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STEP - SUSTAINABLE TREATMENT ECONOMICAL PRACTICE

Choose reusable product solutions that reduce clinical waste

JOBST STEP FarrowWrap UlcerCare
One JOBST FarrowWrap, an adjustable compression wrap, or JOBST UlcerCare, a 2-in-1 compression system, delivers six months' treatment. For the same six months' treatment with two-layer compression bandages, up to 72 packs would be used.1-10*

JOBST FarrowWrap and JOBST UlcerCare have a six month guarantee against garment failure caused by manufacturing or material defect.***

Reduce Your Clinical Waste to Landfill

JOBST® 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 reusable compression product instead of two-layer compression bandages, could be a more sustainable option. JOBST have 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 reusable product may also help your Trust align to NHS England's Clinical Waste Strategy14, making it a choice that's worth considering.
The below scenario videos are based on only one patient with one VLU on one leg over six months.1-10* 

Up to 2.8 Eiffel Towers in height of compression bandage waste to landfill per leg3**

JOBST STEP Waste
Based on three compression bandage changes per week for a patient with a VLU, treated over six months, up to 72 bandage changes are needed.1-10* Double this if both legs are bandaged, and up to 144 bandage changes are needed.1-10* The combined height of two-layer compression bandages used is up to 2.8 Eiffel Towers (914.4 metres) in height per leg3**.

This clinical waste must go to landfill. How does this impact on your Trust/Health Board's sustainability targets?

Save nursing time

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

Savings for your Trust

Compression bandages need to be changed up to three times per week1-10*, meaning a significantly higher cost (£) of overall treatment - up to 16.5 times more12,13.

Cost savings per patient
By switching to JOBST FarrowWrap or JOBST UlcerCare you could save your Trust/Health Board up to £566.19 per patient.

savings
 
*DISCLAIMER
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 week2,4-7. During the decongestion stage for lymphoedema management bandage changes may be required daily8-10.
**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.

 
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