Older people living in care homes are some of the most vulnerable people in society and have a high risk of developing pressure ulcers. Pressure ulcers are an unwanted complication of illness, severe physical disability or increasing frailty. In June 2015 the Scottish Government announced an aim to reduce acquired grade 2 – 4 pressure ulcers in hospitals and care homes in Scotland by 50% by 2017.

Service Description

The programme will work in collaboration with NHS boards, Health and Social Care Partnerships, Scottish Care and care homes across Scotland to reduce the incidence of pressure ulcers for residents in care homes. There is existing work in both hospital and care home settings to improve outcomes for people by reducing harm from pressure ulcers. Using improvement tools and methodology, this work aims to build on that knowledge and experience to facilitate shared learning across health and social care.


The initial focus is on reducing pressure ulcers in older adults in care homes within Scotland. We are testing approaches in 3–4 localities involving NHS boards, Health and Social Care Partnerships and care homes in the area before sharing learning more broadly.


NHS boards, Health and Social Care Partnerships, Scottish Care and care homes

Benefits of programme

Benefits include:

  • improved quality of life for residents who are at risk of pressure ulcers
  • increased awareness of pressure ulcer reduction in care homes
  • increased reliability in the use of evidence-based resources, for example SSKIN care bundle
  • improved communication and management of pressure ulcer risk across the interface (between care homes, community services and hospitals)
  • increased opportunities for staff education including improvement methodology.


Jill Gillies


Tool Kit