News, Updates and Opinion

I regularly post about:

  • the business aspects of running a successful and profitable healthcare clinic

  • my educational and training activities

  • updates on treating veins

I hope they interest you and that the information benefits you in your practice.

I am always delighted to receive your comments or opinions, please get in touch.

Woman in medical scrubs works on a laptop at a desk, surrounded by blue digital-footprint graphics. Text reads, “Your digital assets: preparing for 2027.”

  • Nov 4

Your Digital Assets: Preparing Your Vein Practice for 2027

Prepare your vein clinic for 2027: audit your website, email, and video assets to build clinical authority, satisfy GMC compliance, and master AI search.
Liquid vs Foam sclerotherapy comparison showing a cluster of leg reticular veins and telangiectasias

  • Oct 22

Liquid or Foam Sclerotherapy for Leg Reticular Veins and Telangiectasia

Liquid or foam for C1 veins? Discover why liquid remains the gold standard for spider veins, where low-dose foam fits, and why fewer sessions do not mean a better cosmetic result.
Aesthetic and medical practitioner treating facial thread veins with simple clinic marketing overlay text

  • Oct 14

The Missing Operational Link in Practice Marketing: Why Your Phone Line Is Leaking 40% of Your Revenue

Over 88% of clinic patients call to book. Discover how fixing your phone intake and Google profile can eliminate missed calls and increase leads by 40%.
Aesthetic nurse trainer Emma Kelliher demonstrating live leg microsclerotherapy injection technique to healthcare practitioners during a practical training course at The EK Clinic, with overlay text reading 'BEST VEIN COURSE?'"

  • Oct 7

What Really Makes a Microsclerotherapy Training Course Worth It? 5 Clinical Standards

When is a Microsclerotherapy course worth it? Explore 5 clinical standards—from CQC venues to 100% pass marks—to evaluate spider vein training for your clinic.
Why your medical website will not get you patients by 2027-2027

  • Sep 30

Why Your Medical Website Won't Bring You Private Patients by 2027

Traditional clinic websites are losing their power as patient-acquisition tools. As patients turn to AI tools like ChatGPT and Claude to find specialists, discover where healthcare discovery has actually moved—and why YouTube has become the primary trust engine for private vein practices.

  • Sep 23

The 5 Interlocking Systems of a Profitable Vein Clinic: Why Technical Mastery Alone Is Not Enough

Most healthcare practitioners concentrate on clinical operations while neglecting the commercial systems required to sustain a private practice. Consultant Vascular Specialist Dr Haroun Gajraj breaks down the five interdependent systems of a thriving vein clinic—Content, Marketing, Sales, Operations, and Customer Care—and explains why treating your practice like a modern media publisher is the key to predictable growth
Inadvertent injection of sclerosant into an artery. How to mitigate this disastrous complication

  • Sep 16

Inadvertent Intra-Arterial Injection of Sclerosants: Primary Evidence, Bedside Prevention, and Clinical Governance

  • Haroun Gajraj

An evidence-based analysis of inadvertent intra-arterial sclerosant injection, reviewing five decades of literature behind the 2024 Parsi et al. consensus guideline. Consultant Vascular Surgeon Haroun Gajraj examines why duplex ultrasound competence is the core determinant of safety, distinguishes true arterial injection from VAR-VAS, outlines immediate bedside emergency management, and addresses key UK medicolegal consent standards under Montgomery.
Clinician performing microsclerotherapy on leg spider veins under a magnifying lamp with overlaid text: "The Best Sclerosant Leg Spider Veins Polidocanol or STS?"

  • Sep 9

Polidocanol vs STS for Leg Telangiectasia: What Does the Evidence Actually Say?

  • Haroun Gajraj

Polidocanol (Aethoxysklerol) or STS (Fibrovein): which sclerosant is best for leg telangiectasia? Vascular specialist Haroun Gajraj breaks down the clinical evidence, dissects the EASI trial, and explains how to choose the right agent for spider vein microsclerotherapy.
VeinCare Academy branded graphic on a dark navy background. Headline reads 'Leaving the NHS for Private Practice?' with 'NHS' highlighted in a blue box. Below, five bullet points: no UK study shows one private practice model is best; CQC registration is a legal duty, not paperwork for later; doctors (GMC) and nurses (NMC) share the same honesty duties; three routes in — your own clinic, privileges, or a chain; 'busy' and 'profitable' are not the same thing. Text at the bottom reads 'Full article on the VeinCare Academy blog — link in comments' with a pointing-down emoji. Dr Haroun Gajraj, bald with glasses and wearing a navy polo shirt, gestures with both hands, positioned in the bottom right of the graphic.

  • Sep 2

Leaving the NHS for Private Practice: A Clinician’s Guide to UK Law, CQC, and Governance

  • Haroun Gajraj

Leaving the NHS for private practice is less about finding a secret business playbook and more about navigating strict UK legal and regulatory requirements. From mandatory CQC registration under the Health and Social Care Act 2008 to core GMC/NMC professional duties, dual-practice disclosure, and practice cash flow, here is what doctors and nurses actually need to know before stepping outside NHS employment
Dr Haroun Gajraj and medical practitioners participating in hands-on microsclerotherapy training for leg spider veins at VeinCare Academy.

  • Aug 26

Microsclerotherapy Injection Technique: The 5-Step Protocol for Spider Veins

Master safe and effective spider vein treatment with the refined "Low, Slow, Low, Low, Hold" protocol. Learn the critical seconds at the needle tip, how to read vessel blanching, and how to prevent matting and bleb formation.

  • Aug 19

Is Investing Heavily in CLaCS a Calculated Clinical Decision—or a Gamble?

CLaCS is visually compelling, technically sophisticated, and backed by emerging 2026 data showing reduced bruising and matting. But impressive technology isn't automatically a sound investment. Before committing significant capital to laser platforms, discover how the latest clinical evidence stacks up against real-world practice economics—and why meticulous injection fundamentals still matter most.
CLaCS vs Microsclerotherapy blog featured graphic showing three clinical views of cryo-laser and augmented reality vein visualization on a patient's leg, titled "What the 2026 Evidence Really Shows" by Dr Haroun Gajraj

  • Aug 12

CLaCS vs Microsclerotherapy: What the 2026 Evidence Really Shows

A clinical evidence review of cryo-laser and cryo-sclerotherapy (CLaCS) for leg telangiectasia and reticular veins. Based on a 2026 meta-analysis, this article examines what the pooled data proves regarding matting, microthrombi, and ecchymosis—and why vessel clearance and post-sclerotherapy pigmentation remain unproven. Read Dr. Haroun Gajraj’s detailed analysis for UK vein practices evaluating CLaCS vs. microsclerotherapy.

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