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About this service
Royal Cornwall Hospitals (RCHT) is part of the Peninsula Trauma Network (PTN).
The PTN is responsible for overseeing the care of all major trauma patients across Devon, Cornwall and the Isles of Scilly
Depending on incident location and patient condition, clinicians on scene will decide on the most appropriate hospital to take the patient to. Travel times within our region can be very long. Trauma patients may be taken directly to one of the Major Trauma Centres (MTCs) or to one of the four trauma units.
The trauma units such as RCHT provide vital resuscitation and stabilisation of injured patients. Following initial stabilisation, patients may either remain here at RCHT for ongoing care and rehabilitation or be transferred to the MTC if specialist services and input is required.
Our Trauma and Transfer Consultants
Within RCHT we have a group of Trauma and Transfer Consultants (TTC), a role created in 2019. This is a group of consultants from Emergency Medicine, Anaesthesia and General Practice, whose overarching role is to coordinate the journey of a major trauma patient from the prehospital setting to the patient’s eventual discharge home or to a rehabilitation unit. An additional role of the TTC is to support our Critical Care Unit with time critical non-trauma transfers out of hours.
During the weekdays, a TTC is committed to conducting a morning ward round of all the patients in the hospital who meet Trauma Audit and Research Network (TARN) inclusion criteria. Their role on the ward round is to perform tertiary surveys, support the ward teams caring for the patients and facilitate progression of patients’ investigations, treatment, rehabilitation and discharge.
Transfers
Our Trauma and Transfer Consultants, TTCs are all experienced in the care of patients during emergency transfer and work closely with other organisations to ensure our patients receive the most efficient and appropriate transfer for them. Air transfers are either flown by Cornwall Air Ambulance Trust (CAAT) helicopter or the Search and Rescue (SAR) helicopter. While road transfers are facilitated by:
- Retrieve: Adult Southwest transfer service based in Launceston
- WATCh: Paediatric critical care transfer service based in Bristol
- SWASFT
Trauma Car
RCHT is the first hospital in England and Wales to have a rapid response vehicle. It is a fully equipped critical care vehicle with blue lights which enables a major trauma consultant with advanced resuscitation drugs and equipment to be at the scene of the accident. Here they are able to support colleagues from South Western Ambulance Service NHS Foundation Trust (SWASFT) and Cornwall Air Ambulance Trust (CAAT) to deliver the very highest standards of trauma care.
The RCHT Trauma Car became operational in August 2022 and was made possible through £50,000 funding from the Helicopter Emergency Landing Pads (HELP) Appeal, the only charity in the country that funds NHS hospital helipads; and £60,000 from the Royal Cornwall Hospitals Charity, which provides resources for the Royal Cornwall Hospitals Trust that go beyond what the NHS alone can provide.
Contact information
Non-urgent advice: This is a specialised service
As such, relevant contact details will be provided to you upon referral/admission to this service.
Where to find us
Two Major Trauma Centres (MTCs) with specialist cardiothoracic and neurosurgical services
Adult Major Trauma Centre
Derriford Hospital, Plymouth
Paediatric Major Trauma Centre
Royal Hospital for Children, Bristol
Four Trauma Units (TU)
- Royal Cornwall Hospital, Truro
- Royal Devon and Exeter Hospital, Exeter
- Torbay Hospital, Torbay
- North Devon District Hospital, Barnstaple
- South Western Ambulance Service NHS Foundation Trust (SWASFT)
Patient Information (Leaflets)
Trauma and Audit Research Network
The Trauma Audit and Research Network (TARN) is the National Clinical Audit for traumatic injury and is the largest European Trauma Registry, holding data on >800,000 injured patients including >50,000 injured children.
It began collecting data in 1990 and is now over 30 years old. Around 220 hospitals in the UK submit trauma care data to TARN.
TARN produce reports and dashboards based on the data we submit and help trauma hospitals, such as RCHT to continually review and improve our trauma care.
TARN has section 251 approval from the Confidentiality Advisory Group (CAG), an independent body of experts and lay people, to support the lawful processing of patient data from England or Wales without consent (22/CAG/0014).
Data sharing Agreements have been established between each Trust or Health Board to allow data to be entered onto the TARN database, processed and shared across the network. All TARN Staff complete regular mandatory data protection and confidentiality training
Patients can opt out of having their data shared with TARN as part of the National data opt-out. https://digital.nhs.uk/services/national-data-opt-out
Patients can also request access, correction or deletion of the personal data TARN holds.
