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Here's what's happening with your patients today.
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Margaret Ellis

NHS 1111111111 | 79 years | Home care | Nurse: Clinician
NHS number1111111111
Address12 Maple Close, Derby
PostcodeDE1 1AA
Care settingPatient's home
Ward / unit / roomNot recorded
Visit typeHome visit
Step 1 of 10 Patient summary
Left heel

Last scanned 13 Jun 2026, 14:20. Left heel.

Active wound summary

Wound typeDiabetic foot ulcer
SiteLeft heel
StatusDeteriorating
Diabetes Photo consent recorded Reduced mobility Escalation prompt

New patient prompt

Allergy status

Last edited by Clinician, 13 Jun 2026, 14:20.

Secure API ready; cloud database connected when signed in. Patient activity logged. Nurse can create, capture, assess and draft reports.
Governance readiness centre

Spotit includes governance foundations, but real patient use still requires organisation approval and formal documents.

?Included: restricted login, privacy notice, terms, data deletion page, consent fields, audit trail prompts and role-permission foundation.
?Included: HTTPS live deployment, PostgreSQL database, access request workflow and private demo/pilot wording.
!Required before real patient data: DPIA, GDPR review, Data Processing Agreement, retention policy, backup/restore test and incident response plan.
!Required before clinical use: clinical safety case, local IG approval, staff training, SOPs, risk assessment, medical-device/regulatory review where applicable.

Latest assessment

Area 11.8 cm2 Up 24%
Depth 0.4 cm Stable
Pain 6/10 Up from 3/10
Review Today Due now
Wound photo and site

Site: left heel. Photo captured against selected body-map point.

Structured assessment

Wound assessment required

Complete or confirm the wound assessment before continuing to the care plan and recommendations.

Wound edge / depth features
Periwound

Photo timeline

13 Jun, 14:20 Deteriorating

4.1 x 2.9 x 0.4 cm. Moderate exudate. Pain 6/10.

06 Jun, 10:45 Stable

3.6 x 2.6 x 0.4 cm. Low exudate. Pain 3/10.

Care plan

Dressing
Actions required
Garments / devices
Mobility and continence
Assistive aids
Stool assessment
Nutrition and hydration
Offloading

Heel offloading in bed. Confirm footwear plan at next visit.

Escalation prompt

Wound area increased by more than 20% and pain has worsened since last assessment.

NEWS2 / sepsis observation check

Infection signs recorded. Check NEWS2 observations and follow local escalation policy if clinically indicated.

Progress trend

Overall progress 62%

Trend changed from stable to deteriorating today.

NHS API/FHIR sync is prepared as a governed integration workflow. Live NHS API transfer needs approved NHS onboarding, credentials, information-governance controls, and local IT setup.

Photo capture

Measurement required

Capture the wound photo, then record wound points before commencing wound assessment.

Front body map
Manual measurement

Capture the wound photo first. Wound-bed point marking and measurement options will unlock after the photo is taken.

Selected site: left heel

Photo capture will focus on the selected body-map point. Your device camera can use automatic lighting/flash if available.

Measurement pointers

Clinical notes / recommendation

Wound progress note

Left heel diabetic foot ulcer reviewed 13 Jun 2026. Wound measured 4.1 x 2.9 x 0.4 cm. Moderate serous exudate and macerated edge recorded. Patient reports pain 6/10. Increase in wound area and pain triggers escalation prompt for senior clinical review.

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