South Yorkshire Major Trauma Network
South Yorkshire Major Trauma Operational Delivery Network
The South Yorkshire Major Trauma Network was established in 2012 and currently operates as an Operational Delivery Network (ODN) within the new NHS.
Geography and Membership
The South Yorkshire Major Trauma Operational Delivery Network (SYMT ODN) covers approximately 1,500 square km, and serves a total population of 1.6 million, of whom 375,000 are under 16 years of age. With urban populations based in Barnsley, Bassetlaw, Doncaster, Rotherham, and Sheffield, South Yorkshire is the second most densely populated sub-region in Yorkshire and the Humber. Bordering the Peak District National Park there is also a large rural community with a small number of the population living in remote areas.
The ODN also serves a cross border population: adult and paediatric major trauma patients from Chesterfield and North Derbyshire and, paediatric major trauma patients from Grimsby and Scunthorpe areas.
Major trauma care in South Yorkshire is provided by an integrated service comprising of one adult Major Trauma Centre (MTC): Sheffield Teaching Hospitals NHSFT, one paediatric MTC: Sheffield Children’s Hospital NHSFT, six Trauma Units: Barnsley Hospital NHSFT, Doncaster & Bassetlaw Hospital NHSFT, Chesterfield Royal Hospital NHSFT, Rotherham Hospital NHSFT, North Lincolnshire & Goole Hospitals NHSFT (Grimsby and Scunthorpe – paediatrics only), and two ambulance services: Yorkshire Ambulance Service (YAS) NHSFT and East Midlands Ambulance Service (EMAS) NHSFT. Patients requiring transfer by air are transported by Yorkshire Air Ambulance, Derbyshire, Leicestershire and Rutland Air Ambulance or Lincolnshire and Nottinghamshire Air Ambulance depending on the patient’s location.
Patients are taken to the MTCs by YAS or EMAS following assessment using the Major Trauma Triage Tool. Patients too unstable to make the journey to the MTC or do not trigger the triage tool for major trauma are taken to one of the six Trauma Units.
YAS provide a pre-hospital enhanced service; Yorkshire Critical Care Team (YCCT). This service has been in operation since 12 April 2016, and offers a service for 12 hours per day, 365 days of the year.
EMBRACE (Yorkshire and the Humber Infant & Children’s Transport Service), is hosted by Sheffield Children’s Hospital NHSFT, and provides a service for managing ‘time critical’ and ‘non-time critical’ paediatric transfers from TUs to the MTC in Sheffield Children’s.
South Yorkshire Major Operational Delivery Network – Major Trauma Centres
- Sheffield Teaching Hospitals NHSFT
- Sheffield Children’s NHSFT
South Yorkshire Major Operational Delivery Network – Trauma Units
- Barnsley Hospital NHSFT
- Chesterfield Royal Hospital NHSFT (cross-border)
- Doncaster and Bassetlaw Hospitals NHSFT
- Rotherham Hospital NHSFT
- North Lincolnshire and Goole Hospitals NHSFT (cross -border for paediatrics)
Ambulance Services covering the Network
- Yorkshire Ambulance Services
- East Midlands Ambulance Services (cross border)
Air Ambulance Services
- Yorkshire Air Ambulance
- Lincolnshire and Nottinghamshire Air Ambulance
- Derbyshire, Leicestershire and Rutland Air Ambulance
- Sheffield Teaching Hospitals NHSFT MTC and Sheffield Children’s NHSFT MTC are both regional Burns Units to which burns patients can be transported directly.
Rehabilitation services available for adult and paediatric major trauma patients in South Yorkshire are listed in the Directory for South Yorkshire Rehabilitation Services for Adult Major Trauma (insert the link), and the Directory of South Yorkshire Rehabilitation Services for Paediatric Major Trauma (insert the link) (Peer Review Measures T16-1C-112). The Network updates these every 6 months.
Members of the ODN work collaboratively to share learning, experiences, knowledge, skills and best practice for the benefit of all within the major trauma environment. The ODN functions on the basis of the agreed Memorandum of Understanding between all parties which defines organisational and professional behaviour.
Major Trauma is the leading cause of death in people under the age of 44 years and as such is a serious public health problem. Over a number of years the level of care in England for these patients has been shown to be poor, with lack of regional organisations and a poor consultant level involvement in decision-making (National Confidential Enquiry into Peri-operative Deaths (NCEPOD)) “Trauma who Cares” 2007, National Audit Office “ Major Trauma Care in England” (2010). The National Audit Office report estimated that there are 20,000 cases of major trauma per year in England. 5,400 people die of these injuries with many others sustaining permanent disability. Many of these deaths could be prevented with systematic improvements to the delivery of major trauma care.
What is Major Trauma?
Seriously injured adults and children are described as having suffered from major trauma. This is measured on a scale known as the Injury Severity Score (ISS) which scores injuries from 1 to 75, the latter being the most serious. Patients who have an ISSS>15 are defined as having suffered from major trauma. In addition, patients with an ISS of 9-15 have moderately severe trauma.
It is not possible to determine the ISS at the time of injury as it requires a full diagnostic assessment and often surgical intervention in hospital. For these reasons a system of triage is used which identifies those patients who are most likely to have had a major trauma, these patients are referred to as “candidate major trauma” patients. Pre-hospital emergency services have developed major trauma decision protocols for use by paramedic crews to determine the most appropriate destination of injured patients. Those with potential major trauma injuries will be taken directly to a Major Trauma Centre (MTC) where travel times allow, otherwise to the nearest Trauma Unit (TU) for rapid stabilisation and transfer to the MTC where those injuries exceed the capacity of the TU and in line with local Network protocols.