Immediately contact the vascular registrar to arrange an urgent vascular assessment for:

  • Ascending thrombophlebitis within 7 cm of the saphenofemoral junction
  • Significant haemorrhage from varicose vein.

Criteria for referral to public hospital specialist clinic services

  • Symptomatic varicose vein with a CEAP* classification of C3, C4, C5 or C6. That is varicose veins with these clinical characteristics:
    • oedema
    • pigmentation, eczema, lipodermatoscerleosis, atrophie blanche
    • healed venous ulcer
    • active venous ulcer.

Information to be included in the referral

Information that must be provided:

  • Symptoms
  • Description of oedema.

Provide if available:

  • Current and previous imaging results.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

* CEAP classification: clinical findings, etiological factors, anatomical cause, pathophysiological cause

Note the indications for varicose vein procedures in the Elective Surgery Access Policy 2015:

Venous conditions with the following symptoms:

  • Chronic leg swelling/oedema
  • Chronic dermatitis/eczema
  • Bleeding
  • Leg ulcers or infections
  • Superficial thrombophlebitis.

Venous disorders in patients less than 16 years old

Excluded as indications for surgery are:

  • Venous conditions which are unlikely to lead to the conditions listed above
  • Cosmetic veins in patients greater than 16 years old
  • Spider veins in patients greater than 16 years old.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • Spider veins
  • Varicose veins without symptoms or complications
  • CEAP classification of C0, C1 or C2. That is varicose veins with these clinical characteristics:
    • no visible or palpable signs of venous disease
    • telangiectasias or reticular veins
    • varicose veins.