At JOBST^® we are here to help you reduce the amount of clinical waste you're sending to landfill when treating a patient with a venous leg ulcer (VLU). Choosing a re-wearable compression product instead of two-layer compression bandages, could be a more sustainable option. We've done the calculations for you to show how this change to an adjustable compression wrap or a 2-in-1 compression system, can help you reduce clinical waste and save nursing time^.1-10* This change from a single use product to a re-wearable product may also help your Trust align to NHS England's Clinical Waste Strategy¹⁴, making it a choice that's worth considering. The below scenarios are based on only one patient with one VLU on one leg.^1-10*

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Applying compression bandaging requires specialist training, meaning up to 72 nurse visits are needed per patient with a VLU treated over six months.^1-10* Each nurse visit takes approximately 45 minutes.¹¹ By switching to JOBST FarrowWrap or JOBST UlcerCare for leg ulcer management⁴, you could save up to 72 nurse visits which could be up to 54 hours of nursing time.^1-10****

Using JOBST FarrowWrap or JOBST UlcerCare:

• patients can apply and adjust the garments themselves as part of supported self-care
• carers or family members can apply, if the patient cannot apply the garment themselves, as specialist nursing training is not needed

Compression bandages need to be changed up to three times per week^1-10*, meaning a significantly higher cost (£) of overall treatment - up to 16.5 times more^12,13.

By switching to JOBST FarrowWrap or JOBST UlcerCare you could save your Trust/Health Board up to £566.19 per patient. Contact us to find out how your Trust/Health Board can save money, nursing time and reduce landfill waste.

The patient treatment plan utilising compression bandaging is indicated following an in-depth patient assessment and diagnosis. The frequency of bandage changes per week varies. The reported average is two to three times per week ^2,4-7. During the decongestion stage for lymphoedema management bandage changes may be required daily ^8-10.
**Comparison is based on JOBST Compri2 two-layer compression bandages stretched.
***Please refer to the instructions for use for ‘Care Instructions’
****Plus, the additional cost of fuel, wear on staff vehicles and administration/documenting each visit.

¹ National Wound Care Strategy Programme: (2024) Recommendations for Lower Limb Ulcers. Read more.
² NHS (2022) Treatment -Venous leg ulcer. Read more. (Accessed 14 June 2023)
³ DOF6700-823 - Compri2 Bandaging Length + Surface Area Calculations. Data on file.
⁴ Damstra RJ & Partsch H (2013) “Prospective, randomized, controlled trial comparing the effectiveness of adjustable compression Velcro wraps versus inelastic multicomponent compression bandages in the initial treatment of leg lymphedema”, Journal of Vascular Surgery: Venous and Lymphatic Disorders,vol.1, no.1, pp13-19. Read more.
⁵ Mallow PJ. Health economic analysis of two-layer bandage system for treatment of chronic venous insufficiency. JHEOR. 2023:10(2):39-43.doi: 10.36469/jheor.2023.82159. Read more. (Accessed 24 May 2024)
⁶ Moffatt CJ, Franks PJ, Hardy D, Lewis M, Parker V, Feldman JL. (2012) A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. Br J Dermatol. Mar;166(3):624-32. Read more. (Accessed 24 May 2024)
⁷ Partsch, H (2007) Assessing the effectiveness of multilayer inelastic bandaging. Journal of Lymphoedema, 2007, Vol 2, No 2. Read more. (Accessed 24 May 2024)
⁸ International Lymphoedema Framework (2012) Best Practice for the management of lymphoedema 2nd edition. Read more.
⁹ Wounds UK (2006) Technical Guide: Treating Lower Limb Lymphoedema with Compression Bandaging. Wound Essentials, Volume 1. Read more (Accessed 24 May 2024)
¹⁰ Lymphoedema Framework (2006) Best Practice for the Management of Lymphoedema. International consensus. London: MEP Ltd. Read more.
¹¹ Urwin S, Dumville JC, Sutton M, et al. Health service costs of treating venous leg ulcers in the UK: evidence from a cross-sectional survey based in the north west of England. BMJ Open 2022;12:e056790. doi:10.1136/ bmjopen-2021-056790. Read more.
¹² NHS Electronic Drug Tariff (2024) Part IXA-Appliances. Read more.
¹³ Thomas S, (2017), “The use of compression wraps in the management of lymphoedema”, Journal of Lymphoedema, vol.12, no.1, pp32-38 Read more.
¹⁴ NHS England's Clinical Waste Strategy, NHS England, published 7 March 2023. Read more.