The Central and North West London (CNWL) Tissue Viability Service (TVS) aims to:

• provide advice and support to healthcare professionals regarding the management of patients with, or at risk of, developing chronic wounds such as pressure ulcers
• provide advice on patients who have developed leg ulcers and other types of wounds that are difficult to heal
• provide advice on the appropriate use of advanced wound care technologies
• reduce and prevent secondary care admissions by early intervention and management of infections.

Eligibility Criteria

Inclusions

• residents of Camden aged 18+ (including those with an out-of-borough GP who have been referred by a district nurse)
• wound that shows no signs of healing, is slow to heal or deteriorating
• all wounds that have not responded to appropriate treatment after four weeks, where the expected/planned outcome is healing
• management for fungating wounds
• all grade 3 pressure ulcers and above
• compression bandaging or hosiery cannot be tolerated by the patient
• other advanced wound therapies (e.g. topical negative pressure wound therapy, larvae)
• advice regarding pressure-relieving equipment and management to prevent pressure ulcer development.

How to Refer