Mr Howard's clinical interests are: - Varicose vein treatments (minimally invasive endovenous laser, VNUS radiofrequency and foam sclerotherapy together with traditional surgery), - Keyhole surgery for herniae and gallstones, - Treatments for excessive armpit sweating (Botox & ETS), - General surgery (including open hernia repair, in growing toe nails, lumps and bumps surgery), - Aortic aneurysm repair (laparoscopic, open and stent grafting), - Arterial bypass surgery, - Diabetic foot surgery, l - Leg ulcers and lymphoedema. Mr Adam Howard acquired his MBBS and BSc at the London Hospital Medical College in 1994 and later graduated as Doctor of Medicine, Imperial College in 2005 studying ‘The prevention of deep vein thrombosis in surgical patients’. His surgical training was mainly in major London centres under Professor Thompson (St Georges Vascular Unit), Professor Greenhalgh (Charing Cross Hospital) and Professor Lumley (Royal London Hospital). Mr Howard has been a consultant surgeon at Colchester (and Honorary Consultant at St. Georges Hospital, London) since 2007 and during this time has set up a nationally recognised Laparoscopic Aneurysm Surgery Programme, Endovenous radiofrequency varicose veins service, Fast track carotid surgery service, VTE (Venous Thromboembolism) Prevention programme and a Multidisciplinary diabetic foot vascular clinic. Mr Howard is the Clinical Lead for the Regional Colchester and Ipswich Five Rivers Vascular Unit and Senior Lecturer in Minimally Invasive Surgery and Robotics at Anglia Ruskin University, Chelmsford and Cambridge He is a laparoscopic vascular surgeon who specialises in laparoscopic and stentgraft aortic aneurysm (EVAR) repair at Colchester General Hospital, a renowned laparoscopic minimally invasive surgery and training centre. Mr Howard performed the world’s first total laparoscopic repair of cyclists’ pelvic arteries and leaking aneurysm stentgrafts (Type One Endoleak repair). He also pioneered robot assisted laparoscopic surgery for elite cyclists. His other main interests are in the prevention of VTE and patient safety in hospitalised patients. Mr Howard and his colleagues have developed a new online VTE risk assessment programme for all admissions that was awarded the NHS Innovations Award 2010 for Patient Safety. In 2014, Mr Howard developed an infection control electronic iPad tool to use in hospitals that was shortlisted for the National NHS Challenges Innovation Awards Dragon's Den. In addition to vascular surgery, Mr Howard regularly performs general laparoscopic surgery for all types of abdominal herniae and sympathectomy for hand/axillae sweating.