4th July 2019
The HSE has published a Post-Consultation Document outlining public and stakeholder feedback on the framework for the designation of the Major Trauma Centre for the Central Trauma Network and the Dublin Trauma Unit(s).
The document is an account of the consultation process and sets out the final designation framework.
The framework will be used by an Independent Assessment Panel comprising national and international experts, in providing advice to the HSE on which hospital should be designated as the Major Trauma Centre for the Central Trauma Network and the location and number of Dublin Trauma Unit(s).
As part of the process to establish a trauma system for Ireland, Hospital Groups in the Dublin region were also recently invited to put forward submissions for their hospitals. These submissions will be considered by the Independent Assessment Panel
The new trauma system will consist of two trauma networks, the Central Trauma Network and the South Trauma Network. Each trauma network will have a Major Trauma Centre and a number of Trauma Units. Each of the two Major Trauma Centres will provide the highest level of specialist trauma care to the most severely injured patients on a single hospital site. As part of the trauma networks, Trauma Units will deliver more general trauma care to the majority of patients who do not need the specialist expertise of a Major Trauma Centre.
The Post-Consultation Document and further information on the progress towards the introduction of a trauma system for Ireland is available here.
Notes to editors:
Over an eight-week period from December 2018 to February 2019, a public consultation was held by the HSE on the framework for the designation of the Major Trauma Centre for the Central Trauma Network and the Dublin Trauma Unit(s). Feedback was sought from members of the public and key stakeholders, and the responses were broadly positive with the majority of respondents either fully or mostly supporting the framework.
Trauma refers to physical injuries of sudden onset and severity which require immediate medical attention. Major trauma involves injuries which have the potential to cause prolonged disability or death and is the leading cause of death among children and young adults and is increasingly a cause of death among older adults. Examples of major trauma include falls, road traffic collisions, and injuries to the head and spine. The burden of trauma on patients, their families, the health service and society in general, is significant.
The report of the Trauma Steering Group, A Trauma System for Ireland, published in February 2018, recommends that an inclusive trauma system be established, where a network of facilities and services co-ordinate in the care of injured patients along standardised pathways. Inclusive trauma systems in similar jurisdictions to Ireland have been shown to significantly reduce the number of deaths and disabilities caused by major trauma. In England, there has been an increase of nearly a fifth in the odds of survival for victims of trauma in the five years since an inclusive trauma system was introduced. 
The implementation of the recommendations of the report of the Trauma Steering Group represents an important change in the provision of health services in Ireland, and the designation of the Major Trauma Centre for the Central Trauma Network is identified as a key area of focus in both the Sláintecare Action Plan 2019 and the National Service Plan 2019.
Last updated on: 04 / 07 / 2019