Improving clinical care for people with wounds

Review into Operation Jasmine has implications for pressure ulcer reporting in Wales

Written by Michael Clark July 14th 2015

Today (July 14th 2015) a report into the neglect of older people in care homes was released. This report reviewed the implications of a major Gwent police enquiry 'Operation Jasmine' which started in November 2005 and has been estimated to have cost around £15m. It concerned 63 deaths which were a cause for concern in care homes and nursing homes for older people in south east Wales.

Within the recommendations of the review there are a number of actions related to the reporting of pressure ulcers in Wales, these include

The Welsh Government, in association with Public Health Wales should ensure that the significance of deep pressure ulcers (deep pressure ulcers, unstageable and deep tissue injury) is elevated to that of a notifiable condition.

Senior clinicians, including Registrars, General Practitioners and Tissue Viability Nurses, assume a lead role in preventing avoidable pressure ulcers and in developing a National Wound Registry, assisted by the Welsh Wound Innovation Centre

Senior clinicians are made responsible for notifying Public Health Wales of deep pressure ulcers and where Public Health Wales has been informed of the existence of deep pressure ulcers, a process is identified whereby that information is communicated to the Care and Social Services Inspectorate Wales or the Healthcare Inspectorate Wales and appropriate commissioning authorities as well as to people’s families

Within the conclusions of the report it is stated -

'The severest suffering was placed on older people. It is astonishing that not even people’s deep pressure ulcers had an effect on the conduct of some business owners. There is scope for the Welsh Government and Public Health Wales to assume a lead role alongside the Welsh Wound Innovation Centre in challenging the tolerance of preventable pressure ulcers'