In 2006, Dai Havard MP surveyed 173 NHS trusts in England on services for the prevention and treatment of wounds in the hospital setting, including the prevalence of pressure ulcers, the products used to treat wounds and the processes in place for the transfer of wound care patients to the community setting. Following responses from 113 of these trusts, he requested the assistance of KCI Medical in analysing his findings. This article provides a snapshot of England’s tissue viability services, highlighting the excellent care often provided for a diverse set of patients and the barriers that tissue viability healthcare professionals are facing every day in the NHS.