Change in handover process at NNUH

Ops Instruction

Norfolk and Norwich University Hospital (NNUH) have identified two incidents recently where patients have been inadvertently administered medical air, not oxygen.

This is an NHS Never Event. Severe harm or death can occur, if medical air is accidentally administered to patients instead of oxygen.

Please see full operational instruction below.

Thank you for your cooperation in preventing further occurrences.  

Any concerns or queries should be directed to:

Andrew Larby
, Interim Assistant General Manager – Central Norfolk / Email:

Published 29th November 2019

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