Service overview
We offer specialist advice and treatment if you have a skin ulcer or a complex wound that is difficult to heal.
We work together with other healthcare professionals involved in your care to make sure you get the right treatment for your wounds.
You may be referred to our service if your healthcare professional feels that your wound needs specialist treatment.
As part of our service, we also provide training for healthcare professionals on treating various types of wounds.
Accessing our service
You can be referred to us if you're registered with a Berkshire GP, or you're currently being treated in a ward at our hospital.
We accept patients of all ages.
We accept referrals from healthcare professionals, such as district nurses, practice nurses, and care home nurses, to the Integrated Hub.
If you work for Berkshire Healthcare can access the referral form via our Nexus intranet page.
If you do not work for Berkshire Healthcare, you can request access to our referral form, by emailing the Berkshire Integrated Hub.
We aim to review all referrals within two working days.
Referral Criteria
- Contact information must be provided, including a phone number and an e-mail address which is constantly monitored
- The wound must have been assessed by a registered healthcare professional prior to referral
- Leg ulcer and Doppler assessments must have been completed within the last 8 weeks where relevant. If ABPI is not possible, contact the Tissue Viability Service before submitting you referral
- The wound must be on or above the malleolus. Wounds below the malleolus must be referred to Podiatry. Diabetic foot ulcers should be treated as urgent
Referral form
Please send the referral as an electronic document if possible, and not handwritten and scanned.
The referral form must be fully completed. You can use “N/A” in a data field if the information is not relevant.
Please also include good quality photographs of the wound, not scans or photos of a device screen.
Make sure that the photos have light, are not blurred, and clearly show:
- a close-up look of the wound bed and surrounding skin
- another picture from further away showing the wound or damaged area in relation to the rest of the limb/body
You must include these at the end of referral document as the Hub, and not as separate attachments.
We will review the details and then either call or email the referrer to talk about will happen next.
Send all referrals to our Integrated Hub.
Patients who have been identified as having critical ischemia need a direct GP referral to a vascular consultant.
Preparing for an assessment
We'll review the photos and notes provided in your referral first
We will then contact the person that has referred you, and arrange a visit if necessary. We can then use this opportunity to talk about treatment options with you.
Managing your health
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Your e-Health Passport lets us know what's important to you - from your preferred name and pronouns to how you'd like us to support you and communicate with you.
Learn moreContact us and FAQs
Berkshire Integrated Hub
Contact number: 0300 365 1234
Email: integratedhub@berkshire.nhs.uk For use by healthcare professionals only.
Location detailsWokingham Hospital
Wound Management (Tissue Viability) Service.
Email: tissueviability@berkshire.nhs.uk For use by healthcare professionals only. Monday to Friday, 9am – 5pm, excluding Bank Holidays.
Post Address: RG41 2RE
Frequently asked questions
What is a skin ulcer?
Skin ulcers are open sores which form when a break in the skin doesn’t heal properly, exposing the tissue underneath. If you have mobility problems, you’re at particular risk of pressure ulcers (also known as pressure sores or bed sores).
I think I might have Sepsis?
If you have a wound or break in the skin on your foot and you have suddenly developed symptoms associated with Sepsis.
Please call 999 or attend your nearest A&E.
You can find out what Sepsis is and the symptoms by visiting the NHS website.
We can also help you with
Is there any information for friends, family and carers?
If you’re a family member, carer, or you look after someone, there’s practical, financial, and emotional support available from a range of local communities and national organisations.
How do I request an interpreter?
We can provide language translation and interpretation support.
Tell our staff which language you prefer to use, and we will make sure the right communication support is in place for your assessment and treatment. Please let us know as early as possible so we can ensure the appropriate translation or interpreting support is available.
We offer a range of professional services to ensure everyone can understand and be understood:
- Telephone interpreting
- Video remote interpreting (VRI)
- Face‑to‑face interpreting
- Written translation
- British Sign Language (BSL) interpreting
How can I get information in an accessible format?
Anyone with a disability, impairment, or sensory loss has the right to get information in a format that meets their needs.
The Accessible Information Standard (AIS) is a legal requirement for all health and adult social care providers. This means making sure that people who use our services, including carers and families, can understand our information and communicate with us easily.
We can offer information in a range of accessible formats, including:
- British Sign Language (BSL)
- Large print
- Braille
- Audio
- Easy read
- Text message
- Face‑to‑face support with a carer or advocate present
If you need information in any of these formats, please tell a member of our team and we will make sure your communication needs are met.
Are service dogs allowed to my appointment?
Yes, you are welcome to bring your registered service animal, such as a guide dog, hearing dog, medical alert dog, or other trained assistance dog to your appointment.
These animals are recognised as essential support and are permitted in most areas of our services.
To help us prepare, please let the team know before your appointment if you will be attending with a service animal. This allows us to make sure the environment is safe and comfortable for you, your animal, and other patients.
Please note that service animals may not be able to enter certain restricted clinical areas for safety or infection‑control reasons, but we will always work with you to find an appropriate alternative.
What does it mean to treat our team with respect?
Respect is important.
We will be polite and kind and we expect that you treat our staff in the same way.
Abuse, hate and discrimination against our staff is unacceptable.
We will take strong action against anyone who is verbally, racially, physically, or sexually abusive to them.
This may include contacting the police to prosecute, and stopping future access to our healthcare services.
How do I find my NHS number?
The easiest way to find your NHS number is using the official NHS online service which can be accessed below.
You may also want to read our guidance page for more information about other ways to find your NHS number or what to do if you cannot find yours.
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