Working with NIHR Wounds Research for Patient Benefit Programme, we set about creating the Genesis 2 Full Replacement mattress System for launch in July 2013. We started consultations with all concerned and identified major failings in other products and what our new mattress requirements were. The main problem was reliability, cleaning and ease of use. Visitors to service users interfered with controls and staff training was difficult to provide for operators. The end result was to design an automatic system that understands a service users movements in bed, reliable, minimal operator use and with a lock facility that prevents unauthorised adjustment. Our new system calculates patient weight and provides effective pressure relief to high risk standards. We decided on a full replacement system only as a lot of staff are confused about the different types of systems. With on site repairs 24 hours, 3 year warranty and low cost we believe that the Genesis system is the choice for operators with multiple sites