Letters

Purchasing vascular services

BMJ 1994; 309 doi: http://dx.doi.org/10.1136/bmj.309.6958.880e (Published 01 October 1994) Cite this as: BMJ 1994;309:880
  1. F G R Fowkes
  1. Wolfson Unit for Prevention of Peripheral Vascular Diseases, University of Edinburgh, Edinburgh EH8 9AG
  2. Centre for Health Services Studies, University of Kent, Canterbury, Kent CT2 7NF.

    EDITOR, - The paper by J A Michaels and colleagues on the organisation of vascular services and the accompanying commentary by Roger Greenhalgh highlight the need for the rationalisation of vascular surgery services into larger specialist units.1 A working group for the National Medical Advisory Committee in Scotland came to the same conclusion. It also specified the minimum requirements for such a unit, which included an emergency rota fully staffed by surgeons with special skill in vascular surgery; access to an intensive care unit in the same hospital; and the availability of well equipped operating, radiological, and vascular laboratory facilities.2 The implication is that a unit that does not meet these requirements may fail to reach appropriate standards of safety and effectiveness.

    In their letter on behalf of the Vascular Surgical Society of Great Britain and Ireland, John …

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