Tissue Viability service

Support offered

The service provides a range of specialist wound management including:

  • Prevention of pressure damage via equipment, education and training and risk assessment
  • Management of pressure damage
  • Wound assessment and management
  • Provision of specialist advice including the development of treatment protocols and wound care formulary
  • Treatment of venous leg ulcers including compression therapy, bandage technique, differential diagnosis and advice for healed leg ulcers
  • Use of specialist wound management products such as:
  • Maggot therapy (larvae)
  • Topical negative pressure therapy (V.A.C, venturi)
  • Flowtron therapy
  • Versajet therapy

Wound Care Formulary

Accessing the service

Referral guidelines

Inclusion Criteria

The service accepts patients with:

· a wound or who is at risk of developing a wound.

· a category 3 or 4 pressure ulcer.

· severe moisture associated skin damage.

· a leg ulcer (patients must have a recent recorded / attempted ABPI manual and have commenced compression therapy if ABPI’s are between 0.8 - 1.3 and there is less than 30-40% healing at 4-6 weeks or non-healing after 8 weeks).

Exclusion Criteria

The service is unable to accept patients for the following issues:

· patients with Lipoedema and Secondary Lymphoedema and intact skin.

· patients with a Leg Ulcer:-

- without a manual ABPI recorded or attempted.

- with ABPI’s that are between 0.8-1.3 and appropriate compression therapy has not been commenced.

· wounds below the ankle or on the feet.

· patients aged under 18 years old and those NOT registered to a Barnsley GP practice and / or resident within the Barnsley geographical area.

Referral criteria updated May 2024

Key documents

Related pages and links

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