The Midland Trauma System (MTS) puts the needs of the patients first.  It is a network of specialised, clinical personnel committed to ensuring application of best practice in trauma across the Midland Region.  Clinical staff members perform clinical risk assessment and mitigation, collect trauma data, and facilitate local trauma committees to enable quality improvement initiatives.  The hub group based at Waikato District Health Board manages the regional database; develops and manages clinical guidelines and transfer protocols; identifies and action change; and supports the activities of MTS clinicians and the Midland Trauma Research Centre.  MTS members contribute to national and international bodies engages in trauma quality improvement and resource planning.