MTS has a simple governance structure involving a strategic group with regional representation at many executive levels, and a larger operational group containing clinical, executive and management staff. The MTS reports to the regional Boards, and Chief Executives as a regional clinical network, and to The Ministry of Health via the Regional Service Plan. Local issues are dealt with by the trauma service personnel and notified to the operational and strategic groups as appropriate via the Hub group.
Funding support for MTS clinical staff was pledged by DHBs its inception in 2009 in alignment with the original MTS business case and memorandum of understanding in 2009. To ensure that MTS could get started in a tight fiscal climate, Waikato DHB agreed to fund the hub staff and system development for five years while MTS became operational. Since July 2015, the DHBs have funded their own clinical and data management staff, and provided pro-rata funding of hub services. MTS has fulfilled or exceeded the strategic objectives in the original BC and is moving progressively toward its optimal and sustainable and long term state.