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> Download and Read JCN Article

Extract of article published in JCN Vol 29


Are your wound management choices costing you money?

With the government looking to cut costs across the healthcare landscape, identifying comparable but cheaper treatment options can help you make savings. Here, Tracey Morgan, clinical nurse specialist tissue viability, takes a look at the facts…

The challenges facing the NHS now and in the future are well publicised, as is the need for significant change if it is to avoid widespread overspend, or decline in the quality of care delivered (NHS England, 2014). The population is ageing and this, coupled with medical and technological advances, means that more people are living for longer with multiple comorbidities such as diabetes, putting increasing strain on NHS budgets (NHS England, 2014).

The prevalence of chronic wounds, including diabetic foot ulcers, pressure ulcers and leg ulcers, is strongly related to age and the development of disease, with forecasted UK population trends indicating that there will be a significant increase in the number of patients with chronic wounds and a corresponding rise in the costs of care (Posnett and Franks, 2008; Dowsett et al, 2014).

The shift of care into the community, with investment in primary care services intended over the next five years, means that clinical commissioning groups (CCGs) will be responsible for dealing with increasing numbers of patients with wounds. However, the workforce of nurses delivering care in a community setting is set to fall, creating a struggle to deliver wound care for a growing patient group, without an increase in budget and resource, or without compromising patient choice and clinical outcomes (Dowsett et al, 2014). There is clearly a need for a new approach in wound care to make the necessary cost savings.

COST OF WOUND CARE

There is little understanding of the true costs involved in wound management, despite hundreds of thousands of patients being prescribed products each year. Indeed, approaches to care and costs vary both regionally and nationally (Read, 2013). However, one thing is certain — costs are predicted to rise exponentially with time.


‘The shift of care into the community, with investment in primary care services intended over the next five years, means that clinical commissioning groups (CCGs) will be responsible for dealing with increasing numbers of patients with wounds.’


The annual cost of wound care services in 2014 was estimated at £2,165 million, which is predicted to rise by £212 million to £2,377 million by 2019 (Dowsett et al, 2014). The cost of wound dressings and other materials is expected to rise by £41 million from 2014 to 2019. In 2014, 86.7% of wound care was delivered by registered nurses in the community (Dowsett et al, 2014).

Many chronic wounds are preventable and, if diagnosed and managed appropriately, can be healed within 24 weeks (Posnett and Franks, 2008). However, ineffective clinical practice, including lack of proper diagnosis and inappropriate treatment mean that this is often not the case. Delayed healing increases the risk of complications such as infection, which carry an additional cost burden. These costs can be reduced by ensuring that primary care doctors, general practice and community nurses, and hospital staff are properly trained in wound View pointsd iagnosis and treatment, including the selection of cost and clinically effective services, care pathways and wound dressings (Posnett and Franks, 2008).

WHAT KIND OF WOUNDS ARE SEEN IN THE COMMUNITY?

Community nurses need a wide variety of skills to deal with the full range of clinical presentations they face in any given day and wound care presents a range of challenges, e.g. how to protect older people’s skin, which dressings to use on common wounds such as leg ulcers and pressure ulcers, and which dressings provide patient comfort without further damaging the periwound skin on removal.

Whereas the inpatient nurse has access to a whole range of colleagues to turn to for advice — such as infection control teams, tissue viability specialists, link nurses and various medical specialties — the community nurse often has to act alone. This means that community nurses need a range of products that can be used in a variety of clinical situations, but which are also cost-effective.

Wounds commonly seen in the community include leg ulcers, pressure ulcers and diabetic foot ulcers, particularly when these become chronic and non-healing, which can involve nurses having to manage infection and varying exudate volumes. Managing these non-healing wounds in the community can be expensive, not only in terms of resources such as nursing time and dressing costs, but, also on patients’ quality of life (Chandan et al, 2009). The rise of long-term conditions such as obesity and diabetes means that chronic…

> Download and Read JCN Article


vesocclude
VO02365 Healthcare are very pleased to be awarded distributorship for the UK and Ireland for the Vesocclude ligation system. With a comprehensive range of advanced engineered ligation clips and appliers at very competitive prices. The advanced Cartridge system means that the clips are extracted with a simple push and click, the clip cartridges have adhesive tape on the base so they can be adhered to sterile surfaces. The clip itself has a unique design which is heart shaped and grooved, which allows a firm grip on vessels and tip to tip closure.VO01 All clip cartridges and appliers are colour coded, Small Narrow, Small Wide, Medium, Medium large and Large sizes clips and appliers are readily available.

One large UK hospital trust has already saved in excess £8K and is seeing the benefits of using such a reliable and precise ligation system. Hospitals wishing to see the product first hand or due to renew a contract should consider Vesocclude ligation systems in their tender and see the difference in quality and price.

For further information contact 365 Healthcare on 01905 778365 or via email here


365 Muddy Runners!

Categories: News

365-Mud-Runner-2014

Sally Taylor, Rob Gidley, Amy Gidley and Gail Halkon of 365 Healthcare undertook the Mudrunner Classic at Eastnor castle in along the Land Rover track for an extreme cross country trail. To mark their 10th Anniversary of business operation. The team completed the arduous mud runner challenge in under 3 hours!

Thank you to everyone who supported them and helped raise £370 for Acorns Children’s Hospice, who offer a network for care for life limited and life threatened children and young people and their families.


We have a new representative in Scotland. Kevin McCulloch is available in the area and keen to the 365 Healthcare new range of dressings surgical dressings.

Call Kevin on 07920 424365 for further details.


Following recent changes in theatre protocol and guidance from NICE  Healthcare workers are recommended to be “bare below the elbow during the duration of clinical work”.  To support this 365 Healthcare have  extended our warming jacket range with a “short sleeved” option.

If you would like to see a sample or for further details please call 01905 778365 and quote product reference 36520710.

(these guidelines were issued March 2012)


XXL Gown Size Now in Store

Categories: News

Due to overwhelming demand we have introduced a new gown size 36520307V is an Extra Extra Large gown with a standard protection level. Clinicians didn’t necessarily want a long gown but wanted a more generous size.

 

Extra Extra Large Gown SSMMS

£70.20 ex VAT

Box Quantity: 30

SKU: 36520307V Categories: ,

Description

Box Quantity 30. Minimum order 1 box.

Standard SSMMS gown with hook and loop fastening neck and cotton cuffs.


Graduate Ben Gidley arrives with the team in 2012, whose recent experience, having completed a number of key roles in project management he brings new perspective and energy to the experienced sales team. Ben says “there are so many exciting opportunities to pursue – it’s a case of which one to follow first!” Director Alex Bonthrone says “We are delighted to welcome Ben and with his previous experience in major commercial project management, I know he will be a valuable enduring member of the team.”


Technical appointment

Categories: News

After 5 successful years with the company Amy Gidley is appointed to the position of QMS coordinator.  Following the success of our clean room facility and the increase in popularity of our renal procedure packs and single use instruments, Amy will champion Quality procedures within the business and direct best practice in all operational areas.


Following the launch of a comprehensive range of dressings we have been awarded named supplier for Transparent Adhesive Film Dressings, Low Adherent Absorbent dressings and Wound Closure Strips.  They represent a real opportunity for Hospitals, Clinics and GP’s to reduce the cost of their dressings.


After 5 years thriving with a complete draping platform range and widely adopted Surgical gowns, NHS Supply chain have agreed to have 365 Healthcare supply for another 2 years.  Offering hospitals and clinicians the opportunity for significant savings.

 

Prices shown are excluding Tax (VAT). For International Orders Please Call: +44 1905 778365 Dismiss