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Clinical governance for ostomates at risk of peristomal skin complications

12 September 2019
15 min read
Volume 28 · Issue 16


This clinical study focuses on peristomal skin complications (PSCs). For many patients, the causative factor behind peristomal moisture-associated skin damage was contact dermatitis caused by effluent leakage, resulting in sore and excoriated skin. PSCs are costly to the patient in relation to pain, time and worry and also impact nursing activity levels and healthcare costs. The study identifies the number of patients presenting with PSC, the causative factors and their resolution using medical grade Manuka honey flanges.

Boyles and Hunt (2016) suggested that while:

‘Many patients will have to deal with problematic skin at some point, it should not be considered the acceptable norm as it can have profound impact on an individual's optimal physical, psychological and social functioning.’

Improving the quality and safety of healthcare is a system-wide priority. In times when the NHS is under substantial financial pressures to deliver efficiency savings, Getting It Right First Time (GIRFT) has never been more important. According to the website, GIRFT is:

‘…A national programme, led by frontline clinicians, created to help improve the quality of medical and clinical care within the NHS by identifying and reducing unwarranted variations in service and practice.’

The NHS is expected to deliver efficiencies of 2-3% per year, effectively setting a 10-15% real-terms cost-reduction target for achievement by April 2021, with the aim to make the NHS the safest and most efficient healthcare system in the world (Carter, 2016).

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