Diagnostic image access using the ClinPACS and Ortho-Access concept has been launched at a Major Trauma Hospital. Within the existing network environment, the Royal Adelaide Hospital is trialling improved integration of image data access and manipulation within a standard PACS to improve diagnosis and patient care for trauma. RAH Surgeons will be able to access quality image data, 3D models and templating, from anywhere in the hospital - a vast improvement on the compressed, web based images previously provided. Because of this, until now film has remained the mainstay and only real option for optimal patient management. The hospital which has an Agfa PACS could not offer the clinicians, and in particular the Orthopaedic Surgeons an appropriate and affordable quality image access within the digital environment, nor a suitable templating system. Using iQ-VIEW to retrieve the image data from PACS within Radiology (RadPACS), and coupled with better monitors, the surgeons can now have confidence in their patient management. By pre-fetching the image data to the clinic, wards or operating rooms at low demand times, the "on the run" network requirement is reduced. By linking the templating solutions of OrthoView, arthroplasty planning can be accomplished in under 2 minutes from initial image review to replacement solution. Reviewed CT data can also be efficiently sent to 3D imaging program significantly improving the surgeon's diagnostic and planning capabilities. The patient can be engaged in the decision process, as the images are available at the site of consultation, rather then on a workstation in radiology. By looking for solutions that are more targeted to what is needed in the clinic rather than what is more Radiology user based, has provided means to optimise image access, that will be able to replace film, without much of an additional cost impost. The trial continues.