Nottingham University Business School

Centre for Health Innovation, Leadership and Learning (CHILL)

The Reconfiguration of Major Trauma Networks

Many specialised healthcare services are being reconfigured with care delivered by regional centres of excellence around which other health and social care providers are organised. Evidence suggests that increased volume of clinical work within regional centres, rather than distributing care across various providers, improves clinical skills, research and innovation and patient outcomes. There is little knowledge about how these new service models are implemented, organised and managed or the implications for the clinical workforce, patient safety and organisational learning. This project is investigating the implementation and organisation of one regional Major Trauma Network.

Project aims

To understand the implementation, organisation and coordination of major trauma network.

Project highlights

  • The creation of regional networks involved considerable ‘behind the scene’ work.
  • Clinical staff have become up-skilled as a result of emergency departments becoming ‘trauma units’.
  • Reconfiguration transforms organisational relationships and hierarchies that require new forms of leadership.
  • The scope of networking can be restricted to network leaders with frontline care often having an absence of network connection.

Project design and methods

The study is running between 2013-2016 in partnership with the East Midlands Trauma Network. The study involves system ethnography, interviews, and video methodologies.

Project details

PI: Professor Justin Waring

CHILL team: Dr Bridget Roe

Funder: The Health Foundation

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