Published resources

Browse healthcare improvement resources:


Tissue Viability learning session imageKnowledge is a powerful resource in pressure ulcer prevention. 

There is value in education for everyone involved in preventing pressure ulcers, and this section includes education for staff as well as patients/residents and their families/carers.

Resources for Education

Tissue Viability learning session image 2

An educational workbook on the Prevention and Management of Pressure Ulcers and an Educational Development Tool have been developed by NHS Education for Scotland in partnership with Healthcare Improvement Scotland and a number of key stakeholders.

This resource is suitable for a wide range of learners, from registered professionals to support workers in the NHS and the independent sector. It is available as an e-learning programme or as a colour reference book and black and white workbook.

The educational workbook is split into 9 educational units:

  • principles of care for people at risk of and with existing pressure ulcers
  • the structure and function of the skin
  • factors that may contribute to tissue breakdown
  • risk assessment
  • inspection and care of the skin
  • prevention and management techniques
  • grading of skin damage
  • phases of wound healing and fundamental wound management, and
  • infection control and prevention.

Patient Information

The short guide for adults at risk of developing a pressure ulcer will also be useful to carers who look after someone who has to spend time in an armchair, wheelchair or bed. It is useful to remember that this guide is not intended to replace conversations between individuals and their health care provider.


What’s the difference between pressure ulcers and tissue viability?

"Tissue viability is a growing speciality that primarily considers all aspects of skin and soft tissue wounds including acute surgical wounds, pressure ulcers and all forms of leg ulceration." - (Tissue Viability Society 2009).

"Pressure ulcers are an injury that breaks down the skin and underlying tissue. They are caused when an area of skin is placed under pressure. They are sometimes known as 'bedsores' or 'pressure sores'." - (with thanks to NHS Choices).

Scottish Patient Safety Indicator

Scottish Patient Safety Programme logo

The Scottish Patient Safety Indicator (SPSI) was developed to help reduce the occurrence of specified harms, including pressure ulcers. Discover more on the Scottish Patient Safety Programme website.