Tissue Viability Service: WH

Under Review — this page was due to be reviewed by Friday, 29 July 2022. The information shown here may be outdated.

The tissue viability service aims to:

  • provide specialist advice and support to health care professionals on the management of patients with, or who are 'at risk' of developing, chronic wounds such as pressure ulcers
  • provide advice on the management of patients who have developed leg ulcers and other types of wounds that are difficult to heal
  • advise on the appropriate use of advanced wound care technologies
  • reduce and prevent secondary care admissions by early intervention and management of infections
  • work closely with the multidisciplinary team in the management of diabetic foot
  • develop information and guidance for health professional, patients, carer’s on wound healing and prevention of pressure ulcers.

See the Pressure Ulcer Management service page for more details.

See the Lymphoedema service page for more details.

For Whittington Hospital referrals, please complete the referral form on Anglia ICE. The team are unable to accept self-referral from patients.

Prior to referral to the service, it is expected that a holistic and wound assessment are completed and standard care implemented. If the wound does not make the expected progress, then refer following the guidelines below.


  • after four weeks of standard care 
  • support with leg ulcer management within the practice setting 
  • all patients with category (grade) 3 or 4 or ungradable pressure ulcers.


  • non healing complex wounds 
  • acute, traumatic injuries 
  • all patients with category (grade) 3 or 4 or ungradable pressure ulcers.

Waiting times


  • patients who have category (grade) 3 or 4 or ungradable pressure ulcers will be seen within three working days
  • all other referrals will be prioritised and seen within six weeks.


  • patients will be seen according to clinical need, with the aim to see all appropriate in-patient referrals within 72 hours
  • priority will be given to category (grade) 3, 4 or ungradable pressure ulcers.

Eligibility criteria


Patients 18+ who live in or have GP in Islington may be referred for:

  • a wound that shows no signs of healing, is slow to heal or deteriorating
  • a wound that has not responded after four weeks of standard care, where the expected/planned outcome is healing
  • management of fungating wounds
  • all category (grade) 3 and above pressure ulcers or ungradable pressure ulcers
  • when compression bandaging or hosiery cannot be tolerated by the patient
  • when other advanced wound therapies (eg. topical negative pressure wound therapy, larvae) haven't worked
  • advice regarding pressure-relieving equipment and management to prevent pressure ulcer development.


  • patients aged <18
  • patients who have not completed the following community care:
    • four weeks of standard care
    • support with leg ulcer management within the practice setting
    • all patients with category (grade) 3 or 4 or ungradable pressure ulcers.

How to refer

EMIS form

Referral methods: Email

A referral form can be found in ISL EMIS under:

ISL global documents > Community Nursing Services  > Tissue Viability Service Referral form

e: whh-tr.tissueviability@nhs.net


Community Tissue Viability Service

Whittington Hospital Tissue Viability

Provided By

Pathways View All

General Services

Adult Safeguarding

Child Safeguarding

Community Services

Navigating Self-Care

Urgent & Emergency Care

Urgent & Emergency Care for Children

Review date: Friday, 29 July 2022