Table 1 Components of good standard wound care

• Formal assessment of ulcer and surrounding skin

• Provision of any necessary off-loading

• Debridement (i) sharp, (ii) other as appropriate (but excluding the use of larvae)

• Appropriate dressing products

• Appropriate antibiotic therapy

• Nutrition and self care

• Optimal glycaemic control

• Revascularisation if deemed clinically necessary

• Continued close observation