Hayley Tredway-Murray

Qualifications

Dip Nursing

Specialisms 

• Hospital TVN

Introduction

I qualified as a registered nurse in 2007, starting my career as a staff nurse on a vascular unit, which ignited my passion and enthusiasm for wound care. In 2009 I made the transition into specialist nursing. I have developed extensive experience as an autonomous Tissue Viability Nurse managing intricate care programs. My role involves in-depth assessment of patients through both face-to-face and virtual consultations, expert diagnosis of a wide range of tissue viability problems including pressure ulcers, burns, cellulitis, and surgical wounds. I also work closely with surgical and orthopaedic teams to determine effective management strategies for patients facing challenging conditions like osteomyelitis and necrotising fasciitis.

I am now the Clinical Lead for the Service, and have experience of writing local policies and protocols for pressure area care and wound management, ensuring these documents are in line with national and international guidance and best practice. I regularly review and develop Trust documentation to improve pathways and processes for pressure ulcer prevention and management and wound care, to bring it in line with evidence-based practice. I am responsible for and lead on the Tissue Viability training programme for the Trust, covering aspects of Tissue Viability care, ensuring the sessions are based on best practice and set correctly for the audience from new starters to the National Health Service (NHS) to consultants and senior nursing staff. 

I have been supporting the Trust transition to the NHS England Patient Safety Incident Review Framework (PSIRF) which was launched in 2023. I lead on the Trust’s response to patient safety incidents relating to pressure ulcers, using a system-based approach to learning from patient safety incidents. I devised and implemented a pressure area care Quality Improvement Plan (QIP) utilising a combination of quality improvement (QI) methodology, national recommendations/guidance, learning identified from incidents and audits, as well as insights gathered during stakeholder engagement. I regularly write and present to all levels, including the internal Patient Safety Group and externally to the local Integrated Care Board (ICB). I am a confident public speaker and my reports, prepared using both quantitative and qualitative analysis, provide appropriate assurance to the recipients. I deliver tangible improvements with pressure ulcer identification, incidents and learning, utilising the quality improvement plan to give assurance around change in practice to prevent pressure ulcer harm.

I accept instructions from both claimant and defendant solicitors and insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under Civil Procedure Rules (CPR) pertaining to expert witnesses.