The Manchester Royal Infirmary (MRI) is a leading Major Trauma Centre which provides 24/7 lifesaving treatment for seriously injured patients.
Major Trauma film 2021
Who we are
Manchester Foundation Trust (MFT) is one of the largest NHS trusts in the country and has all the specialties needed to manage major trauma, other than adult neurosurgery, including; cardiothoracic surgery, vascular surgery, orthoplastic surgery, maternity services, paediatrics (including the collation of the largest children’s major trauma service in the UK), hepatobiliary surgery, vascular interventional radiology and gastrointestinal interventional radiology. It is also the regional designated paediatric Major Trauma Centre, which is based in the Royal Manchester Children’s Hospital.
Manchester Royal Infirmary [MRI] is a major trauma centre and is part of a country wide network.
Our Major Trauma service consists of a multi-disciplinary team of professional’s who work around the clock to provide specialist interventions to patients who have suffered a major trauma injury and provide wrap around care which assists in early and effective rehabilitation. Major Trauma is not an isolated stand-alone service, it involves the effective coordination of a range of services from across different components of the Trust, within the context of a regional network, and effective partnership working between the Trust and the surrounding trauma units as well as providers of rehabilitation and social care.
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Meet the Team
The nursing staff underwent specialist training delivered both in-house and on nationally recognised courses. This combined with an enhanced nursing ratio allows the team to deliver care for high dependency patients that have experienced a Major Trauma. We have a dedicated lead for nurse education who has coordinated the development of a bespoke Major Trauma training package which aims to maintain levels of competence that meet and exceed national requirements and allows our team of dedicated nurses to provide the best possible care to our patients.
Major Trauma Consultants
The service is run by a group of Major Trauma Consultants who make all senior decisions, lead board round and review major trauma patients and their progress each day until they are medically fit.
Major Trauma Co-ordinators
We have three Major Trauma Co-orinators who co-ordinate major trauma activity within the surgical division liaising with medical staff and the multi-disciplinary team to ensure each patient’s episode is managed in the most effective and efficient way.
Our dedicated geriatric team assess elderly patients soon after their arrival in hospital and throughout their hospital stay to identify care that may be required in addition to treating the trauma injury. This feeds into the personalised rehabilitation plan of each individual.
The Rehabilitation Team
Following a serious trauma, many patients can be left with life-altering injuries or ongoing conditions that require extensive rehabilitation. This may take place over many months and is an integral part of recovery.
Our Major Trauma Service has a specialist multidisciplinary rehabilitation team who will guide recovery and provide a bespoke care plan to meet individual needs.
Rehabilitation begins on arrival and is the ethos of the Major Trauma Ward. Patients may be seen by our physiotherapists, occupational therapists and rehabilitation assistants who work to identify and achieve personalised goals with the aim of regaining functional independence.
Our rehabilitation team also works closely with specialists in geriatric medicine, dietics, speech and language therapy and orthotics.
At the point of discharge many patients still have ongoing goals that can be met with rehabilitation outside the major trauma centre. This may be in an inpatient rehab hospital or community rehab centre, rehab at home, or follow up in an outpatient setting. This will be discussed and agreed on the ward.
Rehab Coordinators and your Rehab Prescription
A Rehabilitation Coordinator works with patients and the rehab team to identify goals for recovery and they will summarise this in a rehabilitation (rehab) prescription. This will also detail injuries and management plans.
The rehab prescription will be given to the patient, sent to their GP and to their next rehab provider on discharge from our major trauma centre.
The Rehab Coordinator will remain a point of contact once an individual leaves the Major Trauma Centre and will review ongoing progress via the Major Trauma Rehab telephone clinic.
As a Major Trauma Centre (MTC), our administrators regularly collate data for our team and to upload to the Trauma Audit and Research Network (TARN). This data collection provides accurate and relevant information to help doctors, nurses and managers improve major trauma services.
We have a dedicated pharmacist on the Major Trauma Ward who ensures that patients receive the necessary pharmaceuticals to aid recovery following a Major Trauma.
Working with us
We continuously strive to improve patient care in new and innovative ways that develop our staff at the same time. The wellbeing of our staff and patients is at the heart of everything we do.
We have a strong focus on the development of our workforce and schedule regular training sessions to maintain and upskill our team. We also ensure that learning opportunities are realised throughout the operational context of each day, such as during the daily consultant led board round.
Weekly Trauma Training
There is a weekly training session available to the full multidisciplinary team led by the Emergency Department. This ensures teams are upskilled and that there is a collaborative culture across departments.
Major Trauma Ward Nurse Training
Major trauma ward nurses are supported to work through and beyond the National Major Trauma Nursing Group competencies through provision of senior nurse and allied health professions mentorship and regular access to major trauma specific training and education. All nurses attend a bespoke inhouse major trauma course, including practical skills, lecture-based learning and simulation. Nurses are also supported to attend national and international major trauma courses to maintain and develop their skills.
Multidisciplinary Team Training
Monthly multidisciplinary training sessions are held on a variety of subjects including but not exclusive to; spinal, traumatic brain injury, manual handling, rehab culture, splinting, mental capacity, ortho-geriatrician led training, theatre led training etc. The sessions attract attendees from across the major trauma specialities and are open to clinicians from all backgrounds and feature teaching and simulation practice from our wide pool of expert practitioners. MDT training in this way promotes strong team working and a shared understanding of the latest evidence-based practice.
Monthly Theatre Led Training
The theatre team hold a monthly training session which rotates around specialities including major trauma. Members of the major trauma team are encouraged to attend any relevant training. Not only does this upskill our team but also helps to create collaborative working across departments.
At the MRI, we value our patients and our staff; they are the core of what we do and we are committed to supporting colleagues to grow and develop in their roles.
What we do
The Major Trauma Centre at the MRI accepts patients from across Greater Manchester and beyond, who have potentially life altering injuries. We treat over 1300 patients per year. Our team works collaboratively across specialities, crossing all areas of inpatient care. We also work closely with supporting services, both within the hospital and the community settings, to provide lifesaving treatment and effective rehabilitation with ongoing support. This approach ensures that we treat the individuals needs and tailor a holistic care package that meets the psychological, social, nutritional and medical needs as well as treating the injuries.
On a day-to-day basis, the service is run by a group of Major Trauma Consultants from a variety of specialties, including Emergency Medicine, General Surgery, Orthopaedics, Cardiothoracics, Vascular Surgery, Anaesthesia and Elderly Care Medicine.
Why we are Leading in Trauma Care
Attaining Major Trauma Centre status and being part of a country wide network has allowed the MRI to attain further funding to invest and develop upon our services to continuously improve patient outcomes, experience and care.
Dedicated 20 bedded ward
Having a central place for patients who have suffered a major trauma allows focused holistic care to be provided by a multi-disciplinary team of specialists who undergo regular targeted trauma training. Investing in our staff training to ensure that we are leading in knowledge and skills within our specialist workforce is paramount to continually improving our services.
Our ward gym guarantees early and personalised rehabilitative therapy, expediting patient recovery and aiding targeted rehabilitation.
We have two hybrid theatres, these are state of the art theatres where techniques are used to stop bleeding without big operations.
The new, lifesaving helipad, the first elevated helipad of its kind in the North West, opened to patients at MFT Monday 10th May, 2021. The helipad is operational 365 days a year and its link bridge feeds direct to our Emergency Department, saving time and saves lives.
Accident & Emergency Developments: The MRI is currently undergoing major construction to increase capacity and modernise clinical areas within our ED. There are also plans to build additional theatres. Services at the MRI will not be affected by the works.
Supporting Services: We work closely with many supporting services to enable personalised and targeted treatment, rehabilitation and care recognising the individuals needs in addition to treating the injuries. Two of these are highlighted below.
- Major Trauma Signposting Partnership (MTSP): delivered in partnership with Citizens Advice Manchester, MTSP provides social welfare advice and support to trauma patients and their families helping with benefits, housing, and employment issues. They can also offer options in accessing legal advice following injury to help support further access to rehabilitation, and onward signposting to charitable services where required. https://www.mtsp-info.co.uk/central-manchester-university-hospitals-service-selector/
- Violence Reduction Team: work with patients aged 16 – 25 who have experienced violence or live in a situation that may lead to violence in an aim of providing ongoing support at an individual level to reduce violence within the community and improve individuals daily life.