The Primary Care Dressing Scheme (PCDS) was introduced to primary care in Northumberland in 2010 and was designed to deliver improvements to the quality of care provided to patients in a large rural trust. The scheme was developed by the tissue viability service in collaboration with the prescribing lead for the Trust commissioners. The initial aim of the PCDS was a reduction in the wastage of wound care products prescribed for patients and to provide instant access to appropriate products at point of contact with the patient. Lean methodology for the management of the wound care product stock held by the district nurses was introduced, ensuring delivery of the right treatment at the right time. In addition, the number of dressings dispensed could be managed to reduce both wastage and costs. The use of Lean methodology in managing the PCDS has reduced costs by £125 000. The use of Lean methodology in the management of the total dressing scheme has enabled the realisation of significant financial savings in treating wounds in the primary care setting.