Saturday 12 July 2025
Internal Reference Number: FOI_8723
Date Request Received: 25/06/2025 00:00:00
Date Request Replied To: 30/06/2025 00:00:00
This response was sent via: By Email
Request Summary: first presentation/emergency care services
Request Category: Health
| Question Number 1: I am writing to you under the Freedom of Information Act 2000 to request the following information from your organisation’s ‘first presentation/emergency care services (e.g. urgent care/Accident & Emergency/Minor Injuries unit). I am wishing to establish how patients with pretibial injuries are managed if they attend emergency care services. A pre-tibial injury is a type of wound occurring on the shin or front of the lower leg, specifically the area where the tibia (shinbone) lies. These wounds are frequently caused by trauma, such as a fall or knock, and the thin skin in this region can tear easily, especially in older individuals. They and can range in severity from a skin-tear (pretibial laceration) to a degloving injury or haematoma. Please may you provide me with: Which of the following first presentation/emergency care services does your organisation provide? • Type 1 A&E department (Increasingly referred to as an Emergency Department) = A consultant led 24-hour service with full resuscitation facilities and designated accommodation for the reception of accident and emergency patients. • Type 2 A&E department = A consultant led single service or Emergency Department (e.g. ophthalmology, dental) with designated accommodation for the reception of patients. • Type 3 A&E department = These are now referred to as Urgent Treatment Centres (UTCs). These are GP-led, open at least 12 hours a day, every day, offer appointments that can be booked through NHS 111 or through a GP referral, and are equipped to diagnose and deal with many of the most common ailments for which people attend A&E. • Type 4 Other non-UTC that continue to operate as MIUs, UCC, WICs • Type 5 Ambulatory Emergency Care Service | |
| Answer To Question 1: Type 1 A & E Department | |
| Question Number 2: How many patients with pretibial injuries does your first presentation/emergency care service see annually? Please provide annual figures (Jan-Dec) for the last 3 years: 2022/2023/2024 | |
| Answer To Question 2: Please see our response to this question in the Excel spreadsheet attached. To accompany this answer to question 2 please also see the documents listed below:  Q2 - FOI_8723 - First presentation emergency care services.xlsx | |
| Question Number 3: Does your first presentation/emergency care service have a protocol/policy/pathway/clinic for the conservative (non-surgical) management of people with pretibial wounds? If yes – please specify which | |
| Answer To Question 3: No | |
| Question Number 4: At discharge what follow up care is provided for these patients (e.g. do you refer to: GP; Community Nurse; Community Wound Clinic; bring them back to a trust led clinic (please specify clinic type) | |
| Answer To Question 4: GP follow up | |
| Question Number 5: Are patients routinely assessed for suitability for compression therapy (e.g. ABPI/TBPI) in this pathway/clinic? (yes/no/don’t know/refer on to other speciality for compression) | |
| Answer To Question 5: No | |
| Please see Attachments: | |
| To return to the list of all the FOI requests please click here | |
Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.
