Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Manchester Triage System (MTS)

The National EMP recommended that the Manchester Triage System (MTS) (Mackway-Jones et al, 2006) should be the triage system used for all new adult (16 years and over) patients presenting to EDs.

This recommendation was further endorsed when the EMP was tasked by the HSE to support implementation of the report of the investigation into the quality, safety and governance of the care provided by the Adelaide and Meath Hospital, Dublin, incorporating the National Children’s Hospital (AMNCH) for patients who require acute admission, Health Information and Quality Authority, (HIQA Tallaght Report, 2012).

This Report stated that “The Manchester Triage System must be implemented, managed and periodically evaluated to ensure it is being applied effectively in all hospitals”.

The EMP Emergency Nursing Interest Group (ENIG) was tasked with addressing these components of the programme and report with full support and guidance of the EMP Working Group. ENIG approved the engagement of the MTS Group for a national training strategy and agreed that the MTS Audit Tool should be used to audit triage practice. Each Emergency Department (ED) is advised to refer to the EMP clinical guidance on ‘Audit of Emergency Department Triage’.

Since July 2014 all EDs in Ireland have a Manchester Triage Trainer.

A complete list of trainers is available from