The Copeland CPFT team began this work with training through the North East & North Cumbria AHSN (Academic Health Science Network) Pressure Ulcer Collaborative in 2015. Annette Bartley, national Quality Improvement Consultant, is part of the AHSN collaborative and has led the improvement work in Copeland. Staff within CPFT, nursing home staff and staff from other NHS organisations in the county, have had training on the signs to look for that a pressure ulcer is forming and methods to stop them forming in the first place. It has led to a 70% reduction in the numbers of reported pressure sores among patients.