Smoking

In your organisation, where do you offer a smoking cessation service to patients with intermittent claudication?

Your hospital/ Trust, i.e within your organisation

Another hospital/ Trust, i.e outside your organisation

Referral to primary care setting outside your organisation

Referral to a private setting outside your organisation

Other (Please specify)
 
Answer To Question 16:
Referral to primary care setting outside your organisation - GP
 
Question Number 17:
Dietetics
. In your organisation, where do you offer a dietetics service to patients with intermittent claudication?


Your hospital/ Trust, i.e within your organisation

Another hospital/ Trust, i.e outside your organisation

Referral to primary care setting outside your organisation

Referral to a private setting outside your organisation

Other (Please specify)

 
Answer To Question 17:
Referral to primary care setting outside your organisation - GP
 
Question Number 18:
Psychology

Does your organisation offer a psychology service specific for patients with intermittent claudication?

Yes

No – If no please skip to question Q21

 
Answer To Question 18:
No
 
Question Number 19:
Is there a screening pathway for patients with intermittent claudication to be referred to a psychologist?


Yes

No – If no please skip to question Q21

 
Answer To Question 19:
N/A
 
Question Number 20:
Referral

What are the available pathways or methods by which patients with intermittent claudication are referred to the vascular service in your organisation? Please select all that apply:

Vascular staff screen lists of hospital ward patients

A telephone/pager referral system

A paper referral form (collected in person/faxed/posted)

Secure email system

Electronic computerised system (e.g. patient record system)

Other (Please specify)

 
Answer To Question 20:
N/A
 
Question Number 21:
Is there a standard proforma for referral to vascular?

Yes

No

Other (Please specify)

 
Answer To Question 21:
Yes
 
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