Chronic wounds can have a substantial impact on a patient’s quality of life (Cutting, 2010) and in the NHS £3.1 billion is spent annually on wound dressings and caring for these patients (Posnett and Franks, 2008). This is estimated to be 3% of total expenditure on health (£89.4 billion) in 2005/06). The management of leg ulcers is estimated to cost £168–198 million (Posnett and Franks, 2008). Management of these complex wounds therefore requires a pragmatic approach to the use of those resources that are most suitable for the clinical circumstances to ensure good patient outcomes.