No, we haven't done any filter maintenance. It is a sump filter so we change the wool when its needed but haven't touched the bio balls/noodles or anything else down there.
Tested the Nitrate again (API test kit) and it is very yellow which matches the 0ppm on the colour card.
Here are a couple of pics showing his newest injury, it is his most serious one to date. That with his cloudy eyes and ragged fins has got us really worried. Most of the other fish seem lively & hungry again now that the white spot has gone.