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. Since going live in 2016 the service has supported more than 8,000 major trauma patients and has been successfully implemented at eight Major Trauma Centres:
• St. George’s Hospital
• King’s College Hospital
• Addenbrooke’s Hospital
• Manchester Royal Infirmary
• Royal Manchester Children’s Hospital
• University Hospitals Coventry & Warwickshire
• Royal Sussex County Hospital
• Birmingham Women’s & Children’s Hospital
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. Since going live in 2016 the service has supported more than 8,000 major trauma patients and has been successfully implemented at eight Major Trauma Centres:
• St. George’s Hospital
• King’s College Hospital
• Addenbrooke’s Hospital
• Manchester Royal Infirmary
• Royal Manchester Children’s Hospital
• University Hospitals Coventry & Warwickshire
• Royal Sussex County Hospital
• Birmingham Women’s & Children’s Hospital
Our Management Team

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 seven NHS Major Trauma Centres.

Nicola Ward
Quality and Operations Lead, MTSP adviser
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.

Rachel Ash
Team Administrator
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.

Jo Schuberth
Marketing
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 Units whose patients already benefit from the wrap around service delivered by the MTSP but to also forge new working relationships with those MTU’s who currently have yet to consider the service.
How is the MTSP funded?
The MTSP is free to all trauma patients at the hospitals where we work. You will never be asked to pay for any of the services we provide to a patient 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. The funding is used to provide the MTSP service to all patients, irrespective of whether they require legal advice, in fact, over 75% of the patients who access the MTSP service do not require legal advice.
The MTSP Advisers in each hospital are not incentivised to recommend to a patient they take up legal advice, they are there to support patients and their families who are having a bad day and to make it a little bit better.

Who is Cardinal Management?
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 further information about Cardinal at cardinal-management.co.uk.
How we protect patients
• Governance – Data – NHS Data Security compliance
• Legal Panel selection and governance
• Code of Conduct for Case Managers
• Citizens Advice quality assurance
Journey of opening sites
Cardinal Management Ltd was established in 2015, and the MTSP Service Pilot went live at St George’s Hospital in January 2016. The MTSP went from strength to strength and opened 3 new sites in 2017, Manchester Royal Infirmary, Royal Manchester Children’s Hospital and King’s College Hospital London. MTSP sites at Addenbrooke’s, Coventry and Brighton were opened over the next 3 years. In 2021 the Re.Source database was launched, a unique NHS database of rehab services available at all MTSP sites.