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added benefit that someone trainedto this level may be supporting threeor four others, teaching lymphoedemacare locally, and managing a caseloadof patients who would otherwise not bemanaged adequately.Working with Macmillan to extend thework of the group has been rewardingfor the teachers, and has improved theskills of many professionals who haveattended the courses. Patients withinand beyond the UK are now feeling thebenefits of this work.Rhian demonstrateslymphoedemabandagingCasley-Smith techniqueThe influence of the MLA now extendsbeyond the UK. Two members representthe MLA on the board of Casley-SmithInternational, a collective of internationalteachers of Casley-Smith technique.Dr Todd has been key to writing thecurriculum for training future Casley-Smith teachers anywhere in the worldso that there are consistent standardsof Casley-Smith MLD educationinternationally. Casley-Smith Internationaland the MLA will continue to update andmodernise learning materials through itswebsite – casleysmithinternational.orgCommunity of practiceIn 2010, the MLA broadened its remitbeyond education and has since becomethe Macmillan Lymphoedema AcademyCommunity of Practice. The communityhas reviewed patient informationresources and developed:• a 3D educational tool to demonstratelymphotomes and watersheds tolymphoedema students (available atmacmillan.org.uk/learnzone)• genital and lower limb prostheticmodels to teach lymphoedemastudents, patients and their carers theskills of bandaging genital oedema.Related informationVisit macmillan-lymphoedemaacademy.org.ukwww.macmillan.org.uk/macvoice 17University of Glasgow, Nursing & Health Care