netFormulary NHS
Shropshire and Telford Local Health Economy
Shropshire, Telford and Wrekin CCG
Shrewsbury and Telford Hospitals NHS Trust
Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Shropshire Community Health NHS Trust
 Formulary Chapter 19: Wound Care Formulary - Full Chapter

Approved by:
Shropshire Community Health NHS Trust, Telford & Wrekin CCG and Shropshire

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19.13  Expand sub section  Hydrogels
Actiform Cool
(5cm x 6.5cm
10cm x 10cm
10cm x 15cm
20cm x 20cm )
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Primarily for wounds that are painful.
To rehydrate necrotic/sloughy wounds and to manage moderately exuding wounds that also require slough removal.


Apply directly to the wound bed.
Can be cut to the shape of wound.
For low exuding wounds leave the second backing film in place.
For moderately exuding wounds both backing films should be removed and a secondary absorbent dressing applied over.
May be left in place for up to 7 days in low exuding wounds.
Will require a secondary dressing.


Dressing absorbs wound slough into its matrix forming a globular gel - this may help to reduce the microbial burden of the wound bed.
Protect the surrounding skin with a barrier film/cream in moderately exuding wounds.
Seek advice from a wound specialist before use on diabetic patients.


Do not use on clinically infected wounds unless the patient is on systemic antibiotic therapy.
Avoid secondary dressing with cellulose granules.


Granugel (hydrocolloid gel)
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Superficial, deep, dry, sloughy and necrotic wounds as releases moisture into wound.
May be used in the presence of aerobic or anaerobic infection but systemic antibiotics should also be given. Aids granulation in clean wound.
Consider gently scoring hard black eschar to allow better penetration of gel.


Gel must be applied to a minimum depth of 5 mm to prevent drying out at the edges.
Secondary dressing required.


Hydrogels are strictly single use items.


Heavily exuding wounds.
Use with caution if infection present.


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Status Description


Suitable first-line drugs for implementation in Primary Care  


These medicines are considered suitable for prescribing in Primary Care following specialist (consultant or GPwSI) initiation or recommendation. Some of these medicines may require on-going communication between the Secondary Care specialist and the Primary Care prescriber using Prescribing Information (PI) or through the use of an Effective Shared Care Agreement (ESCA) and this will be indicated in the text.  


Drugs which require special consideration. These are drugs for use in Secondary Care ONLY, Consultant Prescribing ONLY or by Tertiary Centres ONLY where indicated in the text. They should not be prescribed in Primary Care.  


Medicines classified in the BNF as 'not NHS' or are considered by the Area Prescribing Committee to be of low clinical value should not be prescribed