referral criteria from primary care - varicose veins (VVs)

Last reviewed 01/2018

Referral from primary care with varicose veins:

  • Refer people to a vascular service if they have any of the following:
    • with bleeding varicose veins - requires immediate referral to a vascular service

    • symptomatic* primary or symptomatic* recurrent varicose veins

    • lower-limb skin changes, such as pigmentation or eczema, thought to be caused by chronic venous insufficiency

    • superficial vein thrombosis (characterised by the appearance of hard, painful veins) and suspected venous incompetence

    • a venous leg ulcer (a break in the skin below the knee that has not healed within 2 weeks)

    • a healed venous leg ulcer

* veins found in association with troublesome lower limb symptoms (typically pain, aching, discomfort, swelling, heaviness and itching)