Ipswich and East Suffolk Clinical Commissioning Group

West Suffolk Clinical Commissioning Group

Suffolk GP
Wound care
Formulary
Contents
Wound Healing Continuum Prescribing Indicator

Approved Dressings Product List 1st Line

2nd Line
Secondary Formulary
On specialist advice only
Exudate Tool
Prescribing Matrix
Does my patient need a prescription? - Poster

Practice Nurse and Nursing Home requests

Formulary items should be prescribed wherever possible
Non-formulary and District Nurse requests
If a non-formulary item or DN request is required for exceptional
circumstances, an exception reporting form should be completed and
sent to medicines management (form available on IESCCG &
WSCCG websites)

Produced by CCG Medicines Management Team

Approved by IESCCG & WSCCG Prescribing Committee Version 29 – January 2020
Purpose and Scope

This formulary has been developed to support all healthcare professionals that
prescribe or request prescriptions for patients that require wound care treatment within
Suffolk primary care settings. This includes patients seen in GP practices and Nursing
Home settings. Patients under the care of Residential Care Homes, or receiving care
in their own homes within Suffolk, will obtain wound care treatment and dressings via
their District Nursing teams, and should not require wound care products on
prescription, unless under exceptional circumstances.
If an exceptional circumstance occurs, an exception reporting form must be completed
by the requesting clinician and included with the prescription request. A copy of the
District Nursing Wound Care Formulary can be accessed here:
http://www.suffolkcommunityhealthcare.co.uk/Portals/2/Cache/Suffolk%20Formulary%20final%20version%20fo

r%20uploading.pdf via Suffolk Community Services website.

Products List
The wound care products listed within this document have been selected for inclusion
following evaluation, in collaboration with our specialist stakeholder professionals. The
product list should be sufficient to cover the majority of patients’ needs. In exceptional
circumstances other products may be prescribed, where formulary products are found
to be inadequate, for example a patient develops skin sensitivities. For exceptional
requests, an Exception Reporting Form should be completed by the clinician and sent
to the Medicines Management Team. Please see flowchart for details on this process.

The formulary will be reviewed annually, however the products listed may change at
any time following a product review. The most up to date version will be available at:
http://www.ipswichandeastsuffolkccg.nhs.uk/GPpracticememberarea/Clinicalarea/Medi
cinesmanagement/CCGFormularies/Woundcareandstoma.aspx under the “Wound
care, Catheters, Stoma and Skincare” section.

Stakeholders
This formulary has been prepared by Ipswich and East & West Suffolk CCG Medicines
Management Teams in consultation with Suffolk Practice Nurse Wound Care
Committee and Suffolk Tissue Integrity Appliance Group.

2
 Wound Healing Continuum
Wounds healing by secondary intention should progress along the wound healing
continuum from left to right. Treatment will change along the continuum, from high
intervention - debridement of necrotic wounds, to low intervention – minimising
disturbance of epithelialising tissue. Similarly, appropriate dressings will progress from
the complex dressings capable of handling large amounts of exudate, to simpler
dressings.

The dressing categories below are broad recommendations only and not a
replacement for clinical judgement. Infected wounds may require an antimicrobial
dressing. In addition, local protocols for infected wounds should be followed
Contact layers such as silicone based dressings may be suitable for a wider variety of
wounds, depending on the secondary dressing or if used with negative pressure
devices.

3
Treatment Aims

4
 Approved Product List
- Standard wound management products -
Approx.
Unit 2 Week
Item Size PIP Code Comments
price Quantity
(per wound)
1) Saline
Clinipod 25 x 20ml Tap water is preferred for leg
Sterile water for Sodium Chloride 3599933 £4.80 1 pack
0.9%
ulcers and chronic wounds
irrigation

2) Swabs

Non-woven fabric
7.5cm x 7.5cm 3368958 £0.28 10 Do not use as a dressing
swab Sterile

3) Non Adherent Wound Contact Layer Dressing Primary dressing

Silicone contact layer

Up to 7 days use requires a
secondary dressing
N-A Ultra
9.5cm x 9.5cm 2304095 £0.34 10
Silicone
Can be used for
hypergrannulation

Soft polymer wound contact dressing

5cm x 5cm 2813012 £0.35

7.5cm x 10cm 2813038 £0.36

Atrauman Can be left in place for up to
10
Polymer 7 days
10cm x 20cm 2813046 £0.81

20cm x 30cm 3248697 £2.23

Soft silicone wound contact dressing

5cm x 7.6cm 3590411 £1.13 First line for very fragile skin
e.g. skin tears and blisters
Adaptic Touch
Up to 7 day use
7.6cm x 11cm 3590429 £2.25 5 ▪ Up to 7 day use
▪ Tacky on both sides
12.7cm x 15cm 3590437 £4.65

6cm x 7cm 3506888 £1.22 Can remain for up to 14

days – change secondary
Mepitel One dressing as needed
9cm x 10cm 3506896 £2.41 5
Up to 14 day use
▪ Apply tacky side to
13cm x 15cm 3506904 £4.98 wound bed

5
 Small 2cm 4068417 £1.48

Medium 2.4cm 4068508 £1.60

Adaptic Digit Includes soft silicone contact
Finger and Toe Large 2.8cm 4068425 £1.78 5 layer and outer layer in one
dressings dressing
3cm 4068433 £1,84

2.8cm Toe 4068441 £1.78

4) Hydrogels Primary dressings

Activheal Hydrogel
8g (1 tube) 3779956 £1.23 10 • Avoid use on ischemic
Liquid gel
diabetic feet, infected and
5cm x 6.5cm 3155553 £1.86 heavily exuding wounds
• Donates moisture to dry
Actiform Cool
10cm x 10cm 3048352 £2.74 5-10 necrotic tissue
Gel Sheet
Up to 7 day use • Requires a secondary
dressing
10cm x 15cm 3048360 £3.93

Primary or Secondary
5) Hydrocolloids
dressings
Dry to low exuding wounds

5cm x 10cm 278150 £0.78 • For minor burns,

DuoDERM Extra Thin 7.5cm x 7.5cm
10cm x 10cm
abrasions, lacerations and
post-operative wounds,
stage 1-2 pressure ulcers
277798 £0.83 5
• Can remain up to 7 days;
no outer dressing required.
• Allow overlap over wound
277897 £1.37
edge - waterproof

Low to moderate exudate

Granuflex 10cm x 10cm 46359 £2.90

• For pressure ulcers,
surgical and traumatic
6cm x 6cm 45336 £1.83 5 wounds
Granuflex Bordered • Select a size that extends
10cm x 10cm 45351 £3.46 at least 3cm beyond the
wound edges.
• Can remain up to 7 days
10cm x 12cm 120212 £2.37
Tegaderm • Waterproof dressing
5
Hydrocolloid £4.42
14cm x 15cm 484279

6
6) Alginates Primary dressings

Haemostatic properties

5cm x 5cm 3842036 £0.75 • For bleeding wounds

• Primary dressing; forms a
10cm x 10cm 3842119 £1.51 viscous gel on contact with
Melgisorb Plus
exudate; do not wet the
Alginate fibre 5-10
dressing before application
(alternative to Kaltostat) 10cm x 20cm 3842101 £2.98
• Cut or fold to shape of
3cm x 45cm wound to avoid maceration
3842127 £3.21 can remain up to 7 days
larger cavity

Sorbsan Ribbon • For bleeding cavity wounds

40cm 0035212 £2.06 5-10
For bleeding cavities Includes probe for measuring

7) Gelling cellulose hydrofiber dressing Primary dressings

• For medium and heavily
5cm x 5cm 3944337 £0.85 exuding granulating
Exufiber
Hydrofiber wounds
10cm x 10cm 3944345 £2.05 5-10 • Can remain up to 7 days
(replacing Durafiber / • Forms soft cohesive gel on
Aquacel) contact with exudate; do
15cm x 15cm 3944352 £3.85
not wet fiber before use
Aquacel Ribbon
Threaded fibre
1cm x 45cm 3615978 £1.91 • Do not pack too tightly
5-10 If bleeding cavity use
Exufiber Ribbon alginate rope as alternative
2cm x 45cm 4010005 £1.85
Non-threaded fibre

Primary or secondary
8) Vapour-permeable adhesive film dressing
dressings
6cm x 7cm 2548725 £0.47 • Avoid if exudate present
• Avoid on sensitive skin
Mepore Film
10cm x 12cm 2548733 £1.25 5 • Can remain up to 7 days
Transparent film • Often used as a secondary
dressing, or as prophylactic
15cm x 20cm 2548741 £3.09 to prevent friction and shear

9) Adhesive Tapes

Micropore
• Dressing retention on non-
2.5cm 178178 £0.93 1
flexing areas

5cm 2684793 £1.85

• Dressing retention on areas
Mefix 10cm 2684801 £2.96 1 prone to rubbing e.g.
elbows, heels
15cm 2684819 £4.03

7
10) Odour absorbent charcoal dressings

10cm x 10cm 182667 £1.96 • Moderate and lightly

CliniSorb 5-10 exuding wounds
10cm x 20cm 182857 £2.61 Can be used up to 7 days

11) Barrier film (peri-wound protection)

1ml swab 1ml swab covers 15cmx15cm
Medi Derma-S 61076 £3.70 3 packs
(pack of 5) • Reapply at each dressing
Non Sting
change
Barrier Film 30ml pump spray 60796 £5.35 1 can • For intact or damaged skin

12) Bandages / Stockinette

Retention bandage
• Light bandage for securing
dressings
• When applying on legs,
apply from toes to knee to
K-Band stretched 4m x 10cm 344358 £0.29 5-10 prevent oedema
• Apply K-soft first when
applying on oedematous
limbs to prevent bandage
cutting into the skin
Support Bandages

5cm x 4.5m 2393619 £0.57 • Support bandage to secure

dressings in place – apply
K-Lite 5-10
toe to knee at 50% stretch
10cm x 4.5m 2393635 £1.03 spiral

Elasticated Tubular Stockinette

5.0cmx 1m 0050039 £0.63

• To secure dressings and
Green

5.0cm x 3m 2551885 £1.76 bandages

5.0cm x 5m 2555803 £2.81 • 5m and 3m lengths are

15 (1m) less wasteful than 1m and
7.5cm x 1m 0049924 £0.77 can accommodate various
5 (3m) limb sizes
Blue

Tubifast 2-way
7.5cm x 3m 2551877 £2.13
stretch
• Consider if blue (7.5cm)
7.5cm x 5m 2555811 £3.55 3 (5m) line size will suffice before
requesting a yellow (10cm)
10.75cm x 1m 0236539 £1.20 line bandage
Yellow

10.75cm x 3m 2551869 £3.49 • Do not use Tubigrip as a

retention bandage
10.75cm x 5m 2555829 £5.74

8
 -Absorbent Dressings: Refer to Exudate Tool-
Primary or secondary
13) Adhesive dressing with absorbent pad
dressings
Level 1 – Low to moderate exudate *See Exudate Tool

4cm x 5cm 3575412 £0.24

• Low to moderate exudate
5cm x 7cm 3575420 £0.25 • Suitable for surgical
wounds, cuts and
Mepore Film + Pad
abrasions
Water resistant option 9cm x 10cm 3575438 £0.63 5-10
Low exudate
• Non-adherent pad
• Waterproof
9cm x 20cm 3575487 £1.39 • Can be worn for up to 4
days
9cm x 25cm 3575503 £1.53

• Primary dressing to cover

5cm x 7.2cm 2731222 £0.08
wounds without the need
for additional tape or
8cm x 10cm 2731255 £0.18 bandages
Cosmopore E • For use on lightly exuding
Permeable 8cm x 15cm 2731263 £0.29 5-10 wounds
Low exudate e.g. post-operative
10cm x 20cm 2731289 £0.47 wounds, minor injuries and
epithelialising wounds
10cm x 25cm 2731297 £0.58 • Not suitable for use on leg
ulcers

Primary or secondary
14) Foam Dressings
dressings
Level 2 – Moderate exudate silicone Foam dressings *See Exudate Tool

7.5cm x 7.5cm 4084984 £1.11

• See Exudate management
tool for step up approach to
Kerrafoam Simple 10cm x 10cm 4085007 £1.55 dressing choice
Border

(gentle silicone
10cm x 20cm 4085064 £2.86 5-10 • Can be left in place for up to
adhesive for fragile 7 days except the sacral
12.5cm x 12.5cm 4084992 £2.25 area where dressings can
skin)
be left in place for up to 5
days.
15cm x 15cm 4085072 £2.82

7.5cm x 7.5cm 3947231 £1.18

• Where foam dressings are
Kliniderm Foam changed frequently,
Silicone Border 10cm x 10cm 3947249 £1.63 consider stepping up to
5-10 Allevyn Life for longer wear
(replacing 12.5cm x 12.5cm 3947256 £2.33 time and higher aborption
Allevyn Gentle Border) capacity
15cm x 15cm 3947264 £3.95

9
 10cm x 20cm 3947272 £3.20
Continued:
10cm x 30cm 4047320 £4.80 5-10
Klinidern foam
silicone border 18cm x 18cm
3994068 £3.90
Sacrum
Non-border foam dressings

5cm x 5cm 408-5163 £0.90

KerraFoam Simple
Non-border 10cm x 10cm 408-5171 £1.69
5-10
(gentle silicone
adhesive for fragile 10cm x 20cm 408-5197 £2.96
skin) • Can be left in place for up to
15cm x 15cm 408-5189 £3.03 7 days where appropriate

• Consider stepping up to
5cm x 5cm 3947215 £0.95 high absorbency dressings
if changing frequently
Kliniderm Foam 10cm x 10cm 3947223 £1.95
Silicone non-
5-10
bordered
10cm x 20cm 3994092 £3.49

15cm x 15cm 3994084 £3.95

Foam Silicone Heel Dressings

Kliniderm Foam 10cm x 17.5cm • See Secondary Formulary

3994118 £3.15 for alternative adhesive heel
Silicone Heel Non-border
dressing where Kliniderm
5-10
not suitable
Kliniderm Foam 20cm x 20.8cm • Stockinette may be used
4059531 £6.59
Silicone Heel Bordered to secure

Level 3 – High exudate silicone foam dressings *See Exudate Tool

10.3cmx 10.3cm 3739448 £1.71 High absorption capacity and

larger border
12.9cmx 12.9cm 3739430 £2.51
Allevyn Life • Consider stepping up to
5-10
High exudate absorbent pad dressings
15.4cm x15.4cm 3739380 £3.06 where exudate levels not
maintained with regular
17.2cm x 17.5cm dressing changes
3807575 £4.68
Sacrum

10
15) Absorbent Dressings - For moderate to heavily exuding wounds

Level 1 – Low to moderate exudate *See Exudate Tool

10cm x 10cm 3286085 £0.07

• Not suitable for
Zetuvit E
10cm x 20cm 3286093 £0.09 10 application under
(non-sterile)
compression
20cm x 40cm 3286119 £0.28

10cm x 10cm 3227618 £0.22

Secondary dressing Not
Zetuvit (sterile)
10cm x 20cm 3227584 £0.25 10 suitable for application
Moderate exudate
under compression
20cm x 40cm 3227600 £1.13

Level 2 – Moderate to high exudate *See Exudate Tool

10cm x 10cm 3947124 £0.49

• Primary or secondary
dressing – does not require
20cm x 20cm 3947157 £0.99 additional wound contact
Kliniderm layer
Superabsorbent
Moderate to high 10cm x 15cm 3947124 £0.69
• Can be used under
exudate 10
compression
10cm x 20cm 4100087 £0.85
(replacing
KerramaxCare) • Should not be layered –
20cm x 30cm 3947165 £1.49 consider stepping up to
Vliwasorb if exudate not
contained
20cm x 40cm 4049508 £1.99

Level 3 – High exudate *See Exudate Tool

12.5cm x 12.5cm 3999893 £0.90

• Primary or secondary
Vliwasorb Pro dressing - does not require
High exudate levels 22cm x 22cm 3999919 £1.90 additional wound contact
10 layer
(replacing 12.5cm x 22.5cm 3999901 £1.06 • Do not cut or tear
KerramaxCare) • Can be used under
compression
22cm x 32cm 3999927 £2.39

11
 -Restrict Use Products -
16) Antimicrobial dressings
The use of Antimicrobial dressings should be commenced when a wound presents with clinical
signs of infection. This should be reviewed after 2 weeks of treatment.

Povodine Iodine
• Low adherent knitted
5cm x 5cm 371195 £0.33 viscose fabric containing
Inadine 5-10 povidone iodine
9.5cm x 9.5cm 371229 £0.49 • Colour change from orange
to white as iodine released
Cadexomer Iodine

For use on BIOFILMS in combination with Debrisoft using 2 week challenge – Wounds UK (2017)
Best Practice Statement for management of Biofilms
• For use in treating biofilm in
Iodoflex paste 5g £4.23 combination with Debrisoft
5-10 therapy
Iodosorb ointment 10g (1 tube) £4.67 • Use caution on patients with
thyroid disease - monitor
Manuka Honey

5cm x 5cm 3665411 £2.01

• Alginate dressing
MediHoney Apinate impregnated with honey
Alginate 10cm x 10cm 3470929 £3.42 5-10
(replacing Algivon)
1.9cm x 30cm • Use in cavity wounds with
3665429 £.4.23
Rope infection or slough present

5cm x 5cm 4009346 £1.71 • Knitted viscose mesh

MediHoney Tulle
5-10 dressing impregnated with
(replacing Activon)
10cm x 10cm 3463346 £3.00 honey

MediHoney 10g (1 tube) 3141207 £2.71

Antibacterial Wound 5-10 • Antimicrobial gel for
Gel infected wounds
20g (1 tube) 3141215 £4.05

Paste Bandages
• Use correct technique when
applying *Not to be applied
Viscopaste PB7 7.5cm x 6m 332734 £3.78 5-10
as spiral to limbs*
• *Antimicrobial dressing*

17) Debridement
For use on BIOFILMS in combination with antimicrobial dressings using 2 week challenge –
Wounds UK (2017) Best Practice Statement for Management of Biofilms
• For treatment of biofilm
Debrisoft pad 10cm x 10cm 3985124 £6.61 5 formation / hyperkeratosis
• Review after 2 weeks

12
18) Compression Bandages – Special Consideration

Doppler assessment must be completed prior to commencing compression therapy to determine

whether compression is clinically appropriate – All health care professionals undertaking Doppler
and/or compression therapy must have undertaken leg ulcer management training and remained
current in their level of competence

Short-Stretch

• Short stretch compression

8cm x 6m 3140886 £3.34 for oedematous limbs
• Apply 50% spiral full stretch
Actico (cohesive) 5-10 • Ensure adequate padding
k-soft is applied prior to
10cm x 6m 271543 £3.47 application to prevent
pressure damage

Multi-Layer

Urgo KTwo kit Full 18-25cm (10cm) 3725231 £8.24

Compression
2 layer system 25-32cm (10cm) 3725249 £9.00

• Full doppler assessment

18-25cm (10cm) 3725256 £8.24 required prior to
Urgo KTwo Reduced
2 layer system treatment
25-32cm (10cm) 3725264 £9.01 • 2 layer and 4 layer
compression bandaging
5-10 systems
K-Soft layer # 1 10cm x 3.5m 3257177 £0.47 • Best practice advocates full
compression of 40mmgh
K-Lite layer # 2 10cm x 4.5m 2393635 £1.03 where doppler readings are
appropriate

K-Plus layer # 3 10cm x 8.7m 2481232 £2.33

Ko-Flex layer # 4 10cm x 6m 2668366 £3.10

Dressing Pack – Restricted prescribing for patient self-care only

 To prescribe for patients

who provide self-care e.g
Small/Medium or self-catheterisation
365 Community
Large - £0.46 10  Healthcare professionals/
Woundcare Pack
nitrile gloves nursing homes should
source from stock and not
on a prescription

13
 Secondary Formulary
- Second line use only -
2 week
Unit
Item Size PIP code Quantity Comments
price per wound
Hydrocolloid – fibrous Primary dressings

6cm x 6cm 3678877 £0.98 • For exuding or sloughy

wounds - Properties:
UrgoClean 10cm x 10cm 3678885 £2.18 Desloughing
Absorption
5-10
Haemostatic
15cm x 20cm 3678893 £4.10 • Can be used under
compression
UrgoClean Rope 2.5cm x 40cm 3725272 £2.45 • Can remain up to 7 days

Silver Antimicrobials Primary dressings

Restricted Use Products - 2 week use

5cm x 5cm 3214533 £0.53

• Soft polymer wound contact
Atrauman Ag dressing
10cm x 10cm 3214541 £1.30 5-10
Polymer
• No absorption properties
10cm x 20cm 3214517 £2.53

5cm x 5cm 3468337 £1.87 • Gelling cellulose dressing

• Designed to be left in place
Melgisorb Ag for up to 7 days
10cm x 10cm 3468345 £3.74 5-10
Alginate fibre • Haemostatic properties for
bleeding wounds
15cm x 15cm 3468352 £7.91 • Absorption properties

1cm x 45cm 3623808 £3.20

Aquacel Ag Ribbon • For cavity wounds with
5-10
Alginate rope infection present
2cm x 45cm 2926434 £4.89

Other Antimicrobials - Review at 2 weeks Primary dressings

Mesh swabs
• Primary dressing for
4cm x 6cm 2324325 £1.69 contaminated, colonised or
Cutimed Sorbact infected wounds.
5-10
Dry Mesh swabs • Change 1-3 days
7cm x 9cm 2324333 £2.82 depending on the wound
condition

14
Mesh swabs with gel impregnated
• Cutimed Sorbact swab with
an amorphous hydrogel
7.5cm x 7.5cm 3477015 £2.72 • Change every 1–3 days
Cutimed
depending on the wound
Sorbact Gel
5-10 condition
Gel impregnated Mesh
swabs • Can be used for dry to low
exuding wounds that are
7.5cm x 15cm 3477023 £4.60 contaminated, colonised or
infected

Alginate gels with antimicrobial properties

• Slight to moderate exudate

• Can be re-capped and re-
Flaminal Hydro used on the same patient
15g (1 tube) 3242971 £7.87 5-10
High water based gel • To hydrate dry necrotic
tissue/slough with high
bacterial load

• Moderate to heavy exudate

• Can be re-capped and re-
Flaminal Forte used on the same patient
15g (1 tube) 3242963 £7.87 5-10
High alginate based gel • To debride soft necrotic
tissue/slough with high
bacterial load

Adhesive foam dressings

10cm x 11cm 3041589 £2.42

Tegaderm Foam
Adhesive Oval • Second line to silicone
14.3cm x 15.6cm 3041605 £4.32 foam dressings
5-10
• For use on difficult body
contours – sacrum / heels
Tegaderm Foam
13.9cm x 13.9cm 3041621 £4.30
Adhesive Heel

15
 Negative Pressure Wound Management Products

Negative pressure wound therapy (NPWT) – Restrict Use Products

Single use disposable system

10cm x 20cm 4074514 £129.49

• Canister-free, single-use therapy,
10cm x 30cm 4074506 £128.84 provided as a complete seven day kit

• May require more packs if high

Pico 7 10cm x 40cm 4074522 £148.46 exudate levels and if changing more
(replacing Pico) frequently
15cm x 15cm 407100 £128.84
Contains • For use on wounds up to 2cm depth
2 dressings + 1 battery 15cm x 20cm 4075164 £128.84
pump • To kick-start wound healing or
15cm x 30cm 4074480 £148.46 stepping down from vacuum pump

*Patients must be clinically assessed

20cm x 20cm 4074498 £148.46 and deemed appropriate prior to
commencing treatment*
25cm x 25cm 4075123 £148.46

Renasys NPWT Consumables & Accessories – Restricted Use Product

Renasys Soft Port One Size 3786464 £11.49

Renasys Port Kit One Size - £9.83 *To be commenced or continued

following specialist review and
Round 10 3812823 recommendation*

Renasys-G • Suitable for use on surgical and

Round 19 3812864 £24.41 chronic wounds following specialist
Dressing Kit
review
Flat 3812831
• Renasys pump units are provided for
Renasys-G Gauze Small 3786431 £20.19 community patients through Suffolk
Dressing Kit with soft Community Healthcare
port Medium 3786449 £25.32
• Patients discharged from acute
settings on alternative pumps, should
Renasys-F Foam Small 378720 £23.69 be transferred over to a Renasys
Dressing Kit with soft pump
port Medium 3786712 £27.53
• All Renasys consumables and
Small 250ml - £19.15 accessories, as listed should be
Renasys requested via the patients’ GP and
Canister Kit prescribed on FP10
Large 800ml 3865300 £21.27
• Review progress of wound weekly
Small 300ml 3786415 £20.51
Renasys Go
Canister Kit Maximum quantity of 2 weeks supply
Large 750ml 3786423 £28.27 to be prescribed
Renasys Y Connector
(for use with soft port) One Size 3812807 £3.38

16
 Useful Contacts

Medicines Management Appliances Nurses

Tralee Lashley: tralee.lashley@nhs.net
Denise Hutchinson: denise.hutchinson4@nhs.net

Ipswich and East Suffolk CCG Website

Woundcare, Catheters, Stoma and Skincare Section -
http://www.ipswichandeastsuffolkccg.nhs.uk/GPpracticememberarea/
Clinicalarea/Medicinesmanagement/CCGFormularies.aspx

West Suffolk CCG Website

Woundcare, Catheters, Stoma and Skincare Section -
https://www.westsuffolkccg.nhs.uk/clinical-area/prescribing-and-
medicines-management/dressings-and-stoma/

Primary Care Nurse Education Lead IESCCG / WSCCG

Amanda Bennett: Amanda.Bennett2@suffolk.nhs.uk
Sally Harris: Sally.Harris@suffolk.nhs.uk

Primary Care Education Hub

CEPN PACT@suffolkch.nhs.uk

Tissue Viability Teams

Suffolk Community Healthcare
Anna Taylor Anna.Taylor1@suffolkch.nhs.uk
Lisa Sutherland Lisa.Sutherland@esneft.nhs.uk

West Suffolk Hospital TVN

Daniel Harvey: Daniel.Harvey@wsh.nhs.uk

17
18
 Exudate Management Dressing Tool

Level 1 Level 2 Level 3

Consider use of dressings below Where exudate levels are High absorbency dressings for
Exudate when presented with low to moderate to high and are not consideration where Level 2
Level moderate exuding wounds and contained within Level 1 dressings are not adequate at
ulcers dressings: use Step-up approach maintaining exudate levels
Indicator
Level 1 – Low to Mod  Level 2 – Moderate  Level 3 – High 

Kliniderm Foam
Adhesive & Cosmopor E
Silicone
Foam Allevyn Life
Dressings Mepore Film + Pad Kerrafoam Simple

Where adhesive dressings are not adequate at maintaining exudate levels or wound location is on lower limb -
consider stepping up to non-adhesive dressings with retention product
Non-
adhesive Kliniderm Vliwasorb
Dressings Zetuvit
Superabsorbent Superabsorbent

19
 Dressings Switch Chart
Patients transitioning across healthcare settings: non-formulary dressings should be switched to
formulary products on initial assessment in primary care
Popular non-formulary dressings GP Practice Formulary

Product Type Product Name  Approved Products

Occlusive Film Mepitel Film  Mepore Film

Adhesive Mepore Mepore

Absorbent  Cosmopor E Film + Pad
Low absorbency Primapore (waterproof)

Allevyn Gentle

Bordered and Biatain Kliniderm

Kerrafoam
Non-bordered Foam
SIMPLE
Silicone
Silicone Foam Lyofoam Max  (bordered or
(bordered or Allevyn LIFE
Moderate non-
non-
absorbency Mepilex / Comfort bordered)
bordered)

Urgotul Absorb

Bordered Kliniderm
Allevyn Life Tegaderm
Foam Sacrum
Mepilex Sacrum  Foam
Sacrum Adhesive Foam
Sacrum

Allevyn Heel Kliniderm

Kliniderm Tegaderm
Foam
Foam Heel  Silicone
Foam Foam Adhesive
Mepilex Heel Border Heel Heel
Heel

Absorbent Pad PremierPad

Moderate  Zetuvit
absorbency Mesorb

Cutimed Sorbion Sachet  Vliwasorb Pro

Superabsorbent
KerraMaxCare
High absorbency Vliwasorb
 Kliniderm Superabsorbent
Superabsorbent
Mextra Superabsorbent

Activon Tulle  MediHoney Tulle

Manuka Honey
Algivon  MediHoney Apinate

Sorbsan ribbon
Alginate Kaltostat  Melgisorb Plus
(for cavities)

Hydrofiber Aquacel / Durafiber  Exufiber

Hydrogel Intrasite Gel  Activheal Hydrogel Tubes

Stockinette Comfifast  Tubifast

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DOES MY PATIENT NEED A PRESCRIPTION FOR DRESSINGS?

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