The identification of appropriate pressure-redistributing mattresses, to achieve positive clinical outcomes for patients and incorporate financial considerations for organisations is a challenge for healthcare staff. Pressure-redistributing equipment selection algorithms are often used to guide clinicians. An online survey was undertaken to determine the selection, application and effectiveness of the Softform Premier Active 2 mattress and a retrospective evaluation of its use over a 12 month period was carried out based on the equipment selection algorithm within an NHS Trust. The objective of this research was to review the effectiveness of the implementation of the Softform Premier Active 2 mattress for patients with grade III and IV pressure ulcers.