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I was delighted to be shortlisted for the photo at discharge which we feel improves the links between acute and community care for our surgical patients we provide the patients with a practical tool to monitor any changes in their wound bed prompting earlier review to reduce the severity and duration of any problems arising after they go home all of our nurses at the hair field hospital are able to document the wound and provide a photograph to the patient at discharge if I were to win I would use the opportunity to promote this scheme more widely to other surgical patient groups we feel it has a role with antibiotic stewardship because health care professionals in the community can determine whether the wound is getting better or if its getting worse