This article attempts to summarise and interpret recent quality initiatives from the Department of Health to improve tissue viability nursing services across England. It is directed towards nurses responsible for the planning and delivery of tissue viability services, and to nursing management at trust level. Quality initiatives are aimed at encouraging trust board members and service providers to assess, and make public, the quality and standards of care that they provide in the form of quality accounts. All healthcare service providers will have to produce a quality account in 2010. This article offers guidance on the use of quality indicators or nursing metrics to measure quality, and prepare quality accounts in tissue viability.