Many mental health trusts have limited access to wound care specialists and rely on RMNs who have not been trained in this area to make wound care decisions.This article discusses the specific wound care problems experienced by patients with mental health problems and the need for better wound care in mental health. It describes the development and implementation of a wound care formulary in a large specialist mental health trust.This approach embraces modern wound healing concepts and creates a user-friendly approach to wound care decision making as well as facilitating localised teaching.