The Network has a management team comprising (speciality) Medical Leads, Network Manager, Network Lead Nurse, Quality Improvement Lead and Network Administrator. Within the Trauma Network we also have consultant leads for Rehabilitation, Governance and Surgical Quality Improvement. Although the management team is small, all GM organisations that provide major trauma services are members of the Network. Our success is based on bringing partners and stakeholders together, so we work as a single system. Network business is managed through the following groups:
Operational Delivery Network Board: This is a quarterly, joint Critical Care and Major Trauma Board. It is responsible for system leadership and strategic direction. It includes provider and commissioner membership and holds the individual providers to account.
Clinical Effectiveness Committee: Meets quarterly and aims to bring together wider Network representation including each individual MTC, TU and LEH. It also has multidisciplinary representation including nurses, pre-hospital staff, advanced practitioners, Allied Health Professionals (AHPs), and all trauma related specialties (e.g. emergency medicine, general surgery, orthopaedics, maxillo-facial, vascular, radiology, spinal etc.).
In addition to receiving a report from the clinical governance sub-group, the CEC covers:
- Development and ratification of guidelines and clinical pathways
- TARN data review (Trusts are asked to present their TARN dashboards and clinical reports on a rolling basis, including reporting against KPIs e.g. ISS >15 patients managed within a TU)
- Annual audit calendar
- Risk register
- Mortality & morbidity (M&M)
- Training and education
- Research
Clinical Governance Group: A bi-monthly sub-group of the Network Clinical Effectiveness Committee, the purpose of this group is to discuss and review clinical incidents and clinical pathways. It is also the forum where liaison with the ambulance service takes place. It aims to identify common themes, areas of good practice and areas of practice where improvements can be made in the pathway of care. Membership of the group includes the Network management team, NWAS, the Trauma Leads from the MTCC and representatives from TUs and LEHs.
Members of this group also undertake mortality and morbidity ‘roadshows’; these are peer led meetings held on a rolling basis with individual trusts. These meetings focus on unexpected survivors and deaths.
Network Rehabilitation Group: Meets quarterly and is responsible for determining rehabilitation strategy (specialist and generic) for the major trauma network.
Major Trauma Nurse Meeting: this forum provides an opportunity for nurses in trauma to meet and be updated on national major trauma strategy as well as local information pertinent to trauma care in Greater Manchester. This group provides an opportunity for collaborative projects with a focus on education, audits and shared learning opportunities with specialist speakers.
In 2019 the Network visited each clinical site to discuss improvements made to existing pathways and to discuss new initiatives and projects. The ‘Education Roadshows’ gave us an opportunity to involve all sites in the quality improvement work programme and auditing process.
Incident Reporting
In 2018 the Network Governance Lead refreshed the incident reporting service. The process has simplified the submission, investigation and feedback of information relating to concerns raised to the team.
You can read more about what to expect from the process here GM MTN Governance Process
If you wish to submit an incident we kindly request that you send all patient-identifiable data via a secure network such as nhs.net.
If this is external to MFT then this will need to be from an nhs.net account to the dedicated network account MFT.gmtraumagov@nhs.net
You can find a copy of the form here GM MTN Incident Reporting Proforma