The consideration to transfer a patient from critical care to a COVID-19 ward which is equipped to care facilitate tracheostomy ventilation weaning should prompt a discussion between the ward team and the critical care team. Patients should meet the locally agreed inclusion criteria, for example:

• Resolution of multi-organ failure
• Tracheostomy in situ
• Awake and alert
• Decision on re-escalation has been made

In addition, they should also have absence any contraindications for transfer, including:

• Ongoing need for Renal Replacement Therapy
• Vasopressor use for two days prior
• Active delirium or ongoing sedation
• Infective process requiring a cubicle
• Significant cardiovascular disease