The case for change
The latest clinical evidence shows that patients with a vascular condition do better if they are treated by a vascular specialist, but we know that at the moment not everyone in the East Midlands is seen by a specialist.
The latest clinical evidence also shows us that if an aneurysm does rupture the person has a better chance of survival if they are operated on by a vascular specialist, but again we know that at the moment not everyone in the East Midlands in this situation is treated by a specialist.
We want to improve access for everyone across the region to specialist vascular services to reduce premature death for people with aortic aneurysms and significantly improve the outcomes for patients with other vascular conditions.
In addition to the Vascular Service Review, a national Abdominal Aortic Aneurysm Screening programme is currently being set up, which will identify patients at risk from abdominal aortic aneurysms. This will reduce the likelihood of patients requiring emergency surgery. People will be monitored and have planned surgery to meet their individual needs. This is important as most abdominal aortic aneurysms do not produce symptoms and are often only discovered when the patient is being scanned for other conditions. Someone can live with the condition unaffected for a number of years, but aneurysms carry a high risk of rupturing which causes profuse bleeding and can send the body into shock. At the moment half of all people with an untreated abdominal aortic aneurysm die from a rupture within five years. However, if detected, aneurysms can be treated.