Heels are the second most common site for the development of pressure ulcers. Controversies have surrounded the prevention and management of heel damage in the UK. As a result, clinicians are uncertain about the choice of equipment and when it is appropriate to prescribe. An audit of an NHS equipment service was carried out to focus on heel damage. The available clinical evidence for different equipment types are reviewed, and highlighting ways to increase awareness to clinicians and the patient group found in the audit.