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NHS: Standards

Health written question – answered on 24th January 2011.

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Photo of Derek Twigg Derek Twigg Shadow Minister (Health)

To ask the Secretary of State for Health how many NHS trusts have escalated to Resource Escalation Action Plan level 4 since 1 November 2010; and on how many occasions such an escalation has occurred in each NHS trust in that period.

Photo of Simon Burns Simon Burns The Minister of State, Department of Health

Resource Escalation Action Plan (REAP) is a system used by ambulance trusts only to enable ambulance trusts to maintain the delivery of patient services. REAP levels are not reported into the Department centrally, but are used by individual ambulance trusts to manage increases in demand on an escalating sliding scale.

During the swine flu pandemic in 2009-10, the Department did collect the REAP level data nationally, but this was to assist the Department's National Incident Coordination Centre (NICC) in national co-ordination of the wider health and social care response during the pandemic.

The REAP plan is essentially a set of pre-agreed actions to manage escalating demand by increasing capacity. It is always in operation, normally at level one, but higher levels are triggered as demand increases.

Further information on REAP can be found on the Ambulance Leadership Forum website at:

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