This study is an evaluation of a pilot care pathway for elderly patients (over 65) who have been admitted to hospital with significant trauma injuries. In order to deliver this new pathway, hospital staff will be offered a structured training programme using up to date evidence of what best works for these patients. Patients will be offered daily ward based assessments to monitor such thing as whether they are well hydrated; eating and being able to go to the toilet; are comfortable and that the risk of any infection is minimised. The aim of the evaluation is to assess whether this new care pathway will reduce complications for the patients. It will also ask the hospital staff how they found the delivery of this new pathway.