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National Wound Care Core Capability Framework for England

The Framework consultation survey is now closed.

The online consultation survey closed on Sunday 28th February 2021.
To receive notification when the final framework is published, please ensure you have registered your interest – see Registration Form below.


The National Wound Care Strategy Programme (NWCSP) has commissioned the development of a new core capabilities framework for health and care staff involved in wound care in England. The framework will describe the required skills, knowledge and behaviours to improve wound care in three clinical areas (Pressure Ulcers, Lower Limb and Surgical Wounds).


Wound care in England is thought to cost approximately £6 billion. There is marked unwarranted variation in treatment of wounds, with underuse of evidence-based practice and overuse of ineffective interventions. Non-healing or delayed healing of chronic wounds is a major factor in care costs and many of these wounds could be prevented or healed more quickly.

The National Wound Care Strategy Programme is established to enable care that is organised and research-informed, to achieve improved healing rates, better experience of care, greater cost-effectiveness and prevent incidence and recurrence. Education forms a major part of this national programme with one of the aims to develop core capabilities for health and care practitioners, as well as for carers and people with wounds, that will both improve care and promote self-care.

Alongside the standards set by professional bodies for those entering the registered professions, there are many documents which have been developed to inform wound care practice. Many of these are for single professions, for single types of wounds and for specific levels of practice.

Purpose and scope of the framework

The intention of this work is to develop core capabilities that identify and describe the skills, knowledge and behaviours required to deliver high quality, person-centred, wound care. It will be a single, consistent and comprehensive framework, developed by and for an inter-professional audience, only a few of whom usually work within a designated and defined Tissue Viability Service.

The Core capabilities will be described in three tiers and a practitioner working in health or care, or a carer or a person with a wound, may move between these tiers depending on their role, setting or circumstances.

Tier 1: Capabilities that require a general knowledge and understanding of wound care and the skills that support the provision of that care.

Tier 2: Capabilities that enable the provision of wound care independently and with a degree of critical analysis.

Tier 3: Capabilities that require a high degree of autonomy and complex decision making, an ability to lead wound care practice, enabling innovative solutions to enhance people’s experience and improve outcomes.

Development of the framework

Skills for Health has been commissioned to provide project management and lead on development of the framework. A steering group comprising key stakeholders is guiding the development process.

The first stage of the project focused on desk research to review existing source documents and develop the framework structure. Mapping of the framework led to the development of a full draft framework for review as part of a wider consultation process during February 2021.

The framework is due to be launched by the end of April 2021.

Registration of interest

To receive a notification when the final framework is published, please ensure you have registered your interest, either as part of the consultation survey or by completing the form below.

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