This document builds on the Best Practice Statement: Holistic Management of Venous Leg Ulcers to address complexities in the management of venous leg ulcers. 

The aim of this document is to help ensure consistent clinical practices in relation to the assessment and management of people with VLUs who are outside the scope of the leg ulcer treatment pathway developed by Atkin and Tickle (2016). It will provide guidance based on relevant evidence and the experiences and opinions of clinicians, with a focus on practical, holistic and patient-centred strategies.