Leg clubs: a cost-effective social prescribing approach to lower limb management

From the patient's perspective, the experience of a non-healing wound is often secondary to its effect on quality of life. For chronic wounds this may be caused by restricted mobility, chronic pain, wound exudate or malodour. In all cases a therapeutic approach that combines patient-centred research with patient-centred care has the greatest chance of success.

Responding to literature citing a correlation between social isolation and non-concordance, and mindful that in this condition the aim is not merely to heal, but also to prevent recurrence, the author developed the Lindsay Leg Club Model, in which patients (known as members) are stakeholders in their care and are empowered to make informed decisions regarding treatment.

Collaborative working is the bedrock of each Leg Club. Members and nurses work together in an open environment where interactive learning is paramount. Treatment is undertaken in an area where two or three people can have their legs washed and dressed in the same room, giving them the opportunity to compare healing and treatments. Members are encouraged openly to discuss treatment issues with the care team, carers and other members, and this offers them control over their own leg ulcer. Treatment is undertaken with, rather than on, the members. Members can be treated in private if they wish, but this is very rarely requested.