Fiona Downie is a senior lecturer in tissue viability at Anglia Ruskin University, Cambridge, UK. She recently retired from her clinical post of nurse consultant in Tissue Viability in an acute cardiothoracic hospital. Her interest in tissue viability has a 24 year history. Her particular interests are in acute wounds that fail to heal, and the influence of bioburden in wound healing. In addition, she is especially interested in: SSI surveillance; pressure ulcer risk assessment /classification. She has completed an MSc in wound healing and tissue repair from the medical school, Cardiff University, Wales. Her research study, whilst undertaking her MSc, looked at nurses’ and doctors’ knowledge in relation to the practice of wound swabbing. She has completed a Post Grad Certificate in Education, gaining a distinction for this.