Variations in venous leg ulcer care in the community

This paper highlights the range of treatments used by district nurses in four Trusts in Trent when treating venous leg ulcers in the community. It also reports on the time spent by the district nurse for each patient travelling to the patient’s home, treating the leg ulcer and overall time in the home. The grade of nursing staff used for each patient visit was also recorded. Information reported in this paper is taken from that collected as part of a randomised controlled trial of the cost-effectiveness of community based leg ulcer clinics, using four layer bandaging, compared with usual care at home provided by the district nursing service.