Who we are

The Major Trauma Signposting Partnership (MTSP) was developed in partnership with St George’s University Hospitals NHS Foundation Trust to improve the care pathway and recovery of major trauma patients.

trauma patient

Our story – making a difference since 2015

Since our launch in 2015, the Major Trauma Signposting Partnership (MTSP) has been dedicated to supporting over 8,000 major trauma patients. Our commitment to making a positive impact has led to the successful implementation of our service at ten Major Trauma Centres in the UK. As we continue to grow, our mission remains rooted in providing invaluable support and care to those navigating the challenges of major trauma.

The MTSP was developed in partnership with St George’s University Hospitals NHS Foundation Trust to improve the care pathway and recovery of major trauma patients.

We now support 10 hospitals across the UK.

Our Timeline

Our management team

trauma centre

Andrew Pemberton
Cardinal Management

Having spent more than 25 years working within the rehabilitation industry in both public and commercial sectors, Andrew founded Cardinal Management in 2015. Since then he has led the company from the initial pilot with St. George’s Hospital to delivering the MTSP at ten NHS Major Trauma Centres.

trauma centre

Nicola Ward
Regional Service Manager (RSM)

Nikki has worked with Cardinal and the MTSP Service since Feb 2017. Qualified in Sports Rehabilitation, she worked for local sports teams and academies before working for the RAF, Army and Navy as an Exercise Rehabilitation Instructor for 10 years. Nikki launched the service at KCH in 2017, before moving into her current role of Q and O lead, supporting existing MTSP sites and the opening of new ones.

trauma centre

Rachel Ash
Company Administration Manager

With a background in office and account management, Rachel has been with Cardinal Management since July 2018. Rachel provides centralised administrative support to our head office and on-site teams.

trauma centre

Jo Schuberth

With a background in marketing and project management, Jo has worked at Cardinal Management since Jan 2020. She is responsible for developing and implementing MTSP branding and marketing initiatives, and supporting the MTSP teams within the hospitals.

Sian Richardson
Hospital Relationship Manager

Sian has spent the last ten years within the rehabilitation industry, working for two specialist rehabilitation service providers assisting those with life changing injuries. Within these roles, Sian has listened to countless families and trauma patients whose lives have been turned upside down and are overwhelmed by what has happened. Joining Cardinal as the Hospital Relationship Manager in September 2022 seemed the logical move, both to support those NHS Major Trauma Centres whose patients already benefit from the wrap around service delivered by the MTSP, but to also forge new working relationships with those MTCs who currently have yet to consider the service.


At MTSP, we stand firm in providing free support to all trauma patients in the hospitals we serve, with no financial obligations ever placed on patients or their family. Cardinal Management who operate the MTSP at each hospital, receives a significant proportion of its funding from members of the legal panel who are associated to each hospital. This enables us to extend our services to all patients, regardless of their need for legal advice. Interestingly, over 75% of those benefitting from MTSP services find the support they require without delving into legal matters.

Our MTSP Advisers in each hospital are driven by a genuine commitment to supporting patients and their families during challenging times. Importantly, their focus is not on encouraging legal advice but on brightening a difficult day and making it a bit better. Your well-being is our priority, and we’re here to ensure that support is offered with sincerity and care.

Cardinal Management Ltd is a company who operate the MTSP service for NHS hospitals. The hospital has requested that Cardinal provide the service to their patients as it provides valuable emotional and practical support to trauma patients that would otherwise not be available via the NHS. 

You can find out more information about Cardinal on their website.

At MTSP, we prioritise the safety and well-being of our patients through a robust framework:

  • Governance – Data – NHS Data Security Compliance: We adhere strictly to NHS Data Security compliance standards, ensuring that your personal information is handled with the utmost care and in compliance with data protection regulations.
  • Legal Panel Selection and Governance: Our legal panel undergoes a meticulous selection process, and their governance aligns with the highest standards. This ensures that our patients receive reliable legal support from reputable and qualified professionals.
  • Code of Conduct for Case Managers: Our Case Managers adhere to a comprehensive Code of Conduct, emphasising professionalism, ethical practices, and a patient-centric approach. This ensures that you receive support that is not only effective but also compassionate.
  • Citizens Advice Quality Assurance: We maintain rigorous quality assurance measures in collaboration with Citizens Advice, ensuring that the advice and support you receive meet the highest standards. This partnership guarantees the reliability and excellence of our services.

MTSP works seamlessly alongside NHS clinical teams to provide comprehensive support to major trauma patients. Our collaboration involves:

  • Communication and Coordination: MTSP establishes open lines of communication and coordination with NHS clinical teams to ensure a unified and streamlined approach to patient care. This facilitates the exchange of crucial information and enhances the overall support system.
  • Integration into Care Pathways: MTSP is integrated into the care pathways of NHS Major Trauma Centres. This integration allows for a holistic approach, addressing both clinical and non-clinical aspects of a patient’s recovery journey.
  • Supportive Services: Our advisers work alongside clinical teams to provide immediate bedside advice and emotional support to patients and their families. This collaborative effort aims to alleviate stress and address non-clinical concerns promptly.
  • Trauma Nurse Coordinators: MTSP collaborates closely with Trauma Nurse Coordinators, ensuring a cohesive strategy for patient support. This collaboration enhances the effectiveness of our services and ensures a patient-centric focus.
  • Regular Communication and Reporting: MTSP maintains regular communication and reporting with clinical teams, ensuring that our support aligns with the evolving needs of patients. This collaborative approach contributes to a more comprehensive and patient-focused care plan.

By working hand-in-hand with NHS clinical teams, MTSP aims to complement and enhance the overall patient experience, providing valuable trauma support throughout a patient’s recovery.

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