Severn Major Trauma Network (SMTN) About Severn Major Trauma Network (SMTN) Severn Major Trauma Network (SMTN) Team The Major Trauma Practitioners and Hyper-Acute Rehabilitation Team (HART) Major Trauma Practitioners and the Hyper-Acute Rehabilitation Team (HART) Our Major Trauma Practitioners In addition to specialist clinical teams working in the hospital, within the major trauma service there are experienced specialist nurses and therapists, known as "Major Trauma Practitioners" (MTPs). The role of MTPs is to be a "key worker" for patients and their families and they will: provide information, advice and support both during and after patients' stay; help coordinate their care. Each key worker aims to meet with a patient within the first 48 hours of their admission to talk about their treatment and begin developing a rehabilitation and recovery plan. The Major Trauma Service also has support from two Rehabilitation Medicine Consultants and a Clinical Psychologist. The Major Trauma Centre (MTCs) Major Trauma Practitioners form a centralised team of Specialist Nurses and Allied Health Professionals, providing a Key Worker service between 08:30-16:30, 7 days per week. They have comprehensive training and knowledge backgrounds covering acute, community and a variety of specialities required to deliver expert care to major trauma patients. The Keyworker element to their role ensures support and information provision for patients and their families during their time at Southmead Hospital. Keyworkers also enable continuity of high-quality care and guide them through their onward transition from the MTC. Our Hyper-Acute Rehabilitation Team (HART) Hyper-acute rehabilitation refers to the rehabilitation of patients from the earliest point in their recovery where they might benefit from such intervention through to the point that they are moved to either a dedicated Level 1 or 2 specialist rehabilitation unit or to be managed by appropriate community services. HART is a multi-disciplinary team of therapists with specialist skills and expertise in brain, spinal cord, and traumatic injuries. Our service sees patients on wards 6b and 25a. Our aim is to provide early, specialist assessment and rehabilitation for patients with complex needs in the acute phase of their hospital journey. The team works closely together to coordinate patient care and establish their ongoing needs. This may include signposting to other organisations or supporting with onward referrals to in-patient units or community teams. Major Trauma Nurse Practitioner Qualified as a nurse from Leeds University in 2010, Anna has always had a keen interest in Major Trauma. Starting her career in Oxford John Radcliffe hospital Trauma ward, and subsequently moved to work in several London hospitals in their Emergency Departments. Since 2017, she has been working as a Major Trauma practitioner, initially at St George's Hospital, London, before relocating to the Southwest and Southmead Hospital in 2021. Anna has a keen interest in Education and now has an extended role as the Severn Major Trauma Network Nursing Education Lead. Physiotherapy - Major Trauma Practitioner Beezy Wakefield BSc (Hons), MCSP, HCPC Beezy graduated from Southampton University in 2004. After seven years of completing her core training at North Bristol NHS Trust, she specialised in Trauma and Orthopaedics, and spent nine years leading and developing the trauma physiotherapy service. In 2021 she secured a post in the Major Trauma Team as a practitioner with a special interest in pelvic and lower limb trauma and in November 2022 she became lead AHP for the HART team.

Physiotherapy - Major Trauma and Hyper-Acute Rehabilitation Team (HART) Practitioner Occupational Therapist - Hyper-Acute Rehabilitation Team (HART) Practitioner Claire Campbell Physiotherapy - Major Trauma and Hyper-Acute Rehabilitation Team (HART) Practitioner Physiotherapy - Major Trauma Practitioner Denise Axelsen qualified as a physiotherapist in 2010 from University of the West of England. Having gained experience from working in the fields of intensive care, neurosurgery and Major Trauma, she has been working as a Major Trauma Practitioner since 2018. She supports the Network as Allied Health Professional Lead, with the goal of uniting the delivery of rehabilitation across our region and throughout our Trauma Units. Speech and Language Therapist - Hyper-Acute Rehabilitation Team (HART) Practitioner Hannah qualified from Plymouth Marjon University as a Speech and Language Therapist in 2019. Hannah began working in community rehabilitation in South Gloucestershire, working with patients with progressive neurological diseases, long term conditions, stroke and frailty. Since joining NBT, Hannah has worked across areas including hyper-acute stroke, facilitating aphasia conversation groups, neurosurgery and complex care pathways. In 2022, Hannah joined the Major Trauma Service, contributing to the development of the Hyper-Acute Rehabilitation Team, combined with her Major Trauma keyworker role. She has particular interest in Traumatic Brain Injury, complex dysphagia management and neurorehabilitation. Occupational Therapist - Hyper-Acute Rehabilitation Team (HART) Practitioner Hannah studied Occupational Therapy at Plymouth University and graduated in 2015. She spent the first two years of her career as a rotational member of staff, before becoming a static within stroke. Hannah then accepted a post on the Neurosciences rotation at North Bristol Trust. It was whilst working on the Neurosurgery ward that she developed a special interest in Major Trauma and complex rehabilitation. In June 2022, she joined the Major Trauma Team as an Occupational Therapist, supporting the development of the Hyper-Acute Rehabilitation Team. Major Trauma Nurse Practitioner Laura qualified from the University of Leeds as a nurse in 2002 and has worked in a variety of surgical wards, including General Surgery, Urology and Plastic Surgery. Her interest in trauma started whilst looking after complex trauma patients undergoing plastic surgery and Laura has been working for the Major Trauma Service since 2013. Laura is a member of the National Major Trauma Nursing Group, which aims to represent and develop national standards for trauma nursing from the point of injury through to rehabilitation. She is the lead nurse for governance at the Major Trauma Centre and has a keen interest in patient and staff wellbeing. Laura has undertaken Advanced Practice modules, including Patient Assessment and Clinical Reasoning, Pathophysiology and Diagnostic Reasoning for Advancing Practice, and Non-medical prescribing. Occupational Therapist - Hyper-Acute Rehabilitation Team (HART) Practitioner Lucy graduated from Cardiff University as an Occupational Therapist in 2009. She began her career in brain injury at the Bath Neuro Rehab Service before joining the general rotation at the Bristol Royal Infirmary where she worked for eight years. It was here that she gained experience across multiple clinical specialities including Stroke, Oncology and Haematology, Trauma and Orthopaedics and Surgery. In 2019, Lucy joined the Neurosciences rotation at Southmead Hospital, working in Stroke and Neurosurgery. Lucy’s specialist interest in brain and spinal injury led to her joining the Major Trauma Team in 2022 as Highly Specialist Occupational Therapist and Major Trauma Practitioner. Physiotherapy - Major Trauma Practitioner Nicholas Crease Nick trained as a physiotherapist at the University of the West of England, Bristol, qualifying in 2009. Following roles treating patients at several acute Hospital Trusts across England and Wales, and a period of travel, he returned to work in Bristol at Southmead Major Trauma Centre as a Senior physiotherapist in 2015. In 2018, after three years of treating complex orthopaedic, respiratory and spinal injured patients, he stepped into the role of Major Trauma Practitioner, assisting in the management of those most injured patients attending the Trauma Centre. Nick has interest in complex pelvic and spinal trauma, older persons trauma and injury prevention, supporting national projects, alongside community and local government initiatives in this area. The Major Trauma Practitioners and Hyper-Acute Rehabilitation Team (HART)