PARLIAMENTARY WRITTEN QUESTION
(20 February 2026)
Question Asked
Asked by:
Helen Morgan (Liberal Democrat)
Answer
NHS England does not centrally record all actions taken by acute trusts or integrated care boards that exceed the Operational Pressures Escalation Levels (OPEL) 4 threshold, the highest level of pressure, where demand and capacity issues are critically affecting the ability to deliver services. Patient safety could be compromised
Oversight and support are delivered through locally implemented surge and escalation policies, which must be aligned with the OPEL 2024 to 2026 framework. The framework contains a number of actions which should be taken by the organisations involved in the delivery of care.
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