The Cheshire & Mersey Major Trauma and Adult Critical Care Operational Delivery Networks (ODNs) both cover pathways where transfer of patients who may be acutely or critically ill may form an integral part of their care. These transfers are audited for safety and quality and whether they have been carried out at the most appropriate time. The Cheshire & Mersey Major Trauma ODN has joined with the established Adult Critical Care Transfer Group to form a Joint ODN group. This has given benefits of sharing expertise and experience in this area of care. The group is chaired by Dr Dan Saul, Consultant Intensivist, and its aims are given below: