Major trauma centre
{{Short description|British specialist healthcare unit}}
{{use dmy dates|date=November 2018}}
{{use British English|date=November 2018}}
{{Location map+ |UK |width=300|float=right|relief=1|
caption=Legend
10px: Hospitals Serving Both Adults and Children
10px: Hospitals Serving Adults Only
10px: Hospitals Serving Children Only
|places=
{{Location map~|UK|lat=52.1767|long=0.1419|mark=Green_pog.svg}}
{{Location map~|UK|lat=51.7620|long=-1.2257|mark=Green_pog.svg}}
{{Location map~|UK|lat=51.4686|long=-0.0928|mark=Green_pog.svg}}
{{Location map~|UK|lat=53.8018|long=-1.5540|mark=Green_pog.svg}}
{{Location map~|UK|lat=52.9493|long=-1.1795|mark=Green_pog.svg}}
{{Location map~|UK|lat=51.5174|long=-0.0591|mark=Green_pog.svg}}
{{Location map~|UK|lat=54.9783|long=-1.6173|mark=Green_pog.svg}}
{{Location map~|UK|lat=50.9419|long=-1.4360|mark=Green_pog.svg}}
{{Location map~|UK|lat=51.4257|long=-0.1751|mark=Green_pog.svg}}
{{Location map~|UK|lat=51.5178|long=-0.1744|mark=Green_pog.svg}}
{{Location map~|UK|lat=53.4692|long=-2.9394|mark=Red_pog.svg}}
{{Location map~|UK|lat=50.4076|long=-4.1210|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.7453|long=-0.3557|mark=red_pog.svg}}
{{Location map~|UK|lat=54.5536|long=-1.2164|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.4098|long=-1.4679|mark=Red_pog.svg}}
{{Location map~|UK|lat=52.4674|long=-1.9363|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.7710|long=-2.7060|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.0139|long=-2.2057|mark=Red_pog.svg}}
{{Location map~|UK|lat=50.8195|long=-0.1303|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.4887|long=-2.3250|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.4602|long=-2.2237|mark=Red_pog.svg}}
{{Location map~|UK|lat=51.4990|long=-2.5874|mark=Red_pog.svg}}
{{Location map~|UK|lat=52.4181|long=-1.4324|mark=Red_pog.svg}}
{{Location map~|UK|lat=53.4156|long=-2.9024|mark=Blue_pog.svg}}
{{Location map~|UK|lat=52.4841|long=-1.8983|mark=Blue_pog.svg}}
{{Location map~|UK|lat=51.4577|long=-2.5966|mark=Blue_pog.svg}}
{{Location map~|UK|lat=53.4702|long=-2.2187|mark=Blue_pog.svg}}
{{Location map~|UK|lat=53.3790|long=-1.4912|mark=Blue_pog.svg}}
{{Location map~|UK|lat=57.1497|long=-2.1470|mark=Red_pog.svg}}
{{Location map~|UK|lat=56.4620|long=-3.0467|mark=Red_pog.svg}}
{{Location map~|UK|lat=55.8642|long=-4.2518|mark=Red_pog.svg}}
{{Location map~|UK|lat=55.9533|long=-3.1883|mark=Red_pog.svg}}
{{Location map~|UK|lat=57.1553|long=-2.1131|mark=Blue_pog.svg}}
{{Location map~|UK|lat=55.8690|long=-4.2977|mark=Blue_pog.svg}}
{{Location map~|UK|lat=55.9328|long=-3.1215|mark=Blue_pog.svg}}
{{Location map~|UK|lat=51.4866|long=-3.1815|mark=Green_pog.svg}}
{{Location map~|UK|lat=54.5932|long=-5.9397|mark=Green_pog.svg}}
}}
A major trauma centre (MTC) is a specialist unit within the National Health Service of the United Kingdom, set up to provide specialised trauma care and rehabilitation. They are usually found within larger hospitals in major cities which have the necessary infrastructure and staff to deal with major trauma cases.
MTCs provide emergency access to life and limb saving consultant-led care in a wide range of specialisms including anaesthetics, orthopaedics, neurosurgery, geriatrics, and emergency medicine. All MTCs have an on-site CT scanner and emergency operating theatres on standby to perform immediate, life-saving surgery. All MTCs also provide consultant-led rehabilitation care, to optimise recovery at the earliest opportunity.
Major trauma is described as life-altering injury with risk of death or disability.{{Cite web|url=http://www.ouh.nhs.uk/services/departments/general-surgery/trauma/q-and-a.aspx|title=Major Trauma Centre: Questions and Answers |work=Oxford University Hospitals Foundation Trust|accessdate=21 November 2018}}
The first major trauma centre opened in England in 2012, with Scotland following in 2018, and in the same year plans were announced for the first MTC in Wales.{{cite web |title=Cardiff major trauma centre to go ahead |url=https://www.bbc.co.uk/news/uk-wales-43583600 |website=BBC News |publisher=BBC |accessdate=25 January 2019 |date=29 March 2018}}
England
There are 27 major trauma centres within NHS England, in three categories: adult and children; adult only; and children only.{{Cite web|url=http://www.nhs.uk/NHSEngland/AboutNHSservices/Emergencyandurgentcareservices/Documents/2016/MTS-map.pdf|title=Major Trauma Centres in England|date=October 2016|publisher=NHS|accessdate=21 November 2018}} At first a small number of pilot sites were trialled. All major trauma centres in England operate within local trauma networks, ensuring patients are treated at the most appropriate place for their injuries, but returning to care closer to home when able.
The first MTCs opened in April 2012.{{cite news|url=https://online.boneandjoint.org.uk/doi/abs/10.1302/0301-620X.98B9.37525|work=Bone & Joint Journal|title=Regionalisation of trauma care in England|date=1 September 2016|doi=10.1302/0301-620X.98B9.37525}}
class="wikitable"
|+ Major trauma centres in England !Adult and children !Adult only !Children only |
Addenbrooke's Hospital (Cambridge)
|Aintree University Hospital (Merseyside) |Alder Hey Children's Hospital (Liverpool) |
John Radcliffe Hospital (Oxford)
|Derriford Hospital (Plymouth) |
King's College Hospital (London) |
Leeds General Infirmary
|James Cook University Hospital (Middlesbrough) |
Queen's Medical Centre (Nottingham) |
Royal London Hospital
|Northern General Hospital (Sheffield) | |
Royal Victoria Infirmary (Newcastle)
|Queen Elizabeth Hospital Birmingham | |
Southampton General Hospital
| |
St George's Hospital (London)
|Royal Stoke University Hospital | |
St Mary's Hospital (London)
|Royal Sussex County Hospital (Brighton) | |
Southmead Hospital (Bristol)
|Salford Royal Hospital (Greater Manchester) | |
|University Hospital Coventry
| |
Scotland
The Scottish Trauma Network operates four major trauma centres within NHS Scotland.{{Cite web|url=https://www.scottishtraumanetwork.com/map/|title=Map|website=Scottish Trauma Network|language=en|access-date=2019-11-10}} The first was designated at Aberdeen Royal Infirmary on 1 October 2018.{{cite news|url=https://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-45705075|work=BBC News|title=First of new major trauma centres opens in Aberdeen|date=1 October 2018}}
class="wikitable"
|+Major trauma centres in Scotland !Adult !Children only |
Aberdeen Royal Infirmary |
Ninewells Hospital, Dundee |
Queen Elizabeth University Hospital, Glasgow |
Royal Infirmary of Edinburgh
|Royal Hospital for Children and Young People, Edinburgh (Paediatric) |
Wales
class="wikitable"
!Major trauma centre of Wales |
University Hospital of Wales (Cardiff) |
Northern Ireland
class="wikitable"
!Major trauma centre of Northern Ireland |
Royal Victoria Hospital (Belfast) |