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Reimagining wound care: how the ANCLE Café and digital innovation are transforming lives in Wales

Vicki Hayman-Teear 16 Oct 2025

The ANCLE Café in Cardiff is transforming chronic wound care by combining expert treatment, student-led support and community connection, helping patients regain health and hope. Paired with digital innovation, it’s a blueprint for compassionate, efficient and person‑centred care across Wales.

If you’ve ever worked in community nursing, you’ll know how relentless chronic wound care can be. Across the UK, millions of people live with wounds that just won’t heal – and for many, it’s not just the physical pain, but the emotional toll of repeated dressings, endless appointments, and feeling like life is on hold.

As nurses, we carry that weight too. We want to make things better, but with limited time and resources, it can feel like we’re constantly firefighting. That’s why, in Cardiff and Vale, we decided it was time to try something different.

In September 2024, we opened the doors to the Allied Health and Nursing Collaborative Leg Engagement (ANCLE) Café – a new kind of clinic, created in partnership with Cardiff Metropolitan University. But calling it a clinic doesn’t quite do it justice.

It’s a warm, welcoming space where patients come not just for expert wound care, but for connection, learning and support. We offer:
personalised care from a multidisciplinary team
advice on diet, mobility and self-care
activities like quizzes, cooking sessions and gentle exercise.

And here’s something we’re especially proud of: Allied Health and nursing students are part of the team. They work alongside us, gaining real-world experience while helping us expand what we can offer. It’s a win-win – for patients, for staff and for the future of nursing.

One patient told us, “It doesn’t feel like an appointment. It feels like I belong here.” That’s exactly what we hoped for.

 



June’s story

I’ll never forget June. She’d been living with chronic wounds for 16 years. At one point, she told us she was ready to have her leg amputated – she just couldn’t see a way forward.

Then June joined the Café and her healing was remarkable. Her leg recovered, her insulin use dropped by 70%, and she rediscovered joy in everyday things like cooking, knitting and planning meals with her family. She said, “Now I see a future. I see myself cooking Christmas dinner.”

That’s what this is really about. The ANCLE Café has shown us what’s possible when we think differently and combine clinical excellence with kindness, education, and innovation. It’s not just treating wounds – it’s restoring hope and transforming lives.




Alongside the Café, we’ve introduced Healthy.io’s Minuteful for Wound, a smart app that helps us monitor wounds digitally. It’s been a game-changer with over 3,000 assessments completed, 377 infections caught early and 1,550 hours of documentation saved. It’s made our work safer and more efficient, and it’s helping patients heal faster. Technology isn’t replacing care; it’s enhancing it.

We’ve been honoured to receive the John Horder Award for Interprofessional Working, and we’re finalists in the NHS Wales Awards and two RCN Nurse of the Year categories. But honestly, the biggest reward is seeing our patients thrive.

We’re now expanding to a second site in Central Vale and rolling out Healthy.io across all 14 District Nursing teams. Our hope is that this model becomes a blueprint for Wales – rooted in compassion, evidence and person-centred care. As a nurse, that’s the kind of care I always dreamed of delivering.

Vicki Hayman-Teear

Vicki Hayman-Teear

Senior Nurse

As Senior Nurse for the Vale Locality at Cardiff and Vale University Health Board, Vicki leads multiple community nursing services including District Nursing, Tissue Viability and the Bladder and Bowel Service.

With postgraduate qualifications in Advanced Practice, Specialist Practitioner and Digital Skills for Health and Care Professionals, she’s pioneered digital transformation through the rollout of Healthy.io’s Minuteful for Wound and co-created the award-winning ANCLE Café in partnership with Cardiff Metropolitan University.

Vicki’s work has received national recognition, including winning the John Horder Practitioner Team Award 2025 and NHS Wales Awards shortlisting for innovation, person-centred care, and workforce sustainability.

Shortlisted for RCN Wales Nurse of the Year 2025 in Research, Innovation and Digitalisation, Vicki is passionate about using informatics, collaboration and compassionate leadership to enhance outcomes, education, and the visibility of community nursing across Wales.

Page last updated - 17/10/2025