Peripheral Arterial Disease: Health Services

Peripheral arterial disease (PAD), like other cardiovascular conditions, shares risk factors and is largely preventable. However, access to timely diagnosis and treatment can vary significantly across regions. NHS England is working to reduce these disparities and improve outcomes for patients.

To support this, NHS England introduced the Vascular PAD Quality Improvement Framework, which was incentivised through a two-year scheme between 2022 and 2024. This framework helps ensure that patients across the country receive timely and effective interventions, such as revascularisation, by encouraging all providers to meet consistent standards of care. It aims to reduce variation in how quickly and effectively patients are treated, regardless of where they live. In addition, the National Vascular Registry (NVR) collects and publishes data on the outcomes of major vascular procedures across NHS hospitals. This includes procedures for PAD, such as angioplasty, bypass surgery, and amputations. By highlighting both good practice and areas needing improvement, the NVR supports hospitals and commissioners in identifying and addressing regional gaps in care quality and outcomes. While there is no dedicated public awareness campaign for PAD at present, information is available on the National Health Service website, and NHS England continues to work with clinical experts and professional bodies to improve care and reduce regional variation.