Understanding wound care decisions in Greater Manchester

Greater ManchesterGeneric Health Relevance
Start Date: 1 Jan 2015 End Date: 1 Dec 2015

Understanding wound care decisions in Greater Manchester

Project aim

The research team is working to explain and understand current wound care prescribing and product ordering practices in community and primary care services in Greater Manchester to answer the following research question:

What factors influence the wound care decisions of healthcare professionals working in community services and primary care in Greater Manchester?


In the UK an estimated 200,000 patients have a complex wound which represents a significant burden to patients and the NHS. Wound care management is responsible for approximately 4% of annual UK healthcare budget. We have collected dispensing data for Greater Manchester in relation to wound care products from ePACT (an application which allows users at primary care organisations and NHS Trusts to electronically access prescription data) and have found marked variation in expenditure and the types of products used. This is not unsurprising given that there is currently a paucity of evidence relating to product efficacy and no national standards to guide product choice, leading to multiplicity of product use across the UK.

This project will help us to gain insight and understanding into the factors that influence prescribing choices for wound care in community and primary care services in Greater Manchester. Together with information collected through the other activities of our wound care programme, the findings of this work will help to support future service development, product procurement initiatives, and research and implementation activities in this area.


Healthcare professionals (tissue viability and other community specialist nurses, specialist and generalist podiatrists, district nurses and primary care nurses) responsible for making treatment decisions for patients with complex wounds will be invited to participate in one of four focus groups (one per partnering community NHS provider).

Professor Dame Nicky Cullum DBE