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Primary Care Wound Formulary

SECONDARY CARE PRESCRIBERS: For wound care products approved for prescribing in Kingston Hospital, see the Kingston Hospital Wound Formulary.

Primary Care Wound Formulary and related documents

SWL Primary Care Wound Formulary

SWL Primary Care Dressing Request form

KEY POINTS FOR PRESCRIBING WOUND CARE

  • Prescribers should routinely choose the dressing with the lowest acquisition cost and the performance characteristics appropriate for the wound and its stage of healing.
  • Prescribe the exact number of dressings required. Do not prescribe 1OP as only a single dressing can be dispensed.
  • Patients discharged from hospital or who have been seen in outpatients should be given a minimum of 7 days supply of dressings and appliances. Community and hospital staff should liaise to ensure continuity of wound care.
  • Healthcare professionals visiting patients with chronic wounds should monitor supplies to reduce waste and prevent stockpiling.
  • Sterile Dressing Packs have not been included as the complete contents are rarely required.
  • Gauze must not be used as a primary or secondary dressing as it can cause maceration and trauma on removal.
  • Advanced wound care techniques and products that have been included in the formulary should only be used after consultation with the Tissue Viability Nurse Specialist, Podiatrist or Leg Ulcer Nurse Specialist.
  • Contact the Tissue Viability Nurse Specialist or Leg Ulcer Specialist Nurse for advice if patients are discharged on non-formulary wound care products (see below).
  • Refer patients with wounds that are complex and/or non-healing at 6 weeks to the Primary Care (Your Healthcare) Tissue Viability Service.

ANTIMICROBIAL DRESSINGS (such as Silver dressings)

  • There is at present no robust clinical or cost-effectiveness evidence to support the use of antimicrobial dressings (for example, silver, iodine or honey) over non-medicated dressings for preventing or treating chronic wounds.
  • Indiscriminate use may lead to bacterial resistance and toxicity.
  • Avoid antimicrobial dressings unless the wound is infected or there is a clinical risk of the wound becoming infected.
  • Antimicrobial dressings should be prescribed for defined short periods of time with regular review.
  • Silver dressings should be used only when infection is suspected as a result of clinical signs and symptoms (BNF).
  • Do not use silver dressings on acute wounds (there is some evidence that they delay healing).
  • Do not use silver dressings for routine management of uncomplicated ulcers.

For the  full list of recommended wound care products, click here.

NICE GUIDELINES

NICE has published various guidelines on wound care:

NOTE: NICE guidelines do not make recommendations on specific products. See the Primary Care Wound Formulary for the full list of recommended wound care products for use in Kingston Primary Care. For Secondary Care, see the Kingston Hospital Wound Formulary.

PRIMARY CARE WOUND CARE ADVICE CONTACT DETAILS

Kingston CCG Primary Care (Your Healthcare) Tissue Viability Nurses:  

Elizabeth Nicholls     elizabethnichols@nhs.net       Telephone: 020 8274 4113       Mobile:  07974 236468

Philippa Othmane     Philippa.othmane@nhs.net     Telephone: 020 8274 4128       Mobile:  07931 868521

 

Leg Ulcer Specialist Nurse: Please contact the Primary Care (Your Healthcare) Tissue viability nurses, above.


 

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