New Venous reporting system addressed by the CEO

The new ASPVCS venous reporting system has been addressed by the Ashford and St Peter’s Hospital Trust’s CEO, Suzanne Rankin.


Week ending Friday 22nd April 2016

A message to all staff from Suzanne Rankin,
Chief Executive


Next month we will be celebrating our Staff Achievement Awards which is one of my absolute favourite ASPH events – our very own Oscars!  Congratulations to all our finalists – announced this week on Aspire – and best of luck in the final awards.


Thinking about the awards reminds me of how much we have to celebrate.  While our working environment continues to be tough, every day colleagues across our hospitals are doing fantastic things to improve care for our patients, often going well beyond that ‘extra mile’.  But what we often don’t do so well is promoting this success and I for one would like to see more of that!


Just last week, Valerie attended the Institute for Healthcare Improvement conference along with colleagues Dr Radcliffe Lisk, Dr Keefai Yeong, Dr Clarence Chikusu and Mark Hinchcliffe.  What they didn’t know was that one of our Junior Doctor colleagues, Joe Gallagher, was also there to present a poster highlighting work he had done on the emergency care pathway in a previous Trust.  What a great achievement – well done Joe!  Keefai also had a poster accepted on the work he is doing with junior doctors on improving patient safety – another achievement for Team ASPH!


Talking this through later in the week, we know there are lots of colleagues who are doing similar things, presenting at conferences, having articles published, undertaking research and so on – and we should be celebrating this.  So from now on, I would like to invite you to send us more of your success stories – don’t hide away, let everyone know how well you’re doing.  In a similar way to our weekly round-up of patient feedback, we’re going to start a regular column in Aspire dedicated to your achievements.  And they don’t all have to be about national conferences and academic publications – whatever you’ve achieved, we’d love to hear about it.  We’d also like to see more stories in the local press – service developments, new pieces of equipment or ways of working – whatever it is, let us know.


So I was really pleased earlier this week when I heard from Consultant Vascular Surgeon, Mr Abdullah Jibawi, who along with a number of colleagues, has developed an innovative classification system for venous diseases that can be used during various types of varicose vein surgery.  This is a really innovative piece of work, as nothing like this has existed before, and has been named the Ashford and St Peter’s Venous Classification system (ASPVCS) after our Trust.  It has also been recognised in a number of national conferences.  What a great piece of work!


Please send your stories to the team at or alternatively just drop me a line.  Your achievements are what makes Team ASPH great and we should make more effort to celebrate that whenever we can.


We were also shortlisted recently in this year’s national CHSK Top Hospitals Awards for Quality of Care to patients – an award we already hold from 2015!  We’ll know if we’ve won the award again later next month and if we do, we’ll be sure to celebrate it with you.


In the meantime, enjoy the weekend whatever you are doing.


With very best wishes,


Suzanne Rankin
Chief Executive



Introducing the Ashford & St Peter’s Venous Classification System (ASPVCS)

The Ashford & St Peter’s Venous Classification System (ASPVCS) is a new reporting system developed at Ashford and St Peter’s Hospitals NHS Foundation Trust by the vascular team. There has been no reporting system in the scientific literature to quantify and report anatomical complexity that surgeons face while performing varicose vein minimally invasive surgery such as radiofrequency or laser therapy. This lack of standardisation of reporting has marked the varicose vein surgery despite the high number of procedures performed each year in the NHS (over 24700 cases in 2012-13 [1] ).

ASPVCS is constructed using four domains: number of truncal veins treated, number of zone avulsions, number of major anatomical variations (e.g. significant bending), and number of minor anatomical variation (e.g. need for side pressure). ASPVCS classification was found to correlate well with total number of main vein trunks and number of major anatomical variations. ASPVCS scoring was presented at the Association of Surgeons in Training (ASiT) conference 2016. [2]


Association of Surgeons in Training Conference 2016

Abstract: 627;  Evaluating a new intraoperative classification system for reporting complexity level in endovenous procedures – the ASPVCS classification

Objective: to construct new classification for reporting complexity in endovenous procedures -the Ashford & St Peter’s Venous Classification System (ASPVCS).

Method – ASPVCS is constructed using four domains: number of truncal veins treated, number of zone avulsions, number of major anatomical variations (e.g. significant bending), and number of minor anatomical variation (e.g. need for side pressure). Total operative duration used as proxy for level of complexity. Effect of each domain on duration quantified using correlation and Regression analysis.

Results – ASPVCS classification applied on 69 patients undergoing 82 procedures. Median age was 64. Number of main truncal veins treated was 1 (55%), 2 (25%), 3 (16%) and 4 (4%). Major anatomical variations found in 45% of cases. Average procedure duration was 44 min (13-155 min). Significant correlation found between operative duration and total number of main vein trunks (0.62. p<.0001) and number of major anatomical variations (0.36. p < 0.05). Multiple regression analysis showed all domains apart from minor anatomy variation do explain variance in operative duration (R2 = .55, R2Adjusted = .52, p < .05).

Conclusion – ASPVCS scoring can be used in reporting and predicating outcome for intraoperative anatomical variation and is correlated to level of procedure complexity.


  1. Jump up ^ “Vein surgery in the UK”. Retrieved 27 October 2013.
  2. Jump up ^ “ASiT Conference 2016”.