Hurting Legs - Prof Mike Edmonds

Excellent talk by Prof Edmonds. Highlights: (1) Inequities (2) 6 subtle types of clinical progression (3) Speed to intervention [revasc] is what makes all the difference.

(the amputation rate per se is static because the number of diabetics is also on the rise)

Mike said there are 13 CCGs considered particularly bad in terms of their poor lower limb amputation inequity.

This is true and, pun unintended, very timely, at this juncture when the Provision of Vascular Services document from March 2019 is being incorporated by the NHS in 2022 as a CQUIN to encourage revascularisation within 5 days (IP) to 14 days (OP).

Brilliant! Hadn’t thought of CLTI in these terms but Prof Edmonds has this spot on. He went on to talk about each of the 6 aetiologies has subtly different clinical progression.

- another excellent summary of 6! 6 things to target!