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Tissue Viability Strategy (HCHC) Hot

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Area Classification

Community Care / Primary Care

Briefly describe what it is

HCHC have developed a Tissue Viability Strategy ensuring patients have a positive wound experience, improving their quality of life wherever they enter the wound care pathway. We have set a number of targets related to wound care such as reducing healing times for newly diagnosed venous leg ulcers to 3 months for 70% of Venous Leg Ulcers.
To achieve these we are redesigning how we deliver wound care. This will ensure all wounds are assessed and a treatment plan initiated within a specialist clinic setting, where staff have received an extended set of skills and knowledge to enhance healing rates.

Were there any key things that you had to do to make it happen?

Education programme for up skilling community staff and clinic based staff. Hampshire County Council is signing up to the programme for their staff too, ensuring continuity.

A high level working group, with various partners, to ensure sign up to a pathway approach to tissue viability and appropriate use of services.

Describe (and provide evidence) of the impact on quality of care

Research and local audit identified a lack of continuity and a range in healing rates countrywide. These clinics are based on national evidence (RCN 2005 and NICE 2003 guidance) to improve healing rates for leg ulcers and care for pressure ulcers. Data being collected will be reported Oct 09.

Describe (and provide evidence) of the impact on patient (or staff) experience

Positive outcomes include exercise classes, lunch clubs and chiropody. One clinic has joined forces with Fareham College and health and social care students are joining forces with NHS staff to provide a welcoming clinic offering reduced prices hair cuts for pensioners and quicker healing rates for leg ulcers.

Describe (and provide evidence) of the impact on reducing cost

The reduction in travelling time and visits due to improved healing rates will reduce wound care costs.
The use of clinics with skilled staff will reduce inappropriate use of dressing costs and reduce the amount of nurse time spent due to inappropriate dressing changes caused by incorrect choice of dressing.

Keywords / Tags

Tissue Viability Strategy (HCHC)

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