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Worcestershire Health and Care NHS Trust
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Tissue Viability is an area of healthcare that has synergy with many medical specialties - especially general surgery, vascular surgery, dermatology, care of older people, paediatrics, orthopaedics, lymphoedema, podiatry and diabetology.

Essentially Tissue Viability is about the prevention, assessment, management and maintenance of wounds. This includes acute and chronic wound management, pressure ulcer prevention and management, leg ulcer prevention and management, chronic oedema/ lymphoedema, skin care in Tissue Viability and infection control in Tissue Viability.

Tissue Viability is led by the Professor and Consultant Nurse in Tissue Viability (FTE 1.0) and has a Tissue Viability Nurse for Care Homes (FTE 0.4), Tissue Viability specialists (FTE2) and a Secretary (FTE 0.5).

Additionally the trust has 5 honorary contracts, 4 are 15 hours per month and 1 is 30 hours per month. The honorary contract staff re involved in various projects within the trust and support the trust in focusing on quality. Honorary contract staff have worked on several clinical guidelines, presentations and the development of flow charts and algorithms, including the moisture or Pressure tool and the Skin integrity model. 

Worcestershire Health & Care NHS Trust is committed to high quality care in Tissue Viability and has a strong commitment to professional development, and the delivery of evidenced based Tissue Viability care. A County wide link nurse group meets 8 times per year and has link nurses across the county. For more information or to join please contact the Tissue Viability administrator on: kadie.borg@nhs.net 

Tissue Viability 

There is an annual educational plan for all aspects of Tissue Viability and bookings can be made through ESR. In 2015 we began developing on line educational resources to support the delivery of Tissue Viability education across the trust. These will be essential for relevant clinical staff and will focus on pressure ulcer prevention, assessment, management and maintenance and will include the following e learning section:

  • Pressure ulcer prevention
  • Waterlow risk assessment
  • Skin assessment
  • Grading of pressure ulcers
  • Equipment selection


Rosie Callaghan, Consultant Nurse in Tissue Viability, Worcestershire Health & Care Trust