Trust now operating at REAP level 3


Due to current operational pressures, the Trust has moved from REAP level 2 to REAP level 3.

What is REAP?
Resource Escalation Action Plan (REAP) is a plan that is considered at least weekly by the Ambulance Trust to declare the expected operating level for the next seven days, with the ability between to change this level based on changed information or intelligence.

We are already taking a number of actions as part of REAP level 2 to assist in improving our response to patients and ensuring we provide the best possible care. However, further actions are now needed to ensure we meet forecasted demand.

What does this mean for you?

  • You may be asked to carry out operational duties instead of planned training or meetings
  • Attendance at private events (such as school visits or other similar functions), may be cancelled or the duration amended.
  • You may be contacted to ask if you wish to work overtime to support our response to patients
  • Patient Transport Services (PTS) staff may be asked to attend some low acuity, urgent or emergency calls or provide some additional cover on overtime to assist. This will be done with the support and guidance from the Ambulance Operations Centres (AOCs).
  • You may see an increase in the use of Private Ambulance Services (PAS) supporting the Trust.
  • If you're on leave, you may be asked if you are able to come in and support (you could also elect to work overtime on a different shift)
  • Clinical and operational managers will be asked to provide support to A&E operations either on ambulance shifts or tasked as a solo responder to category 1 calls to support our most critically ill patients.

More detailed guidance on REAP levels can be found on East24.

Please note: these actions are in addition to any actions in the Trust Surge Demand Management Plan. You should be aware that the actions in the Surge Plan may be implemented at an earlier stage than normal at REAP 3.


Published February 17th 2020


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