The contacts for the North East London and Essex Trauma Network can be found in the red box below. The Network is comprised of The Royal London Hospital Major Trauma Centre and trauma units in the following hospitals:

Newham University Hospital

Whipps Cross Hospital

Queens Hospital

Basildon Hospital

Homerton University Hospital

North Middlesex Hospital

Southend Hospital

The Royal Free Hospital

Barnet Hospital

University College Hospital

The Whittington Hospital

Clinical Protocols and Guidance


  • The Royal London Hospital (RLH) MTC and other NELETN hospitals are involved in numerous research projects managed by the Centre for Trauma Sciences (C4TS). Click here to find out about the C4TS research program 
  • RLH, Newham, Whipps Cross and Wittington are all involved in Crash 3. Tim Harris is the Principle Investigator
  • RLH are involved in Microshock, Wollf (Orthopaedics), Reverse-AD CCRN 2236 (Reversal agent bleeding), Swifft (Orthopaedics) and Bespoke. More information about these studies below.


Principle Investigator: Tim Harris

Chief Investigator: Sam Hutchings

The aim of the MICROSHOCK study is to investigate changes seen in the microcirculation of patients following THS, and to assess its response to resuscitation. A greater understanding of the behaviour and mechanisms of microcirculatory dysfunction in this context may direct future avenues of goal-directed resuscitation for these patients. The microcirculation is the physiological site of oxygen and substrate exchange. Its effectiveness during circulatory shock is vital for the perfusion of tissues, and has a bearing on subsequent organ function and prognosis.

This multicentre prospective longitudinal observational study includes patients who present as an emergency with Traumatic Haemorrhage Shock. Microcirculatory parameters are recorded using sublingual incident dark field microscopy alongside measurements of global flow (oesophageal Doppler and transthoracic echocardiography). Patients are enrolled into the study as soon as feasible after they arrive in hospital, and then at subsequent daily time points. Blood samples are taken for investigation into the mechanisms of microcirculatory dysfunction. Sequential Organ Failure Assessment scores will be analysed with microcirculatory parameters to determine whether they correlate with greater fidelity than more conventional, global circulatory parameters.


Principle Investigator: Peter McCallum

A multicenter, prospective cohort study, planning to recruit up to 300 patients at more than 400 centers in 38 countries.

The study includes two groups of adults, 18 years of age or older, who are taking dabigatran. The patients in group A are those with overt, uncontrollable, or life-threatening bleeding that is judged by the treating clinician to require a reversal agent. The patients in group B are those who require surgery or other invasive procedures that cannot be delayed for at least 8 hours and for which normal hemostasis is required. These inclusion criteria were chosen to mirror the real-world population in which the reversal agent would be used. All the patients or their authorized representative have provided written informed consent.

Trauma Talks

The Royal London Hospital arranges a regular series of dynamic talks on aspects of trauma care from roadside to rehabilitation, from leaders in their respective fields. You can watch them here.

Education, Training and Professional Development 

NELETN clinicians are engaged in providing the following educational and professional development opportunities in trauma care:

Clinical specialty or network groups

  • Network steering and governance group
  • Rehabilitation and therapies Network group
  • TARN Coordinators Network Group
  • Paediatric Network Group

Please contact the  Network Administrator Andrea Smith for more information about any of the above groups.

Public and Patient Involvement

Patient involvement in NELETN research and policy development is co-ordinated via the AfterTrauma website



The Network produces a newsletter called Trauma Calls, the latest editions can be downloaded below:

Issue 3

Issue 2

Issue 1


Network director: Derek Hicks

Deputy clinical director: Alex Schueler

MTC clinical director: Anne Weaver

Network research lead: Karim Brohi

Network manager: Laura Gallagher

Network administrator: Andrea Smith

Joint paediatric leads: Breda O'Neill and Naomi Edmonds

Network rehabilitation lead: Karen Hoffman


Network education and training leads:

Network lead: Karim Ahmad

Pre-hospital Care: Gareth Grier

TTL: Adam Woodgate 

MTC nursing course: Trish Burton


Trauma leads for each trauma unit:

Newham University Hospital: Dr Ruchin Agrawal

Whipps Cross Hospital: Dr Mash Qazi

Queens Hospital: Dr Ignatius Postma

Basildon Hospital: Lokesh Narayanaswamy

Homerton University Hospital: Emma Rowland

North Middlesex Hospital: Mr Ratuklonda Ravikumar

Southend Hospital: Kuppuswamy Ravi

The Royal Free Hospital: Dr Nishal Amin

Barnet Hospital: Christian Solomonides

University College Hospital: Alex Schueler

The Whittington Hospital: Dr Nora Brennan



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