Medics hope to save about 70 lives a year with the network
A network of NHS centres to deal with the most seriously injured patients could be set up in the East Midlands.
Currently, a major trauma casualty - one who has less than a 10% chance of survival - would have to travel out of the region to get specialised care.
Now NHS bosses want to build a system of trauma units in Leicester, Derby, Nottingham and Lincolnshire equipped to give life-sustaining treatment.
Hospitals are putting together plans to show how the system could be funded.
There are about 875 major trauma cases per year in the East Midlands. Health bosses estimate the new network could save about 70 extra lives a year.
At the moment the nearest trauma centres are in Sheffield, Cambridge and Coventry.
Not only does this have an impact on when treatment is given but also makes initial rehabilitation more difficult as relatives have further to travel.
Now plans are being made for trauma units in Derby, Leicester, Lincoln and Boston to feed into a trauma centre in Nottingham, which already has a neurosurgery department.
Bob Winter, an intensive care consultant, said they were putting together a robust plan.
He said: "There will need to be some investment and changes in the way staff work - but these are patients which are currently in the system being treated, they will just be treated in a more systemised way.
"Currently we are talking to both the public and clinicians to see how they would want the system to look and to work and the hospitals are putting together a business case for the level of care they are aspiring to."