The Patients Association has called for the introduction of mandatory monitoring and reporting of pressure ulcers.
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Freedom of information data collected by the organisation showed specialist nurse levels were highly variable and appeared to lack any significant relationship with trust activity.
For example, the data showed a tenfold difference between the activity levels of acute trusts with one whole time equivalent tissue viability nurse.
Acute trusts were also shown to be employing an average of five infection control nurses compared to 1.6 tissue viability nurses, even though pressure ulcers cost the NHS up to £2.1bn a year - double the cost of healthcare associated infections, the association said.