Monitoring pressure damage is a key part of the role of tissue viability clinical nurse specialists. Prevalence surveys of pressure damage are both staff and time-intensive. Before the introduction of Datix incidence reporting, Powys Local Health Board (LHB), situated in rural mid-Wales, used a paper-based system which supplied poor quality data. Following use of Datix incidence reporting, the quality of data has greatly improved, which has assisted the tissue viability service to provide a more targeted approach to this area of their role.