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鈥檚 鈥榝irst 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? 鈥� 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. 鈥� 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. 鈥� 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. 鈥� Type 4 Other non-UTC that continue to operate as MIUs, UCC, WICs 鈥� 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 鈥� 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鈥檛 know/refer on to other speciality for compression) | |
| Answer To Question 5: No | |
| Please see Attachments: | |
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