VTE can affect anyone regardless of age, gender, race or ethnicity and Up to 60% of all VTEs are hospital-associated. In the UK and worldwide, VTE is a leading cause of death and disability. More people die from blood clots each year than the total number of people who lose their lives annually due to AIDS, breast cancer, and motor vehicle crashes combined. Yet, it looks most of our parts of the world have not adopted the universal VTE risk assessment and thromboprophylaxis in our vulnerable groups of patients especially , critically unwell medical surgical /orthopaedic/Gynae and Obs patients, resulting premature deaths without even knowing the cause of mortality due to lack of robust post mortem statistics. So many devastating and sad outcomes we hear all the time.