Professor Stephen SmithPrincipal, Faculty of Medicine, Imperial College London
and CEO of Imperial College Healthcare NHS Trust
London’s 4th Major Trauma Network:
The case for St Mary’s
Presentation to the Joint Health Overview and Scrutiny Committee5 March 2009
Imperial College Healthcare NHS Trust at a glance
AHSC
• A national centre for research, education and patient care, serving a local population of two million in West London
• Lowest Hospital Standardised Mortality Ratio in UK (Dr Foster, 2009)
• Largest NHS Trust in England with over a million patient contacts a year and annual turnover of over c.£850 million
• Ranked 3rd in Europe and 11th internationally for Life Sciences and Bio-medicine (Times Higher 2008)
• Highest research spend of any UK Medical School at £145 million. 73% of all College research judged as world leading, highest in UK
Major Trauma Centre
• 24-Hours, 7 Days per Week provision for most severe trauma injuries
• Often from major car accidents and violent crime
• Can increase survival rates by over 28% (Mortality rates at Royal London).
• 0.1% of A&E admissions, approximately 1,600 admissions across London per year
• Establishment of MTCs should save approximately 500 lives per year
Patient Pathway – Point of Injury
Major Trauma CentreSt Mary’s Hospital
Network Trauma Centre
Patient Pathway – Immediate Transfer
Site Selection - Core Criteria
• Criteria used for comparing St Mary’s and The Royal Free
1) Clinical Quality2) Critical Mass3) Time Time/Coverage4) Major Incident Compatibility5) Reconfiguration Alignment6) Ease of Deliverability7) MTC Capacity8) Deliverability and Sustainability of Networks9) Speed of Implementation
• St Mary’s has been judged by an independent panel to be ahead on five criteria
Accessibility
• Strategically ideal for the North West sector which is poorly covered by the 3 centre model • Close to major transport arteries and
facilities 0.5 miles from Westway 0.5 miles from A5 1 mile from A41 4.5 miles from M4 5.5 miles from M1 Nearest proposed unit to
Heathrow Airport
Sited in Central London and can provide on-the-doorstep support for major incidents in the centre of the city
Academia & Training
• Academic Unit of Trauma Surgery• Academic Unit of Neurosurgery. Strong
traumatic brain injuries/stroke team with research ranging from population studies, healing/rehabilitation and trauma management
• Kennedy Institute expertise in inflammation with research into fracture healing development of osteoarthritis post injury to joints, system inflammatory response following major trauma/surgery and neuro-inflammation new appointee
• Defence Medical Service & collaborative work at Porton Down
• Providing first class specialist trauma training for civilian organisations, the Armed Forces and NGO’s
Experience and Expertise
• Pivotal in London major incident response (Paddington rail crash, terror attacks 7/7)
• National leader in Resuscitation practice
• Part of the UK’s first functional Academic Health Science Centre; transforming leading research into life-saving treatment
The case for the Major Trauma Centre at St Mary’s
• Best coverage for North, North-West and West London sectors, including Heathrow airport
• Pivotal role in handling major emergencies
• Larger MTC capacity
• Highly regarded specialist academic units
• Lowest Hospital Standardised Mortality Ratio in UK
Hyper-Acute Stroke at Imperial College NHS Trust
• Stroke mortality significantly lower than UK average
• Highest UK score in 2008 RCP Organisation Audit
• Investment in place to deliver world-class Stroke services
• Critical mass of specialist expertise
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