Machen, S; (2021) Governing patient safety in field hospitals: lessons for the future. BMJ Open Quality , 10 (3) , Article e001541. 10.1136/bmjoq-2021-001541.

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Abstract

Across the world, the COVID-19 pandemic has brought an unprecedented risk to the delivery and availability of healthcare. As hospital admissions soared with patients hospitalised with the effects of the virus, there was a growing demand to increase bed capacity. To increase this supply, field hospitals were commissioned. In the UK, nine field hospitals were commissioned, with their objectives to reduce deaths and free capacity in acute providers and allow referring hospitals to maintain flow in and out of their surge capacity.1 When the National Health Service (NHS) Nightingale Hospital London opened, it had a capacity of 500 beds, increasing to 4000–5000 if needed. Likewise, the NHS Nightingale Hospital Birmingham had a capacity of 596 and increasing to 4500. These field hospitals were set up rapidly, in a matter of months, with a focus on performance and operationalisation. However, a key question to consider and reflect on is how patient safety has been governed in this new delivery of care. Reflecting on this can ensure that safety and quality remains at the forefront of any future field hospitals.

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