This paper looks at an audit which compared the clinical outcomes of patients with lower limb oedema, who were either treated in a designated leg ulcer clinic or in their own homes. From exploring the findings, the author identified areas for service improvement such as staff training, staff allocation for clinics/home visits and completion and documentation of leg assessments. The piece of work forms part of a wider review of lower limb management within the author’s locality. The findings have facilitated greater discussion with senior management within the organisation around service provision for this patient group and gained valuable support for service and staff development.