Prevent wounds Adequate risk assessment Use of evidence base to reduce risk Identify overall deterioration Provide equipment advice Actions to mitigate risk Optimise lifestyle behaviours Manage obesity Ensure patient concordance with advice Increase mobility Posture seating Patient and carer knowledge Education provided for patient and carer Information provided by team Patient/carer believe in treatment Tissue viability nurse support Integrated care system GP, practice nurse, agency care knowledge Staff skills and knowledge of tissue viability MDT/stakeholder communication and information Podiatry input for diabetic foot Complexity of caseload Presence of comorbidities (PVD, diabetes) Presence of other LTCs Discharge acuity with wounds Patient population, age and functioning % newly acquired pressure sores/ulcers Tissue Viability (1) OVERARCHING OUTCOME PREDICTIVE FACTORS MEASURES

Optimal functioning through rapid healing Clinical excellence Provision of specialist clinics Efficient use of highly skilled staff Evidence based care and dressings Use of telehealth/ technology Timely referral and assessments Timely and appropriate referral to service Assessment to identify and mitigate risks Prompt treatment (referral to treatment time) Post-healing regimen to minimise recurrence Patient concordance Informed patient to self care Improve Lifestyle behaviours Patient/carer agreed goals and actions Confidence/ expectations of recovery Communication and information GP, practice nurse, agency care knowledge Tissue viability nurse supporting staff skills MDT/stakeholder communication and information Hospital awareness and knowledge Complexity of caseload Presence of comorbidities (PVD, diabetes) Duration of wound, size of wound Discharge acuity with wounds Case-mix of wound types Time from onset of ulcer to heal by type, duration and size of ulcer Tissue Viability (2) OVERARCHING OUTCOME PREDICTIVE FACTORS MEASURES

Minimise impact of chronic wounds on patient QoL Resources Equipment for patients IT specialist, TV telehealth Wound measurement IT Whiteboard Virtual Ward Skilled Staff Specialist Tissue Viability nurse Link nurse in every area Empowered/ competent generalists Number staff with basic TV knowledge Informed external care/stakeholders Practice Nurses and GPs Nursing Homes Private/ social Acute and community hospitals Mental Health and LD Specialist Clinics Designated specialist staffing Leg ulcer venue, Complex venue Early referral and full assessment Resources – equipment, transport Voluntary sector input Equity of access Access to specialist interventions Continuity of trained staff Geographic accessibility Patient perceived Qual of Life, inc pain, odour, mobility Tissue Viability (3) OVERARCHING OUTCOME PREDICTIVE FACTORS MEASURES