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A trauma centre in the UK.

A report of a working party of The Royal College of Surgeons of England has recommended that patients with major injuries should be treated in specialised centres (1). A study of 1000 trauma deaths, commissioned by a working party of the College, revealed that up to one-third of these deaths were avoidable, due largely to delay and the inexperience of the surgeon (2). Their recommendations for improvements were based on the experience of other countries, particularly the USA, where similar unnecessary deaths were reduced from over 70% in some centres to less than 2% in a specialised centre (3). These trauma centres have been developed and run by general surgeons, often in a purpose-built centre, where the major surgical subspecialties are on site. The cost of establishing and running such a facility is high, but must be weighed against the increase in quality of trauma care that has undoubtedly followed their development.