In a move causing widespread concern within the diving community, NHS England has announced plans to reduce the number of commissioned hyperbaric oxygen therapy (HBOT) centres from ten to six.
There are now significant gaps in the coverage of hyperbaric treatment facilities in England.
This decision follows a recent procurement process where three recompression chambers in the Midlands, North West, and North East of England were unsuccessful in their bids to continue providing HBOT services. The British Sub-Aqua Club (BSAC) warns that this could leave vast regions without accessible treatment for decompression illness (DCI) and arterial gas embolism (AGE), conditions that require immediate medical attention.
HBOT is the only NHS-commissioned treatment for DCI and AGE, both of which can be life-threatening if not treated promptly. NHS England's consultation guide notes that approximately 150–200 cases of DCI occur annually in England, with timely access to HBOT being crucial for effective treatment.
The closure of these facilities is likely to result in delays for divers in affected regions receiving treatment, which could potentially worsen their conditions. BSAC emphasises that the reduction in HBOT services not only compromises diver health but also undermines the UK's commitment to ensuring safe diving practices.
Community Response and Calls for Action
The diving community has expressed alarm over the proposed closures. BSAC is actively engaging with the British Diving Safety Group and other stakeholders to lobby for the restoration of hyperbaric oxygen therapy (HBOT) services in the affected areas. They argue that the decision disproportionately affects inland divers and could deter individuals from participating in diving activities due to safety concerns.
NHS England maintains that the restructuring aims to ensure value for money and adequate coverage nationwide.
However, critics argue that the two-hour access target for HBOT treatment may not be achievable in all regions. This is particularly true given the UK's diverse geography and traffic conditions.
