Major Trauma Care in England

HC 213, Report by Comptroller and Auditor General, Session 2009-10

National Audit Office (NAO)
TSO (The Stationery Office)

Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively.

Survival rates vary significantly, with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively. For best outcomes care should be led by consultants experienced in major trauma but major trauma is most likely to occur at night and at weekends, when consultants are not normally in the emergency department.

Major trauma care is not coordinated and there are no formal arrangements for taking patients directly for specialist treatment or transferring them between hospitals. A significant number of patients that need a scan CT do not receive one. Not enough patients who need a critical care bed are given one. Access to rehabilitation services varies and patients are not always receiving the care that they need.

The estimated annual lost economic output from deaths and serious injuries from major trauma is between 3.3 billion and 3.7 billion. Only 60% of hospitals delivering major trauma care contribute to the Trauma Audit and Research Network (TARN). The performance of the 40% of hospitals that do not submit data to TARN cannot be measured.

Extent 37 pages ISBN 9780102963472
Size A4 Price £14.35
Format Paperback Published 05 Feb 2010
Availability Colour copy: 3 - 5 days Availability help (opens in new window) Delivery Delivery options and charges
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