During the COVID-19 pandemic there has been an increased demand for oxygen gas on hospital wards, with more patients needing oxygen therapy.
Insufficient oxygen supply to seriously ill patients can have very severe consequences, including death.
The investigation is examining a major incident that took place at an acute hospital. Demands on their oxygen supply led to patients being diverted to other hospitals
In addition, patients were also transferred between clinical environments.
As part of our final investigation report we will make safety recommendations to the appropriate national bodies in order to improve patient safety.
We will also release a series of interim reports before the final report if safety critical information is evidenced. These may also include safety recommendations as necessary.