Richard Madden will lead Trauma (working title), a medical hostage thriller series heading to Paramount+ and Prime Video, with the two streaming platforms teaming up as co-producers. The project was assembled through a co-production model brokered by Lionsgate Television and 42 Management & Production, bringing the rival services together on a single title. (Deadline, 5 August 2026)

The premise is tight and tense. Terrorists seize a busy London hospital and take the Prime Minister hostage mid-surgery. Madden plays Jim Marchant, a former Royal Marines medic turned ER doctor who must fight his way through the building to save everyone inside. (Deadline, 5 August 2026)

Geoff Bussetil, whose credits include Slow Horses, Scoop and Skins, created the series and wrote the scripts. Daniel Syrkin, known for Tehran and MobLand, will direct. Chrissy Skinns, whose work includes A Spy Among Friends and The Last Kingdom, produces, with 42's Chris Kennedy as co-producer. Madden, Syrkin, and 42's Ben Pugh and Ben Cavey serve as executive producers. (Deadline, 5 August 2026)

On the distribution side, Trauma will premiere on Paramount+ in all available territories except the UK and Ireland. Those two markets are presumably where Prime Video holds rights, given the co-production arrangement, though the specific split has not been detailed. Lionsgate Television and 42 are producing, and Lionsgate holds a minority stake in 42, a relationship that sits behind the deal structure. (Deadline, 5 August 2026)

For Madden, the role adds another high-profile series to a slate that includes Netflix's upcoming Trinity. His previous screen credits span the Amazon feature Killer Heat and Marvel Studios' Eternals. (Deadline, 5 August 2026)

What stands out here is the co-production itself. Two of the largest streaming platforms — which normally compete for exclusive originals — have split Trauma across territories. It is the kind of deal that has become more common as studios and producers seek to share production costs on ambitious dramas. For viewers, it means the show lands in different places depending on where they live, with Paramount+ carrying it globally outside the UK and Ireland. No premiere date or episode count has been announced.