The Health Quality & Safety Commission (the Commission) is a crown entity working with clinicians, providers and consumers to lead and coordinate the improvement of the quality and safety of health and disability support services. 


In March 2019 the Accident Compensation Corporation (ACC) contracted the Commission to provide support to the National Trauma Network (the Network) by:

  • building quality improvement knowledge and skills across the trauma system, to create a system that learns and evolves
  • delivering targeted quality improvement projects focused on specific areas
  • providing analytical and research support so the Network’s work is data driven and based on evidence
  • delivering a patient reported outcome measures project to enable the Network to understand how injured people recover and ensure that their recovery is better supported.


The quality improvement work stream focuses on projects in three discrete areas where the Commission hopes improvements in process and/or outcomes can be achieved. The projects will be phased over the coming three years.

Critical Haemorrhage

The critical haemorrhage project, which is a partnership between the National Trauma Network, the Accident Compensation Corporation, the Health Quality & Safety Commission, the New Zealand Blood Service, the Australian and New Zealand Massive Transfusion Registry, ambulance services and district health boards, specifically emergency departments, perioperative teams and intensive care units. 

  • The project aim is to reduce mortality and complications in critically haemorrhaging trauma patients. The overall project aim is to eliminate avoidable deaths from haemorrhage and multiple organ failure in trauma patients by 2025.
  • The aspirational goal is to achieve zero in-hospital deaths from haemorrhage following trauma.

The guide and supporting resources are available on the Commission’s website.

Trauma Rehabilitation

Trauma rehabilitation has been identified as an area of focus because we have received anecdotal advice that there are concerns with the way major trauma patients are currently supported through their recovery, particularly once they are discharged from acute care. Early consultation has confirmed that currently there is no certainty that there are:

  • consistent levels of service across the country
  • equitable access to services across the country
  • services that meet the needs of the complex cohort of trauma patients.

More info here

Severe traumatic brain injury

Project planned. 



For updates on the various programme areas please visit the Commission's website