Within respiratory medicine, patients often present with complex, challenging wounds and skin conditions which, alongside their respiratory management, require intense intervention over lengthy periods of time. Wounds require timely intervention with effective products if complications and subsequent delayed discharge within the respiratory care journey are to be minimised. This evaluation explores the benefits of a silicone wound contact layer (Cuticell® Contact) within a high-risk patient group who presented to a respiratory department with reduced skin integrity over a 6-week period. Objectives and subsequent positive outcomes were non-adherence to the wound bed, wear time of 14 days, atraumatic removal and patient/clinician experience.