ACUTE: Work is continuing to set up two major trauma centres in the North of England - and to work out the costs of doing so.

The Royal Victoria Infirmary in Newcastle and the James Cook University Hospital in Middlesbrough are to provide major trauma services within the region, and to be at the heart of two trauma networks.

But the North of Tyne PCTs heard that a draft business case had identified non-recurring costs for hospitals and also for the ambulance services. For 2011-12 money has been allocated to both hospitals involved and the North East Ambulance Service Foundation Trust to cover additional costs.

But work on identifying the longer term impact of this change to services continues - including looking at any potential change to hospitals A&E activity thresholds as some patients are taken directly to the two units.