Leg ulcer treatment

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Summary of report content

In October 2020 NHS Devon Clinical Commissioning Group (CCG) invited both patients and staff involved within Lower Limb Therapy Services (LLTS) to complete a short survey. The patient survey link was sent out proactively by providers to leg ulcer patients (who have consented to receiving text/email from the practice. Overall, 65 patients responded to the survey. To obtain further detailed feedback on patient experience about the treatment of leg ulcers, Healthwatch conducted additional interviews with leg ulcer patients to find out what went well during their treatment and what could be improved. They spoke to 9 people.

Respondents from East Devon had mixed experiences. One respondent was extremely dissatisfied with their treatment, describing poor communication and continuity of care at the clinic and a negative experience with their GP surgery. Two respondents also had negative experiences with their GP surgeries but were very pleased with their treatment at the leg clinic. Another respondent had a uniformly positive experience.

The two respondents from South Devon were largely positive about their treatment at the specialist clinics. They both described good communication with the clinic staff; they felt listened to, and the information they received was easily understood. However, one respondent was dissatisfied with the treatment at their GP surgery.

Two respondents from West Devon, who both visited the same clinic, were very satisfied with their treatment. They described it as “second to none” and “absolutely brilliant.” The third respondent, who used services of a different clinic, was dissatisfied with their past treatment; continuity of care had been poor which prevented their ulcer from healing. However, they were currently under the care of one particular nurse and were satisfied with this.

Across all three areas, respondents with positive experiences described effective communication and support as features of their treatment. Similarly, respondents with negative experiences said treatment could be improved by better continuity of care, clearer and easier communication, better support between appointments and post-discharge, and quicker specialist referrals.

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General details

Report title 
Leg ulcer treatment
Local Healthwatch 
Healthwatch Devon
Date of publication 
Thursday, 29 April, 2021
Date evidence capture began 
Sunday, 1 November, 2020
Date evidence capture finished 
Monday, 30 November, 2020
Key themes 
Communication between staff and patients
Continuity of care
Quality of care
Service delivery organisation and staffing
Staff attitudes

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
Primary research method used 
Structured interview
Unstructured Interview
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Primary care services 
GP practice
Community services 
Community healthcare and nursing services

Details about conditions and diseases

What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
9
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Not known
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.