Minister for Health joins stakeholders to formally launch A Trauma System for Ireland and confirm inclusion of trauma system capital investment in Project Ireland 2040
From Department of Health
Published on
Last updated on
From Department of Health
Published on
Last updated on
The Minister for Health, Simon Harris TD, today joined patients, clinicians and other healthcare professionals at the Royal College of Physicians in Ireland to formally launch of the report of the Trauma Steering Group, A Trauma System for Ireland.
Minister Harris said:
“This report aims to reduce the incidence and the burden of trauma and to significantly improve the survival rate of major trauma patients, by ensuring that every patient receives the best possible standard of care in the most appropriate facility. It addresses the entire care pathway from prevention through to rehabilitation, and recommends the establishment of an inclusive trauma system with two hub-and-spoke trauma networks and up to 13 trauma receiving hospitals.”
The Minister paid tribute to the Chair of the Trauma Steering Group, Professor Eilis McGovern, for her leadership and commitment in developing the report, and welcomed the involvement of patients, clinicians and healthcare professionals in the process.
He emphasised the clear evidence underpinning the report’s recommendations:
“The report’s recommendations reflect international evidence and, importantly, translate it to the Irish context to ensure it responds to our population needs, demographics and geography and that it takes account of where we are starting from in our current services. It provides us with a comprehensive and sound foundation on which to move forward for Irish patients.”
The Minister also affirmed a commitment to capital investment for the implementation of the trauma system as part of Project Ireland 2040:
“The specific inclusion of the trauma system in Project Ireland 2040, together with the monies already provided for in the HSE’s 2018 National Service Plan to establish the National Office for Trauma Services, provide a clear signal of this Government’s intent in relation to safer care and better outcomes for trauma patients.”
Speaking at the launch, Professor McGovern said:
“Our focus throughout this development process has been on patient outcomes. Our report recognises that all stages of the care pathway, from prevention through to rehabilitation, have their own key role in supporting better outcomes. I believe the 45 recommendations included in this report will together help ensure the care provided to Irish patients is on a par with international standards.”
Mr Colm Whooley, who participated in the development of the report, spoke about his perspective as a former patient, saying:
“The most important thing from the patient’s perspective is to receive the best possible care. I welcome the report’s emphasis on better outcomes and on ensuring that those who suffer complex injuries get the right care, at the right place, first time.”
The Director General of the HSE, Mr Tony O’Brien, acknowledged the considerable work undertaken by Professor McGovern, the Steering Group members and all those involved as working group members, or who had participated in the consultation process, saying:
“This report presents an evidence-based vision for the organisation of trauma care supported by consideration of governance, quality assurance and training and education, all of which are core to the successful implementation. I look forward to progressing the implementation of this major report through the establishment of a National Office for Trauma Services, in the interests of patients.”
ENDS
The Trauma Steering Group, established in 2015 and chaired by Professor Eilis McGovern, was tasked with examining the international evidence base with regard to the most efficient and effective organisation of trauma services, in order to reduce preventable death and disability, and to improve patient outcomes.
Major trauma involves serious and often multiple injuries which have the potential to cause prolonged disability or death. Major trauma cases are typically a very small part of the total number of trauma cases (estimated to be fewer than 1 in 1,000 ED admissions). Estimates suggest Ireland is likely to have 1,600 major trauma cases per year. Currently, significant numbers of major trauma patients go to hospitals that cannot provide necessary and definitive care.
Trauma systems may be exclusive or inclusive. In exclusive Trauma Systems, the focus is predominantly on Major Trauma Centres. An inclusive Trauma System is a network of facilities co-operating in the care of injured patients.
Inclusive trauma systems have been demonstrated to provide better patient outcomes than exclusive systems. In addition, geographically dispersed and less densely populated regions, such as Ireland, are likely better served within an inclusive trauma system. There is a large body of evidence on the benefits of providing trauma care as part of an integrated and inclusive trauma system. The report of the Trauma Steering Group recommends an inclusive hub-and-spoke trauma system for Ireland.
The Steering Group recommends the establishment of an inclusive trauma system, and sets out key recommendations for the organisation of trauma care and the provision of patient-centred trauma services. It takes a whole system approach addressing the five phases of the trauma care pathway including prevention, pre-hospital care, acute hospital care, rehabilitation and supported discharge, as follows:
It should be noted that the report addresses the provision of trauma care for adults. The provision of trauma care for children has been considered separately by the relevant National Clinical Programmes, and in the context of the development of the new children’s hospital which will be the paediatric Major Trauma Centre.
By international standards, Ireland could have one trauma network with one Major Trauma Centre linked to a number of Trauma Units. However, given the geographical spread of the population, and current hospital configuration, the report recommends the establishment of a trauma system consisting of two regional trauma networks (Central and South). Each will have a designated Major Trauma Centre, which should treat a minimum number of major trauma patients in order to maintain a critical mass of specialist expertise. Networks should also include a number of Trauma Units. The report recommends that:
Other hospitals with 24/7 Emergency Departments (Local Emergency Hospitals), which do not have the required range of services or expertise to safely manage major trauma patients, should continue to treat injuries of lesser severity within the Trauma Networks, as well as non-trauma related illnesses requiring urgent treatment. Injury Units should continue to treat injuries of lesser severity that are unlikely to need admission to hospital.
The report sets out immediate actions to be commenced within the first three months of implementation: