Leg Ulcer Service

NDHT Leg Ulcer Service

The NDHT leg ulcer service is provided by NDHT community nursing and new Clinical Nurse Specialist for Leg Ulcers working in the community.  The service delivers an effective venous, arterial and mixed aetiology leg ulcer treatment which includes assessment, care planning, review and treatment.

Link Person

If you require any further information about the service please contact:

Mrs Chris Thomas, Health & Social Care Community Services Manager

Email:  chris.thomas1@nhs.net

Mobile:  07980 921931

Our contact details

If you have any questions, please get in touch with the community nursing team attached to your practice.  Contact numbers are below:

GP Practice:Telephone Number:
Barnstaple GP Practices (Brannams, Litchdon and Queens)07870 156829
Bideford Medical Centre01237 426330
Blake House Surgery01409 255134
Bradworthy Surgery01409 255134
Caen Medical Centre01271 816020
Combe Coastal01271 867677
Fremington Medical Centre01271 378737
Hartland01237 427815
Holsworthy01409 255134
Northam Medical Centre01237 428391
South Molton01769 576352
Torrington01805 626316
Wallingbrook Surgery01769 580295
Wooda Medical Centre01237 427815

Leg Ulcer Service commencement

NDHT has engaged with individual GP Practices and agreed transitional arrangements and service delivery commencement dates. Service delivery commencement dates per GP Practice are below.

GP Practice:Leg Ulcer Service Start Dates:
Brannams Medical Centre1st September 2018
Bideford Medical Centre1st September 2018
Blake House Surgery1st July 2018
Bradworthy Surgery1st September 2018
Caen Medical Centre1st July 2018 (continue treating existing patients as of 30.06.18)
Castle Gardens1st September 2018
Combe Coastal1st July 2018 (continue treating existing patients as of 30.06.18)
Fremington Medical Centre1st July 2018
Hartland1st July 2018
Holsworthy1st July 2018
Litchdon Medical Centre1st September 2018
Northam Medical Centre1st September 2018
Queens Medical Centre1st July 2018
South Molton1st September 2018
Torrington1st July 2018
Wallingbrook Surgery 1st July 2018
Wooda Medical Centre1st September 2018

Leg Ulcer Clinic Locations

The service is run between 9am to 5pm Monday to Friday but does have a provision of urgent care and advice outside of these times.

Urgent care out of hours referrals should be made through Devon Doctors on 0845 504 8997 requesting the Urgent Care Nurses.

NDHT has reviewed the service intention information provided by GP Practices and mapping where to prioritise our resources to meet demand.  Based on demand, we will be providing leg ulcer clinics as follows:

GP Cluster:Venue:Days / Times:
Ruby County AllianceHolsworthy Community HospitalTuesday – all day

Friday – all day

Barnstaple AllianceRosebank Day Centre, St George’s Road, BarnstapleMonday – all day

Wednesday – all day

Thursday – AM

Optimum GroupSouth Molton Community HospitalMonday – PM

Friday  – PM

Ilfracombe Community HospitalMonday – all day

Thursday – all day

Torridge GroupBideford – venue to be confirmedTo be confirmed
Torrington Community HospitalMonday – all day

Thursday – all day

Mid Devon HealthcareWallingbrook Health Group, ChulmleighMonday – all day

Friday – all day

Referral criteria

Referral to the NDHT Leg Ulcer Service should be as follows:

  • For unhealed lower leg wounds after 4 weeks treatment in primary care
  • For recurrence of previous leg ulcers – immediate referral on presentation to primary care

70-80% of leg ulcers are venous. 10-20% are of mixed venous/arterial. 10% are arterial and a small number are related to other causes. Due to the nature of the pathology the mixed and arterial leg ulcers would be referred on to specialist services eg vascular / Tissue Viability for the most appropriate treatment.

NDHT Venous Leg Ulcer Referral pathway

Leg Ulcer Service GP Practice Referral Pathway (pdf)

Patient letters referring to NDHT service

We have written two patient letters.  One for existing patients who will transfer to NDHT leg ulcer service on 1st July 2018 and the second letter for all new patients thereafter.  Please can you provide the relevant letter to your patient at the point of referral.  Both letters provide details of our service and contact information.

Patient letter NDHT VLU service NEW PATIENTS

Patient letter NDHT VLU service PATIENTS RECEIVING TREATMENT

 

Last updated: December 5, 2018