Safety recommendation
HSIB recommends that NHS England and NHS Improvement completes ongoing work to review, revise and reissue the health technical memorandum (HTM) for medical gas pipeline systems (MGPS). An updated HTM should reinforce multidisciplinary team working and include:
- Updated advice on the type and design of MGPS infrastructure recommended for NHS trusts.
- Enhanced processes to encourage shared working between clinical and nonclinical teams on MGPS issues.
- Specifications for the relevant levels of competence and training for NHS staff on MGPS.
- Any updated processes or guidance generated in response to the other safety recommendations specified in this report (R/2021/120, R/2021/132, R/2021/133).
Response:
The update of the “Health Technical Memorandum (HTM) 02-01 NHS estates guidance for medical gas pipeline systems” has started and it will include consideration of all the recommendations raised by the HSIB in this report.
Response received on 17 September 2021.