Through the West Yorkshire Major Trauma Network, the MTC serves patients across the region from incident to rehabilitation. Each morning the team has a Multi-disciplinary team meeting to discuss all major trauma patients within the hospital. Throughout the day the MTC centre receives acute admissions from around the region. Our Major Trauma Nurse specialists co-ordinate the care of our patients as soon as they come through the door into the emergency department. They then follow the patient pathway through the different levels of care that are required supporting both the patient and their relatives up until and beyond discharge. The Network was established in 2013 to bring together Major Trauma Care across West Yorkshire and is a collaboration between ourselves and five Trauma Units in other hospitals in the region. This ensures all patients that require major trauma services have access to the right level of care at the right time, in the right environment. We have invested a further £8m over the years to enhance facilities, including the creation of a dedicated MTC ward and theatre, and enhanced staffing. As well as being the second largest MTC in the country we have consistently remained in the top three for outcomes. Over the last three years, Leeds MTC has been leading the way nationally in the management of major limb trauma requiring combined plastic and orthopaedic surgery which is a huge achievement. Junior Medical Staff Within Major trauma and General trauma and orthopaedics there are 16 SpRs supported through the Yorkshire deanery from ST3-ST8 and 5 Trust grade registrar posts providing support on a registrar rota. There are 3 Core Trainee grades and 5 trust grades and 12 FY doctors to support this rota. In addition there are two speciality Orthopaedic posts within the service establishment.