The Role of the London Trauma Director

1. The Role of the London Trauma Director Fionna Moore London Trauma Director 10th September 2009

3. Governance Patient Centred-Care Clinical Effectiveness DELIVERING CLINICAL EXCELLENCE Communication Research and Innovation Education Specific Patient Groups Clinical Delivery

4. Leadership • Providing clinical leadership to the London Trauma System • Ensuring all elements work together to form an inclusive trauma system • Monitoring performance and ensuring continuous improvement in the quality of care delivered at all stages of the trauma pathway • Developing future strategy • Coordinate research, education and training activities

5. Practical implications Set up the London Trauma Office to: • Oversee the implementation and operation of the London Trauma System • Develop and maintain the overall profile of London trauma services • Represent the London trauma system at appropriate forums • Provide clinical input to London Commissioning Group meetings • Report to the London Trauma Board and the London Medical Director • Provide an annual report

6. Monitoring • Develop a real time Clinical Coordination Function to monitor the incidence and flows of trauma patients • Develop and agree appropriate Performance Standards across the system • Monitor feedback on Performance Management from all 4 networks within the system • Provide updates to the London Trauma Board and Commissioning process

9. Monitoring • Develop a real time Clinical Coordination Function to monitor the incidence and flows of trauma patients • Develop and agree appropriate Performance Standards across the system • Monitor feedback on Performance Management from all 4 networks within the system • Provide updates to the London Trauma Board and Commissioning process

11. What’s still to do ? Link with other projects to establish a clear vision for • Injured children • Burns • London’s role in managing trauma cases outside the M25

12. Trauma facilities outside London

13. And, in the event of a major incident….. • King’s Cross fire 1987 • Clapham Rail crash 1988 • IRA bombings • Southall train crash 1997 • Admiral Duncan pub bomb 1999 • Ladbroke Grove train crash 1999 • Potter’s Bar train crash 2002 • Ufton Nervet train crash 2004 • London bombings July 2005 • M25 bus crash Jan 2007 • Royal Marsden Hospital fire 2008

14. London’s best job?