This article provides an overview of venous leg ulcers, the current landscape and an evaluation of an intervention strategy implemented in York. The authors’ lower limb specialist wound clinic was set up to reduce variations in management and improve standardisation of care when treating venous leg ulcers. The purpose of the evaluation was to demonstrate the impact of a specialist wound clinic implementing evidence-based strategies and early interventions in line with national guidance for venous leg ulceration. The results demonstrate how this approach can improve outcomes and deliver value-based healthcare.