Naseer is a vascular surgeon based at Manchester University Foundation Trust. He performs the full range of vascular procedures including carotid, aneurysm and venous surgery but specialises in complex lower limb surgery that prevents an amputation.

He is the Clinical Director of both the Manchester Amputation Reduction Strategy (The MARS Project) and the Greater Manchester & East Cheshire Aneurysm Screening Programme and the former Deputy Chief Clinical Information Officer of his hospital.

His award winning research interest is the inequality surrounding lower limb amputations. His cross-sectoral roles have enabled him to reduce amputations across the population he directly serves by 42% over 6 years by improving lower limb ulcer care. The MARS project is now part of the Greater Manchester ICB 5 year strategy, and, he is currently developing ‘whole systems’ pathways i.e. those that harmonise Public Health, community and hospital services for patients with vascular disease.

He is bringing together and digitising siloed NHS services and working with leaders across Manchester’s academic, clinical, strategic, financial and digital areas to drive this forward.

Presentation at The SoTV/EWMA 2024 Conference, London

How Greater Manchester made wound care a system wide priority in their 5 year plan

Objectives

After attending this session, persons will be able to:

• To understand implementation process models and theoretical frameworks
• To understand barriers and facilitators to implementing integrated leg ulcer pathways, vascular assessment training and vascular assessment quality improvement initiatives in Greater Manchester

Abstract

Greater Manchester ICB has made wound care part of its’ 5 year strategy. This was developed using data provided by The Manchester Amputation Reduction Strategy (MARS).

We delivered a 42% reduction in amputation number over a six year period in our pilot area of 220 000. We advanced a ‘whole systems’ approach routed in reducing inequality and allowing all lower limb wounds the same multi-disciplinary care enjoyed by diabetic foot ulcer patients.

We created capacity, within existing resource, through co-designing change and integrated working across podiatry, nursing teams and vascular teams facilitated by the harmonisation of pathways and culture.

We built lasting relationships across traditionally siloed teams and upskilled wider team members to order duplex, CT and MR scans.  We are now scaling up this work across the region.