A Store-and-forward telemedicine system was developed which is quick and easy to use. This was distributed to referring hospitals. The software fully encypts the images and accompanying patient information and sends it using an email program over the NHS Intranet. On arrival at QVH this data is automatically downloaded onto our Intranet site which can be viewed by staff from any computer terminal in the hospital. The injuries can then be discussed by the usual telephone referral. The Queen Victoria Hospital receives approximately 15 referrals each day from 25 hospitals in the region. This technology is hoped to help us increase our perceived accessibility and management of trauma, and reduce unnecessary patient transfers.