{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T18:46:16Z","timestamp":1772736376708,"version":"3.50.1"},"reference-count":5,"publisher":"Mark Allen Group","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2021,9,2]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Lower limb ulceration is a common cause of suffering in patients and its management poses a significant burden on the NHS, with venous leg ulcers (VLUs) being the most common hard-to-heal wound in the UK. It is estimated that over one million patients in the UK have lower limb ulceration, of which 560,000 were categorised as VLUs, with a cost burden of over \u00a33 billion each year. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective:<\/jats:title><jats:p> The aim of this service evaluation was to assess the effects of implementing a self-care delivery model on clinical outcomes with the intention of limiting face-to-face health professional contact to one appointment every 6 weeks. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> A suitability assessment was conducted and a cohort of patients were moved to a self-care delivery model. Patient data were collected, anonymised and independently analysed, comparing time to healing against data on file from a previous report. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> This highlighted that, in 84 of the 95 patients selected, the VLUs had healed by week 24 on the pathway, a further 10 patients' VLUs had healed by week 42 and only one remaining patient reached 42 weeks without healing. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> These results support the hypothesis that patients with VLUs can self-care and deliver clinical effectiveness. It is recommended that all services explore the possibility of introducing a self-care model for VLU care. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2021.30.9.751","type":"journal-article","created":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T19:27:01Z","timestamp":1632425221000},"page":"751-762","source":"Crossref","is-referenced-by-count":5,"title":["An advanced self-care delivery model for leg ulcer management: a service evaluation"],"prefix":"10.12968","volume":"30","author":[{"given":"Laura","family":"Hallas-Hoyes","sequence":"first","affiliation":[{"name":"South West Yorkshire partnership Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Williamson","sequence":"additional","affiliation":[{"name":"South West Yorkshire partnership Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Kerr","sequence":"additional","affiliation":[{"name":"Sandwell and West Birmingham Hospitals NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor","family":"Andrews","sequence":"additional","affiliation":[{"name":"L&R Medical UK Ltd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne","family":"Calladine","sequence":"additional","affiliation":[{"name":"L&R Medical UK Ltd"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"issue":"12","key":"B2","doi-asserted-by":"crossref","first-page":"e009283","DOI":"10.1136\/bmjopen-2015-009283","volume":"5","author":"Guest JF","year":"2015","journal-title":"BMJ Open"},{"issue":"12","key":"B3","doi-asserted-by":"crossref","first-page":"707","DOI":"10.12968\/jowc.2017.26.12.707","volume":"26","author":"Browning P.","year":"2016","journal-title":"J Wound Care"},{"issue":"12","key":"B5","doi-asserted-by":"crossref","first-page":"e045253","DOI":"10.1136\/bmjopen-2020-045253","volume":"10","author":"Guest JF","year":"2020","journal-title":"BMJ Open"},{"key":"B9","unstructured":"Craig J, Dowding D. 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Elsevier Limited, 2019"},{"issue":"1","key":"B10","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/iwj.12814","volume":"15","author":"Guest J","year":"2018","journal-title":"Int Wound J"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2021.30.9.751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T19:27:56Z","timestamp":1632425276000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2021.30.9.751"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,2]]},"references-count":5,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9,2]]}},"alternative-id":["10.12968\/jowc.2021.30.9.751"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2021.30.9.751","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,2]]}}}