Warning alert

This page contains materials produced by Hounslow and Richmond Community Healthcare NHS Trust (HRCH). On 1 July 2024, all adult and children’s community services in the London Borough of Hounslow provided by HRCH transferred to West London NHS Trust. Whilst we are in the process of re-producing these materials, patients and referrers can still refer to the information contained within them.

The tissue viability team offers treatment for complex wound management:  

  • Complex wound/leg ulcer clinics in the community
  • Education and training
  • Prevention and treatment for pressure ulcers
  • Treatment in leg ulcer management
  • Audit
  • Wound care guidelines and policy provision
  • Advise on the provision of specialist pressure relieving equipment
  • Advice is also offered on wound technology products
  • Negative pressure wound therapy 

Pressure ulcer prevention

We are committed to preventing pressure ulcers and helping local patients, families or carers to manage pressure ulcers more effectively.

Pressure ulcers result in a marked reduction of quality of life for patients and can be painful and hard to heal. This creates significant difficulties for patients, as well as their families and carers.

This page contains information for carers and patients on how to help prevent pressure ulcers. Carers play a vital role in preventing pressure ulcers - as people who have frequent contact with the individual at risk - and so it is important they are aware of how they can help reduce and prevent pressure ulcers from occurring.

What is a pressure ulcer?

  • Pressure ulcers can occur within a matter of hours for those at risk
  • Regular top to toe skin inspections are needed to help prevent pressure ulcers occurring. Look out for reddening that does not subside over bony areas.
  • Use the blanching / non-blanching technique to test for early pressure damage (see signs to watch out for below to demonstrate this simple technique)
  • Pressure ulcers in the NHS cost between £1.4 and £2.1 billion per year
  • A large amount of pressure ulcers are avoidable

Risk factors include:

  • Poor mobility - sitting or lying in one position for extended periods of time
  • Poor nutrition or hydration
  • Wheelchair users
  • Incontinence

Look out for red areas over bony prominences and take pressure off area:

A reddened area over sacrum.

Pressure ulcers image 01.jpg


Non-blanching area – demonstrating early stage pressure ulcer.

Pressure ulcers image 02.jpg


Please note: The darker the skin, the harder pressure ulcers will be to detect.  In darker skin, feel for hardness or heat around the affected area.

Stop The Pressure - information and films about pressure ulcers

Carers UK - help and advice for carers

All referrals should be made using the HRCH referral form through the Single Point of Access service for Hounslow.

SPA referral form

Referral information:

When referring, please include the following information:

  • Type of wound
  • Treatment - historical and current
  • Completed wound assessment form or detailed information regarding wound care