This paper presents preliminary analysis of clinicians use of the Tissue Viability Leading Change (TVLC) competency framework launched in November 2015. It is the first UK wide competency framework developed for staff working in a tissue viability service. Total downloads for the framework has been 331 to date. Overall initial feedback has been positive. The majority of respondents have accessed the framework for personal professional development. Respondents were asked to rate each of the TVLC competencies by frequency and ease of use. The first 5 competencies were utilised significantly more than competencies 6–10; the majority of respondents rated most competencies easy to use. Nine respondents (81.8%) reported that they were using, or intended to use, the TVLC as part of their appraisal process. Eleven respondents (84.6%) reported that they had used, or intended to use, the TVLC in validation processes as required by the Nursing and Midwifery Council (NMC).