The Leeds Major Trauma Centre
Setting up a new service
The first year’s journey
LAURA WEBSTER
J U LY 2 0 1 4
What is a Major Trauma Centre?
 Specialist centre providing assessment and treatment for
seriously injured patients 24/7
 22 major trauma centres in England
 Aims to save up to 600 lives each year
 National standards for all Major Trauma Centres
The Major Trauma Network
How We Define a Major Trauma Patient
 ISS score of 9 and above
 Typical injuries include:
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Pelvic fractures
Complex extremity fractures
Vascular injuries
Plastics injuries
Complex head injuries
Spinal cord injuries
Combination of the above
OT Role in Setting up the Service in the Year Prior
to the MTC Opening
 Contribution to strategic planning and challenge meetings
 Lead role on completion of TARN and rehabilitation prescription
 Identification of equipment required for the service
 Contributed to the recruitment day
 Advertised and recruited to a full time B7, B6 & B5 OT
 Development of major trauma OT competencies
What do we see today?
 Typical conditions seen:
 Orthopaedic polytrauma from RTAs/falls from a height
 Spinal fractures
 Mild to moderate Head Injury
 Stabbings
The Major Trauma Network
Typical Interventions
 Social history gathering
 Joint transfers/mobility sessions with physio pre-op or day one post-
op
 Cognitive assessments
 Splinting
 Equipment/wheelchair assessment and ordering
 Complex discharge planning
 Handover to receiving trauma units
OT in the MDT
• MDT paperwork – first ward in the Trust to do single case notes
• Early intervention – rehab focus versus discharge planning
• 7 day service
• Attendance at Governance meetings and MTC National
Conference
• Lead role in establishing the major trauma network within LTHT
and across the region
The next steps
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A year later…
• Need for an outcome measure (AUSTOMS)
• Need to improve the rehabilitation prescription and transfer documents
• Revise MTC OT competencies (neuro/orthopaedic/hands and plastics)
• Need to evaluate the patient experience (patient satisfaction
questionnaire; patient stories)
• Follow up clinics
• Develop the major trauma network (across the region and with other
MTCs)
• Formal service review
Any questions?