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We would therefore support a PCT preferred dressing formulary for adoption throughout the Somerset Health Community. Dressing Supplies on Discharge Practices hold small supplies of dressings because the number of patients requiring any particular product will be small. Local pharmacies may not have dressing immediately available for supply and not infrequently will take 24 hours to obtain some products. The LMC would like to see the T&S NHS Trust policy that a minimum of three dressing changes should be provided for primary care application ('discharge and transfer of patients' MP14.04) adopted as the normal minimum standard. In this context dressings should include all the disposable items needed when the patient sees the district or practice nurse for a dressing change. Better Wound Care Liaison on Discharge Patients are still sometimes discharged with an instruction to 'go to the practice nurse in two days time'. Like everyone in primary care practice nurses are often working at capacity and may well not have time to fit in a complex wound dressing in the middle of an already booked clinic. We suggest that where any wound dressing by a community nurse is likely to be required then this should be arranged with the practice or community nurse team in advance of discharge to ensure that the work can be accommodated. Dr Harry Yoxall September 2003 P  .  hLi`6CJ hLi`5CJ hLi`CJ hLi`5CJhLi`jhLi`UO P   . @A $ 8a$$ 88^8a$ $ & F a$$a$$a$ '&#$/(. 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