Biofilm formation is rapid and invisible; a systematic approach to treatment that allows antimicrobials to be effective while preventing biofilm reformation is required. The three-step Leicestershire Partnership NHS Trust biofilm pathway was developed to provide a structured approach to chronic wound management. The pathway was developed with industry support. Community nurses were provided with education and printed resources. Patients are initially referred to the tissue viability team for assessment and then issued with a patient passport and managed by the community nurses. Treatment can be stepped up or down depending on clinical presentation. Initial clinical results have proven very positive and are supported by patient testimonials.