Fania Pagnamenta

1 Introduction Lead Tissue Viability Nurses (LTVNs) are registered nurses who specialise in wound care and manage teams of Tissue Viability Nurses (TVNs) at different stages of education and training; as a team, they focus on preventing damage to the skin and underlying tissues and facilitate healing in wounds where a complication has prevented the normal healing process (Ousey et al. 2014). The role is nurse-led and spans across all medical disciplines, from the cradle to the grave.

1 INTRODUCTION In the United Kingdom, 7% of the adult population suffers with leg ulceration and cost the NHS £8.3 billion per year (Guest et al., 2020); venous leg ulcerations (VLUs) account for 60%–80% of leg ulcer cases (Guest et al., 2018). Internationally, up to 10% of the population in North America has venous incompetence, with 0.2% developing venous ulceration (Neuman et al., 2016), whilst in Australia, this is estimated to be 1%–2% (McCosker et al., 2019).