{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:25:10Z","timestamp":1788413110560,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The growing prevalence of venous leg ulcers in an ageing population presents challenges for wound care and management. The Lindsay Leg Club model is an alternative approach to the management of leg health that can improve patient outcomes. This article reports on an audit of a relational database located within the Leg Club Network, containing records of more than 17\u2009000 patients (known as members) who attended a Leg Club in a 5\u2010year period (2014\u20102019). Overall, over 266\u2009000 member leg assessments and treatments were entered into the database. The average nurse\u2010member attendance time was 28\u2009min, with a skill mix of 23% senior nurses, 70% qualified and associate nurses, and 7% nurses in supervisory roles. Healing rates averaged 62% after 12\u2009weeks. Recurrence rates were 20% after 12\u2009weeks. Annual clinical and volunteer hours averaged 821 and 800\u2009h, respectively. Staffing costs were \u00a328 per wound treatment or leg assessment with a typical duration of 27\u2009min; 71% of members were aged 70 to 94\u2009years old, which indicates the need for a service that caters to the specific requirements of this age group. However, no data on psychosocial and well\u2010being outcomes were recorded. Their inclusion in further developments of this database is recommended.<\/jats:p>","DOI":"10.1111\/iwj.13522","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T15:18:56Z","timestamp":1606317536000},"page":"233-241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A relational database within the Leg Club Network: an audit"],"prefix":"10.1111","volume":"18","author":[{"given":"Neil","family":"McIntyre","sequence":"first","affiliation":[{"name":"Trustee The Lindsay Leg Club Foundation  Ipswich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4376-1980","authenticated-orcid":false,"given":"Anna Milena","family":"Galazka","sequence":"additional","affiliation":[{"name":"Post\u2010doctoral research consultant, Welsh Wound Innovation Centre Pontyclun in collaboration with Cardiff Business School, Cardiff University  Cardiff UK"},{"name":"Cardiff Business School Cardiff University  Cardiff UK"},{"name":"Independent Specialist Practitioner The Lindsay Leg Club Foundation  Ipswich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellie","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Independent Specialist Practitioner The Lindsay Leg Club Foundation  Ipswich UK"},{"name":"Visiting Fellow Queensland University of Technology  Brisbane Queensland Australia"},{"name":"Associate Lecturer CRICP  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Bawden","sequence":"additional","affiliation":[{"name":"Trustee The Lindsay Leg Club Foundation  Ipswich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Renyi","sequence":"additional","affiliation":[{"name":"Retired chairman The Lindsay Leg Club Foundation  Ipswich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13366"},{"key":"e_1_2_9_3_1","unstructured":"GalazkaA.Managing stigma: a relational analysis of wound healing in the UK [PhD Thesis]. [Cardiff]: Cardiff University;2018."},{"key":"e_1_2_9_4_1","unstructured":"AugustinM CarvilleK ClarkM CurranJ FlourM LindholmC.International consensus: optimising wellbeing in people living with a wound. An expert working group review [Internet]. London: Wounds International; 2012 [cited 2018 Jul 23].http:\/\/www.woundsinternational.com\/media\/issues\/554\/files\/content_10309.pdf"},{"issue":"5","key":"e_1_2_9_5_1","first-page":"96\u20107","article-title":"Addressing some misconceptions about the Leg Club\u00ae Model","volume":"15","author":"Lindsay E","year":"2019","journal-title":"Wounds UK"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hch075"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2019.24.Sup12.S34"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.11.700"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.11.609"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2018.23.Sup3.S42"},{"issue":"2","key":"e_1_2_9_11_1","first-page":"42","article-title":"Reflection: patients' experiences of being treated in a Leg Club setting","volume":"33","author":"Seckam A","year":"2019","journal-title":"J Community Nurs"},{"issue":"5","key":"e_1_2_9_12_1","first-page":"138\u201041","article-title":"Improving wellbeing and quality of life using motivational interviewing","volume":"14","author":"Baxter L","year":"2018","journal-title":"Wounds UK"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2015.24.9.397"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2008.00486.x"},{"key":"e_1_2_9_15_1","unstructured":"NHS Supply2Health. Extension of choice of Any Qualified Provider venous leg ulcer & wound healing implementation pack.2012; tp:\/\/supply2health.nhs.uk\/AQPResourceCentre\/Documents\/Venous%20Leg%20Ulcers%20Implementation%20Pack%20\u2010%20Final\u201012012012.pdf"},{"key":"e_1_2_9_16_1","first-page":"1","article-title":"Simplifying venous leg ulcer management. Consensus recommendations","author":"Harding K","year":"2015","journal-title":"Wounds Int [Internet]"},{"key":"e_1_2_9_17_1","unstructured":"CurtisL BurnsA.Unit costs of health and social care 2019 [Internet]. University of Kent Canterbury;2019. (Sonal Social Services Research Unit).https:\/\/www.pssru.ac.uk\/project-pages\/unit-costs\/unit-costs-2019\/"},{"issue":"3","key":"e_1_2_9_18_1","first-page":"21","article-title":"Leg ulcers in older people: a review of management leg ulcers in older people: a review of management","volume":"2","author":"Adeyi A","year":"2009","journal-title":"Br J Med Pr"},{"issue":"1","key":"e_1_2_9_19_1","first-page":"16","article-title":"Leg Clubs\u2010beyond the ulcers: case studies based on participatory action research","volume":"19","author":"Shuter P","year":"2011","journal-title":"Wound Pract Res"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2004.9.Sup2.13128"},{"key":"e_1_2_9_21_1","unstructured":"GriffinJ.GIG Cymru NHS Wales 2014 finalist \u2010 improving care in the community for patients with leg ulcers.2014;http:\/\/www.nhswalesawards.wales.nhs.uk\/page\/73491"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2016.25.Sup6.S1"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2012.21.11.570"},{"issue":"1","key":"e_1_2_9_24_1","first-page":"20","article-title":"Patient satisfaction with a social model of lower leg care provision","volume":"8","author":"Clark M","year":"2012","journal-title":"Wounds UK"},{"key":"e_1_2_9_25_1","unstructured":"ClarkM.Lindsay Leg Club\u00ae foundation. 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