Providing triage in your organisation

The Manchester Triage System (MTS) is a series of clinical risk management tools used by clinicians worldwide to enable them to safely manage patient flow when clinical need far exceeds capacity. The following clinical risk management tools are available:

  • Emergency Triage: Emergency departments and Ambulance services
  • Telephone Triage and Advice: Urgent care desks 
  • Pathfinder: Paramedic ambulances 
  • SAFE pathways: Community-based clinicians

A formal governance structure for MTS ensures that training, audit and robust ongoing review is carried out routinely so that the tools stay safe, up-to-date and relevant to current practice.

The MTS tools are licenced to recognise the ownership of the intellectual property of MTS content and also to provide ongoing funding for the governance processes.  The licencing agreement also provides a formal connection between the MTS and its end-users ensuring that end-users receive the correct training, engage in audit and are fully aware when updates are required.

The licencing process for MTS content is managed by Wiley on behalf of the Advanced Life Support Group and the Manchester Triage Group. 

The first step is to register via our online portal to ensure that you understand the governance processes in terms of training, audit and licencing. 

We have licencing options for:

  • Software developers pre-populating with MTS content
  • Software developers providing the framework for MTS but not pre-populating with MTS content
  • Web-app developers pre-populating with MTS content
  • End-users who purchase software pre-populated with MTS content
  • End-users who purchase software with a framework but no MTS content embedded and then embed the MTS content in-house
  • End-users who develop software in-house and integrate MTS content
  • End-users who use paper-based systems to implement MTS content

The online portal is currently in beta format and if you have any feedback on its use, please email manchestertriage@alsg.org.  The portal explains the rights and obligations of each option and the approach to and cost of licencing. Click here to start the process.

For end-users, one of the obligations is with regard to training and for Emergency Triage, Telephone Triage and Pathfinder an organisation is recognised as a Manchester Triage provider if it has instructors who have undertaken training with the Manchester Triage Group or with one of our International Reference Groups (see details under ‘UK centres – instructor training’ and ‘non-UK centres – instructor training’ below)

In recognition of the importance of safe decision-making in other settings, the Manchester Triage System (MTS) has been adapted with a Nursing and Residential Triage Tool (NaRT) and a Community Triage Tool (CoTT) for use in the following:

  •  Nursing and residential homes (NaRT)
  • Out of hours and Telemedicine providers (CoTT)
  • Telecare and Pendant providers (CoTT)
  • First responder organisations (CoTT)
  • Community assessment services (CoTT)

The principles of the Manchester Triage System are still followed with the use of the reductive methodology, however rather than choosing between 53 MTS presentational charts, these tools comprise just two charts; Illness and Injury. 

Some discriminators and definitions have also been amended to enable both clinical and non-clinical staff in these settings to use the tools. Using these tools does not require a clinical decision to be made, rather it asks the person making the assessment to make their way through a list of presenting symptoms and, where the patient displays any of the symptoms on the list, the outcome should be followed. 

Outcomes can be tailored to the availability of services in your area.

If you are interested in setting up any of these tools in a country, region or individual organisation, then the first step is to register via our online portal to ensure that you understand the governance processes in terms of training, audit and licensing.

Triage accreditation logo for software companies

MTS Accreditation status will be awarded to a software company who:

  • Provides a product that achieves the MTS IT specification
  • Implements updates to their software within the timeframes outlined by MTS
  • Informs MTS in a timely way when they implement software within a new organisation
  • Pays the licencing fees due within the Wiley settlement dates
  • Pays the review and approval fees due to either MTS or their designated International Lead within their specified settlement dates 
  • Certifies that no changes have been made to the product that was signed off


MTS Accreditation status will be awarded to an end user organisation who:

  • Implements a software solution that achieves the MTS IT specification
  • Implements updates to their software within the timeframes outlined by MTS
  • Pays the licencing fees due within the Wiley settlement dates
  • Where appropriate, pays the review and approval fees due to either MTS or their designated International Lead within their specified settlement dates 
  • Has two trained instructors who have completed training with the national MTS instructors who then provide training to all of their triage practitioners and log this training on the MTS platform
  • Applies the MTS Triage regulations and carries out audit
  • Produces an annual report based on the outline in the MTS Triage annual report document and submits the annual audit data and compliance information
  • Certifies that no changes have been made to the product that was signed off

To apply for MTS Accreditation status, complete this application form online.


In the UK, if you wish to set-up for the first time, then you should identify at least two people to train as instructors.  They can then book to attend an instructor course.  Details are available via these links:

Following successful completion of the course, these instructors will then be available to train your Triage providers locally.

For licencing, see the section above ‘Licencing the use of MTS Clinical Risk Management Tools’.

There are already established Manchester Triage Reference Groups around the World who provide a local contact for MTS – to see a complete list, click here.  The leads for each country are listed on this linked page and they will be able to provide guidance on providing triage and training instructors.   

If your country is not on the list, you may wish to consider sending some key people on an instructor training course as this will also help you to identify if MTS is suitable for your country.  These courses are now delivered as two half days via remote platforms, to find out further details, see the links below: 


If you already have experienced instructors in MTS in your country and you have decided that you would like to set up a formal MTS group in a country where there is not already representation (see current list of IRG member countries here), then you should contact us via our Help Desk form.    


You will then be sent a Memorandum of Understanding which outlines the way in which local MTS groups work and their relationship with the International Reference Group (IRG) and the Manchester Triage Group centrally.

If you are interested in translating the book for use on local courses, please contact translationrights@wiley.com, who will be able to check whether there is already a translation in your language in the first instance. 

We prefer to license to local publishers to ensure that all translations are published on a proper legal footing and receive all due commercial support.
 
If you already have contacts with local publishers, we suggest you approach them in the first instance to find out if they might be interested in publishing a translation.  If so, they would then need to contact Wiley at the email address above.

We would ask that no translation work start before an Agreement is signed between Wiley and your selected local publisher.

Last modified: Friday, 16 July 2021, 9:53 AM