Audit of Dermatology and Wound Healing Services in Gwent Final Report ––– February 2010 1.1.1. Practices who responded: Area Surgery Newport Beechwood Surgery, Lliswerry Surgery, St Davids Clinic (2), St Pauls Surgery, St Brides Surgery, St Julians Medical Centre, Rogerstone Practice (2), Malpas Brook, Padma Surgery, Bellevue Group Practice, Grange Clinic, Eveswell Surgery, Bryngwyn Surgery, Underwood Practice Torfaen Clark Avenue Surgery, New Chapel Surgery, Greenmeadow Surgery, Abersychan Group Practice, , Cwmbran Village Surgery, Trosnant Lodge Blaenau Gwent Aberbeeg Medical Centre, The Bridge Centre (2), Cwm Health Centre, Pen-y-Cae Surgery, Newbridge Surgery, Tredegar Surgery, Blaen-y-cwm practice Monmouthshire Tudor Gate Surgery, Vauxhall Practice Caerphilly Llan-Aber Practice, Tonyfelin Medical Centre, Court House Medical Centre, Pengam Health Centre, Senghenydd health Centre, Lansbury Surgery, Tonyfelin Surgery (2), Nelson Surgery, Ty Bryn (2), Trecenydd Surgery (3) 2.2.2. Completed By: Newport TorTorTorfaenTor faen Blaenau Caerphilly Monmouthshire Total Gwent Nurse Practitioner 1 0 0 0 1 2 Practice Nurse 15 6 7 14 1 42 Health Care Assistant 1 0 0 0 0 1 Total 17 6 7 14 2 46 3.3.3. Do you personally see patients with dermatological conditions in your practice? NNNewportNewport Torfaen Blaenau Caerphilly Monmouthshire Total Gwent Yes 16 6 4 8 2 36 NoNoNo 1 0 2 5 0 8 Total 17 6 6 13 2 44 4.4.4. Age Range Newport Torfaen Blaenau Caerphilly Monmouthshire Total Gwent Children 9 4 3 2 1 19 Adults 15 5 3 7 1 31 Elderly 14 6 4 4 2 30 Page 1 of 5 5.5.5. Conditions Newport Torfaen Blaenau Caerphilly Monmouthshire Total Gwent Cellulites 2 1 1 1 1 6 Phlebitis 1 0 0 1 0 2 Leg Ulcers 8 3 1 4 0 16 Venous 1 0 0 1 0 2 Arterial 1 0 0 1 0 2 Eczema 12 4 4 4 2 26 Psoriasis 5 3 3 1 1 13 Post op wounds 3 0 1 1 0 5 Wounds 1 0 0 1 0 2 Burns 3 0 0 1 0 4 Dermatitis 2 3 2 2 1 10 Allergic skin rashes 2 0 1 2 0 5 Varicose eczema 4 1 1 2 0 8 Acne 3 0 0 1 1 5 Lacerations 1 0 0 1 0 2 Abscess 1 0 0 1 0 1 Impetigo 0 2 0 1 0 3 Scabies 0 1 0 1 0 2 Diabetic foot ulcers 1 1 0 1 1 4 Pressure sores 0 1 0 1 0 2 Rosacea 0 0 1 1 1 3 Tinea 0 0 0 1 1 2 Warts 0 0 0 1 1 2 Skin tags 0 0 0 1 2 3 Bacterial skin infection 0 0 1 1 1 3 6.6.6. On average how many patients do you see per week? Newport Torfaen BBBlaenauBlaenau Caerphilly Monmouthshire Total Gwent 1-2 5 3 1 3 0 12 2-5 4 2 2 2 1 11 5-10 7 0 0 1 0 8 10+ 0 0 1 2 1 4 7. Do you educate these patients and/or demonstrate hohoww to apply topical treatments? Newport Torfaen Blaenau Caerphilly MonmoutMonmouthshirehshire Total Gwent Yes 12 4 2 5 2 25 NoNoNo 5 2 2 5 0 14 8.8.8. If no, would you like to become involved in the practical management of their treatment? Newport Torfaen Blaenau Caerphilly Monmouthshire Total Gwent Yes 3 1 2 3 0 9 NoNoNo 2 0 0 3 0 5 Page 2 of 5 9.9.9. Are you Nurse PresPrescriber?criber? Newport Torfaen Blaenau Caerphilly Monmouthshire Total Gwent Yes, Independent 1 1 0 1 1 4 Yes, Supplementary 2 2 0 0 0 4 NoNoNo 14 3 6 13 1 37 10. If available, would you be interested in attending an educational session, and if so, what dermatdermatologicalological conditions would you like to know about?about? Name Practice Condition Susan Waters St Brides Medical Centre, Newport Eczema, Varicose Eczema, Cellulitis Susan Griffiths St Davids Clinic, Newport Treatment of Wounds Gill Foster St Davids Clinic, Newport Treatment of Wounds Sonia Kirby St Davids Clinic, Newport Eczema, dermatitis, leg ulcers, burns and post op wounds Jayne Meredith St Pauls, Newport Range of common skin complaints Diane George Rogerstone, Newport Eczema and Acne Mary Jones Rogerstone, Newport Acne, Eczema, Varicose Eczema Susan Parfitt Padma Surgery Ulcers and general wound healing P Ridout Grange Clinic, Newport Basic Care Moira Grange Clinic, Newport Basic Care Ann Morgan Malpas Brook, Newport Dermatitis, Psoriasis, Eczema, Fungal infections Judith Prosser St Julians Medical Centre, Newport Managing ulcers Practice Nurse Abersychan, Torfaen Eczema Hayley Cwmbran Village Surgery, Torfaen Leg Ulcers, application of compression bandaging Ruth Yandle Pen-Y-Cae, Ebbw Vale Common presentations Sue Evans Cwm Health Centre, Blaenau Gwent Common presentations Amanda Luther Aberbeeg Medical Centre, Blaenau Gwent Eczema and psoriasis Deborah Dix The Bridge, Abertillery, Blaenau Gwent Eczema, psoriasis, bacterial infections, fungal infections Liz Willilams Tudor Gate Surgery, Monmouthshire All conditions Rebecca Stanley Vauxhall Practice Eczema, dermatitis, common skin conditions Sue Lawrence Senghenydd Health Centre, Caerphilly Leg ulcers, eczema, psoriasis Sian Thomas Llan-Aber Practice, Caerphilly eczema, psoriasis Beverley Dobson Nelson Surgery, Caerphilly Wound management, child eczema B Chapman Tonyfelin, Caerphilly All conditions Karin Williams Llansbury Surgery, Caerphilly Eczema and dermatitis Jennifer McFall Tonyfelin Surgery, Caerphilly All conditions Paula Williams Pengam, Caerphilly Leg ulcers, pressure bandage Rachel Thomas Court House Medical Centre, Caerphilly Eczema Sian Davies Tonyfelin, Caerphilly Eczema Sally Ann Davies Trosnant Lodge, Torfaen All Conditions Hazel Griffiths Eveswell Surgery, Newport Infected eczema Lynda Thomas Newbridge Practice, Blaenau Gwent All conditions Kate Carney Bryngwyn Surgery, Newport Impetigo, eczema, psoriasis, skin rashes Jan Ryzx Trecenydd Surgery, Caerphilly General and acute skin conditions with update on treatment regimes Susan Lawrence Trecenydd Surgery, Caerphilly General and acute skin conditions with update on treatment regimes Page 3 of 5 E Whitney Trecenydd Surgery, Caerphilly General and acute skin conditions with update on treatment regimes Sarah Emmitt Blaen-Y-Cwm Practice, Blaenau Gwent All conditions Adele Thomas Underwood Health Centre, Llanmartin Psoriasis, varicose ulcers 11. Are you aware of the Wound Healing Formulary and Guidelines 2009? Newport Torfaen BlBlBlaenauBl aenau Caerphilly Monmouthshire Total Gwent Yes 15 5 7 14 2 43 NoNoNo 2 1 0 0 0 3 12. If yes, would you like further wound management tratraining?ining? Name Practice Susan Waters St Brides Medical Centre, Newport Susan Griffiths St Davids Clinic, Newport Gill Foster St Davids Clinic, Newport Jayne Meredith St Pauls, Newport Diane George Rogerstone, Newport Mary Jones Rogerstone, Newport S Watts Belle View, Newport Susan Parfitt Padma Surgery, Newport P Ridout Grange Clinic, Newport Moira Grange Clinic, Newport Ann Morgan Malpas Brook, Newport Judith Prosser St Julians Medical Centre, Newport Practice Manager Abersychan, Torfaen Hayley Cwmbran Village, Torfaen Carol Dyke New Chapel St, Torfaen Sue Evans Cwm Health Centre, Blaenau Gwent Amanda Luther Aberbeeg Medical Centre, Blaenau Gwent Sue Lawrence Senghenydd Health Centre, Caerphilly Sian Thomas Llan-Aber Practice, Caerphilly Beverley Dobson Nelson Surgery, Caerphilly Jennifer McFall Tonyfelin Surgery, Caerphilly Paula Williams Pengam, Caerphilly Sharon Williams Ty Bryn, Trethomas Hazel Griffiths Eveswell Surgery, Newport Lynda Thomas Newbridge Surgery, Blaenau Gwent K Jervis Tredegar Health Centre, Blaenau Gwent Jan Ryzx Trecenydd Surgery, Caerphilly Susan Lawrence Trecenydd Surgery, Caerphilly E Whitney Trecenydd Surgery, Caerphilly Kate Carney Bryngwyn Surgery, Newport Sarah Emmitt Blaen-Y-Cwm Practice, Blaenau Gwent 13. If no, would you find an update on this document ofof use? Practice Condition Kay Lau Lliswerry Practice, Newport Sonia Kirby St Davids Clinic, Newport Penny Ridout/Moira Grange Clinic, Newport Susan Roberts Greenmeadow, Cwmbran Page 4 of 5 Carol Dyke New Chapel Street Surgery Ruth Yandle Pen-Y-Cae, Ebbw Vale Sue Evans Cwm Health Centre, Blaenau Gwent Rebecca Stanley Vauxhall Practice, Monmouthshire Rachel Thomas Court House Medical Centre, Caerphilly Sally Ann Davies Trosnant Lodge, Torfaen Sarah Emmitt Blaen-Y-Cwm Practice, Blaenau Gwent Hazel Griffiths Eveswell Surgery, Newport Adele Thomas Underwood Surgery, Llanmartin Page 5 of 5 .