THE NEED. An increasing number of talent initiatives in combination with an increased scale of projects requires a smarter data entry and tracking system. A central point of data entry and storage is essential for security but will also increase data accessibility within the Talent Team who are located in different regions. The ability to provide bespoke reports is an important factor in this development which will enable team members and coaches to track the progress of individual athletes as well as obtaining more generalised descriptive statistics on project progression .
THE NEED. Project Description [and its importance; i.e., why the Park needs this project]: Current Priority in PMIS: _______. [and at what level has it been prioritized: Park? Region? WASO? DOI? – Attach PMIS statement.] Project Support: [Describe how the Project is identified in or otherwise supported by the Park’s GMP (or other approved planning documents). Describe any project-related planning, feasibility, compliance, or other work done to date.] Partnership Goals: [Describe how the Project supports the partnership goals for the Park]
THE NEED. The United Kingdom Vascular Society recently reported on the prevalence of patients presenting to vascular surgeons with critical limb ischaemia (threatened limb loss due to poor circulation) to be 1 in 2,500 of the population. The peak occurrence is between 70 and 79 years of age. This burden on the NHS is expected to increase as the population ages. To avoid amputation, peripheral arterial bypass surgery is required, usually to a small artery in the calf or foot. Successful revascularisation has been clearly shown to be considerably less expensive than amputation and subsequent rehabilitation. The best material for this procedure is autologous saphenous vein. However, in 30% of patients the vein cannot be used and an alternative conduit must be sought. There is therefore a need for a 4-5 mm internal diameter prosthetic vascular graft for this type of distal arterial reconstruction. THE PROBLEM Below knee prosthetic grafting is currently restricted by unacceptably poor patency rates achieved with existing products. The principal causes of graft failure are: . Early thrombosis at less than one month due to the inherent thrombogenicity of current prosthetic materials. . Diameter mismatch between artery and graft. . Low compliance and major compliance mismatch of current prosthetic materials resulting in inadequate flow rates. . Neo-intimal hyperplasia between one and twelve months. . Disease progression usually beyond the distal anastomosis. . Inadequate inflow.
THE NEED. 4.1 NHSBT requires software maintenance for the above software application, and also for the customisations that have been developed for NHSBT. Support is required for one year with the option to extend by a further two, one year periods.
