Wound care audit

A nurse bandaging a wound.

Project: A community based audit of complex wounds and their care: cross sectional study of a Greater Manchester population in the UK

What did we do?

The aim of the project was to explore the number of people with complex wounds who were being cared for by NHS community-based services, the types of wounds being seen and the nature of the treatments being delivered in Greater Manchester.

Why it was it important?

Complex wounds, which are mainly managed in the community by nurses (for example, tissue viability nurses or district nurses) and podiatrists are highly prevalent, but there’s no robust national data regarding the epidemiology, impact, management and cost of complex wounds. Working with local stakeholders, we identified that there was no local data available in relation to (1) the number of people with complex wounds being cared for by relevant NHS community services and (2) the nature of the complex wounds and their care.

Through this project we helped to address this important gap in local knowledge. Together with information gathered through the other activities that form part of our wound care programme, the findings of this project are now being utilised in local quality improvement work for leg ulcer management ., and also the development of future research and implementation activities.

What we did:

Drawing on previous experience of undertaking a complex wounds study in Leeds, an audit was performed, in collaboration with our participating community NHS provider organisations, we collected information about patients with complex wounds who received care from NHS community-based services over a two week period. The scale of this audit was unprecedented, and covered community services of five NHS trusts delivered in seven clinical commissioning group areas across Greater Manchester. Within each NHS trust, a wide array of community services was involved in the collection of audit data from district nursing and tissue viability, through to children’s community nursing and intermediate care services.

Who we worked with:

Central Manchester University Hospitals NHS Foundation Trust, Pennine Care NHS Foundation Trust, Salford Royal NHS Foundation Trust and University Hospital of South Manchester NHS Foundation Trust.

More information:

For more information please contact Katy Rothwell, Programme Manager, or Professor Dame Nicky Cullum, academic lead.