Question to the Department of Health and Social Care:

To ask His Majesty's Government, with regard to the report by the Circulation Foundation and Legs Matter Act now to save limbs and lives, published in May, what assessment they have made of the current challenges in the diagnosis and treatment of peripheral arterial disease.

NHS England commissions the National Vascular Registry which provides information on the quality and outcomes of care for adults who had major vascular procedures in National Health Service hospitals. The registry produces quarterly and annual reports. It aims to support vascular services to provide high quality care for these people, and shares examples of good practice as well as highlighting areas which merit further investigation in order to improve care.

NHS England commissions vascular arterial care from a number of specialist centres to ensure appropriate management of peripheral arterial disease. The service specifications recommend a "hub and spoke" model, where a central, high-volume arterial centre, or the "hub", provides round-the-clock, specialist arterial surgery and complex endovascular interventions. A multi-disciplinary team approach is used and is hosted by the hub.