Lancashire carers lead the way in ongoing wound care

Lancashire Care NHS Foundation Trust has aimed to improve patient care with a new Wound Healing Assessment and Monitoring (WHAM) tool.

The tool promotes regular evaluation and regulated practice when it comes to wound care in a community setting and makes it easier to quickly evaluate the stages of healing and the care that is required by the patient.

Janine Shepherd, clinical lead for the tissue viability service at the Trust said of the tool: “I’m so pleased that implementation of the WHAM tool has been successful and it’s great that we are setting an example to other clinicians outside of the organisation.

“Our main aim was to collect useful and accurate information such as healing rates to support judgement and ensure consistent care is being delivered across the board.

“Documentation is really important in nursing practice and can help clinicians to identify trends and monitor outcomes whilst ensuring continuity of care for our service users.”

Implementation of the WHAM tool has improved record-keeping and enabled clinicians to measure and monitor wound healing rates within their teams across the region. helping care users and patients better chance of gaining quicker recovery times and dealing with less chances of infection.

The project was implemented in a staged approach across clinical settings which ensured consistently high standards for patients and enables people to receive care from different locations.

Marnie Nixon, assistant practitioner at Lancashire Care said: “Each element of the WHAM tool has been developed with our service users in mind as this is ultimately about improving their quality of life and treatment.”

The quality of life of patients and care users is of utmost importance to the NHS and to Apex HSC and we welcome the usage of such tools to enable better care to be given to patients with more positive outcomes and greater synchronicity between care givers, care professionals and GPs and nurses.

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Respite Care at home with Apex HSC

Respite care used to mean that care users had to move from their home to a care home or facility to receive the care and support they require. Respite care at home gives your loved ones the independence and comfort of remaining in their own homes while providing the essential care they need.

Apex Health + Social Care offers a unique Respite Care at Home package which focuses on providing quality care and social support for care users like domiciliary care while enabling you to be relieved of some of the heavy responsibilities home caring can bring.

Respite care will also enable you to care for a loved one or family member without the potential disruption and anxiety of moving house and changing primary carers which can often be a very difficult transition for everybody involved.

Respite Care at Home can offer a full range of care services, including:

  • Bed routine
  • Assistance in manouvering around the house, such as getting in and out of bed, up and down stairs, using the bathroom etc
  • Bathing
  • Dressing
  • Meal times
  • Assistance with preparing nutrtional meals and carrying out weekly shops
  • Continence
  • Medication
  • Household tasks such as vacuuming, washing up and laundry

Respite Care at Home can be offered as a long or short-term solution, providing you with an alternative to full-time care. This can be especially welcome should you need a short break from providing the full-time care your loved one requires. Full time care 24 hours a day can be provided for up to two weeks, or can simply be for a few hours each day to ensure daily  needs are being met.

For more information about our Respite Care services, please call 0845 600 3041 and we will be happy to discuss your needs and send you any relevant literature.

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Dignity in care

Dignity in care is one of the most important aspects of care a nursing professional will ever become experienced in. Care users and their loved ones often look to their carers as a unique supporting member of their family.

Providing complete care for vulnerable people requires a responsible and conscientious mindset. Caring for an individual not only takes into account their physical health, but their mental well-being and morale too.

There are countless studies on the benefits good morale has on recovery and health. Aside from this, dignity in care should be a priority for all care professionals as it ensures all patients are treated with respect.

Student editor of the Nursing Times Mikey Whitehead wrote a poignant piece on dignity in care last month, and it poses the question: do all patients get treated with the same level of emotional care?

Here is an excerpt from his piece.

“…there have been times where it was just “assumed” that patients who have sustained certain injuries (particularly head injuries, such as stroke) were unaware of what was being said around them. Sometimes this is the case, but often I would wager that patients such as these are aware of what’s going on more than we give them credit for.

It is especially tough to do the right thing if it means speaking out against qualified staff.


In my first year of nursing as a HCA I was looking after an older patient in the final stages of her life. I held her hand while I watched her life slowly slipping away from her. It was a serene and quiet moment, it was very sacred in it’s nature and I was finding it quite difficult to deal with, but I was determined to get it right. Then all of a sudden, a young nurse burst in through the curtains and enquired quite loudly, “Is she dead yet?”


Through my experience, I believe that might have been the very last thing she heard.”


From this personal anecdote it is clear to see how important personal relationships are with patients and care users, no matter the situation.

Apex HSC nursing staff and care assistants are fully trained professionals experienced in providing the highest quality bedside and medical care.

For more information on providing the best care for you or a loved one, please call us on 0845 600 3041

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Dignity Charter improve state of care

Dignity in Care charters across the country have been drawn up to protect carers and care users.

Dignity charters drawn up across the country look to be improving the state of care nationwide, according to surveys in patient and client satisfaction. The charters, created by local authorities together with the NHS, include steps to be taken which must be agreed to by carers and nursing staff. For example, the North Yorkshire Dignity in Care Charter consists of the following important points: Dignity in care champions


  • Respect each individual for their uniqueness and make each individual feel that they matter;
  • Have zero tolerance of all forms of abuse; and
  • Promote and encourage positive and respectful attitudes.


  • Support people with the same respect you would want for yourself or a member of your family;
  • Treat each person as an individual with their own needs, wants desires and expectations; and
  • Respect people’s rights to have relationships.


  • Respect people’s rights to privacy and autonomy;
  • Enable people to maintain independence, choice and control whilst managing any risks;
  • Ensure that services are provided in a way that meets an individual’s likes and dislikes; and
  • Act to alleviate people’s loneliness and isolation.


  • Provide a personalised service and treat each person as an individual;
  • Listen and support people to express their needs and wants; and
  • Engage with family members, carers and care partners where this is appropriate.


  • Help to maintain all entitlements associated with citizenship; and
  • Ensure that people feel able to complain without fear of repercussions.


  • Assist people to maintain confidence and a positive self esteem; and
  • Support them in the realisation of personal aspirations and abilities in all aspects of daily life.


  • Adhere to guidance on nutrition in care homes and in the community and encourage nutritional screening.


  • Those who commission services and those who provide them have a responsibility to ensure services are properly staffed and funded and are properly trained, vetted, supervised and supported.

Policies and proceduresPolicies and procedures will be in place to support dignity in care, to challenge discrimination and inequality, and to respect individual needs, covering:

  • whistle blowing;
  • equal opportunity;
  • complaints and compliments; and
  • safeguarding adults


  • Involve all stakeholders and partners, including users, carers and providers, to commission high quality personalised care.

More than two million health and social care staff in the UK work around the clock to provide support and care for those in need. So far, around 40,000 of them have signed up to be dignity champions. You can sign up as a dignity in care champion via the Dignity in Care network website. Apex HSC on Facebook Apex HSC on Twitter