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St Thomas' Hospital Arterial Hub | South East Vascular Network | Last update 12th Mar 2026
If your referral is an emergency (imminent loss of life or limb), then please also call 07717 513348 to speak to our Vascular on-call team.
This page signposts referral pathways for all patients with acute vascular
conditions that require Emergency or Urgent Transfer or Advice.
All Patients will need a referral form completed via referapatient, if in any doubt
about urgency ring on-call registrar 07717-513-348
Please detail the Covid-19 status of patient. Suspected or confirmed Covid-19.
Confirmed Negative or Unconfirmed Negative. Only state confirmed negative if they
have negative test within 24 hours of referral.
EMERGENCY
URGENT UNSTABLE
URGENT STABLE
*Please include details of ward for inpatients (name of ward and extension).
General instructions
If your requirements are not urgent see below 'When to refer to your local vascular clinic'.
To make a referral you will require the following:
1) Your patient's details including 10-digit NHS number
2) A Trust or nhs.net email address
3) The referring Consultant’s Trust or nhs.net email address
Please ensure that you have sent any images via the Image Exchange Portal to Guy’s & St Thomas’ NHS Foundation Trust.
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When to refer on ERS to your local vascular clinic only
Treat in Community
Not requiring a vascular referral.
_
Manage in community
-
Varicose veins not meeting criteria for intervention
Asymptomatic peripheral vascular disease
Outpatient Referrals
Systemically well.
-
Refer as ROUTINE on ERS to your local vascular clinic
-
Symptomatic varicose veins
Asymptomatic carotid stenosis
Claudication
Leg ulcers (non-arterial/ non-diabetic)
Post-thrombotic syndrome (>28days from iliofemoral DVT)
Urgent Referrals
Stable yet require an urgent opinion.
-
Refer as URGENT on ERS to your local vascular clinic
-
Chronic limb ischaemia (rest pain, night pain)
Incidental findings of abdominal aortic
aneurysm
Deep Vein Thrombosis
*For diabetic foot referrals please see your local footcare pathway*
*For Carotid referrals please follow local Stroke Pathway*