What is PROMISE?

  • Pressure Reduction through Continuous Monitoring in the Community Setting
  • The PROMISE project rolls out the use of mattress and chair sensors in patient’s homes, which continuously measure and record the patient’s body surface pressures
  • The chairs and mattresses are linked to a computer which displays the interface pressures in real time and visually identifies the areas of the body under sustained pressure
  • This helps the patient or carer to better understand the positions that are likely to reduce the risk of pressure ulcers.

The History of PROMISE

  • Led by Nicci Aylward-Wotton, Tissue Viability Nurse Consultant and PROMISE Project Lead, the Tissue Viability Team in Cornwall started using pressure mapping equipment in 2016 to pressure monitor patients in community settings.
  • The project found that pressure mapping can:
    • achieve good clinical outcomes with 80% healing/healed pressure ulcers.
    • reduce the number of unavoidable pressure injuries.
    • reduce the number of truly non-concordant patients and medical device related pressure injuries.

What is Scaling-Up?

  • Following the successful project in Cornwall, we applied to the Health Foundation to be a part of their Scaling Up programme
  • Led and funded by the Health Foundation, the Scaling Up Improvement programme supports seven projects in the UK to take their proven health care interventions and approaches and to make them work at larger scale; resulting in a positive impact on patient outcomes
  • The PROMISE Project was accepted onto the programme in November 2017 and the project was launched in January 2018.

Our Vision and Aims


The aim of the PROMISE quality improvement project is to determine if pressure monitoring in patient’s homes can inform effective management of the prevention and treatment of pressure ulcers, especially in those who are labelled as non-concordant or have a deteriorating pressure ulcer.


Our vision is to use biofeedback to equalise the knowledge base between the practitioner and patient and enhance the therapeutic relationship, ultimately to increase patient empowerment, patient centred care and choice.

Project objectives

Who’s on board?
Cornwall Partnership NHS Foundation Trust is the lead organisation to deliver the PROMISE project. There are four clinical adopter sites:

  • Redruth District Nursing Team, CFT
  • Tissue Viability Team, Live Well Plymouth Community Trust;
  • Tissue Viability Team, Torbay and South Devon Community Trust;
  • Somerset Partnership NHS Foundation Trust

The project has an independent evaluation partner, Cedar (Cardiff and Vale University Health Board) to undertake an evaluation of the project. Plymouth University and the University of Southampton are supporting the project and providing expert clinical and academic advice.


PROMISE Patient Information Leaflet

PROMISE Professional Information Leaflet


PROMISE Newsletter April 2020

PROMISE Newsletter 13 March 2020 

PROMISE Newsletter February 2020

PROMISE Newsletter January 2020

PROMISE Newsletter December 2019

PROMISE Newsletter #8 July 2019

PROMISE Newsletter #7 June 2019

PROMISE Newsletter #6 May 2019

PROMISE Newsletter #5 April 2019


Preventing Pressure Ulcers in the Community

Harnessing technology & enabling patient centred care

PROMISE Project 11 September 2019 Flyer


Get in Touch

Follow the progress of the PROMISE Project on Twitter @PROMISECPMCFT