In the United Kingdom, trauma kills approximately 16,000 people per year and is the leading cause of death in those aged under 40. This figure includes Northern Ireland’s 79 road deaths in 2014. For each person killed another two will survive with permanent or serious disability. In the nineties and in the first decade of this century, reports highlighted serious failings in the care provided to major trauma patients across the UK. In response, clinical and organisational innovation, in addition to financial investment, has resulted in the creation of regional trauma networks in England and Wales. The implementation of a systematic approach to the care of trauma patients has produced expeditious and dramatic improvements in the standard of care and in mortality.