Wales

Major trauma centre: University Hospital of Wales' case

emergency unit at University Hospital of Wales, Cardiff

Cardiff's University Hospital of Wales already sees about 350 major trauma patients a year and is making the case that its specialist expertise at dealing with severe head injuries could be a clincher.

Advantages

  • "Comprehensive" neurosurgery specialist hospital for south Wales with 10 neurosurgeons - 70% of patients affected by severe trauma have a significant head injury
  • Paediatrics - the Noah's Ark Children's Hospital of Wales is on the site, with 146 beds and 70 consultant specialists
  • Best performing Emergency Unit: Wales' biggest hospital has seemingly cracked waiting times, with fewer of patients waiting 12 hours than any major unit in the country. It is also the third busiest in the UK, with 140,000 patients a year, including 33,000 children
  • Well developed rehabilitation services
Image caption The golden hour - how Cardiff or Swansea would look alongside other major trauma centres

Would include:

  • Six new beds for a "poly-trauma" unit and a further 15 ward beds for ongoing care and initial in-patient rehabilitation
  • An up-scaled critical care unit with two extra beds. It is already the busiest in Wales, caring for about 1,500 patients a year
  • Its neurosurgery unit has strong links to research such as at Cardiff University's Cubric state-of-the-art scanning centre
  • 18 high-care beds but would need to expand unit to deal with 2.3m population
  • Collaboration with Swansea on ortho-plastics service

Disadvantages:

  • No burns and plastics unit but could work collaboratively with Swansea's Morriston Hospital
  • Further east than Swansea but considers itself "well placed to serve east and west", while Cardiff's population is growing rapidly and expected to continue to do so
Image caption Dr Graham Shortland

The pitch:

Dr Graham Shortland, medical director for Cardiff and Vale University Health Board, said their case was being made across a series of core specialisms, from "world class" paediatrics to neurosurgery but there was also an "enthusiasm" to get the major trauma centre.

"We are very much up for this," he said.

"We have a significant number of committed senior clinicians and managers to deliver a coordinated service in Cardiff."

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Media captionDr Melissa Rossiter, clinical lead for major trauma at the hospital, explains why neurosurgery is a key part of the bid

Dr Shortland added: "Neurosurgery is key in terms of having a surgeons available very rapidly and having decisions made.

"This includes when not to do surgery but having expert opinion and support systems in terms of radiology and a high-care bed facility."

But he also said Cardiff would ensure routine orthopaedic operations continued at a high level and was aware of the risk to elective surgery if this was not managed as the trauma unit was brought on stream.

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