Trust returns to REAP level 3 – severe pressure


The Trust has returned to REAP level 3 severe pressure following 10 days of escalation to REAP level 4 extreme pressure.

The Trust moved to REAP 4 - the highest level of escalation REAP 4 extreme pressure – on 31st December, 2017 as covered in the update at that time.

On Tuesday 9th January, the Trust completed the planned review of this strategic operating level and the extremes of pressure that led to the above decision have seen some lessening overall in the past few days. This resulted in the reduction to REAP 3, which is the second highest level of escalation.

Previously, the Trust has operated for a considerable period at REAP 3, which is reflective of the significant capacity gap that exists. The Trust continues to experience pockets of significant handover delays and to assert concerns with regulators over the impacts this has on patients in the community and staff.

Kevin Brown, Director of Service Delivery, said: “The reduction from extreme to severe should not detract from the severity of the operational pressures. As colleagues will know from the many media sources there is high risk of increased influenza impacts present and ahead of us and we continue to strongly encourage all staff to be vaccinated.”

Five patient safety intervention teams (PSIT) operating daily until the end of March to support and overtime continues to be offered to support the optimisation of capacity.

Managers in all directorates are asked to review the actions set out in REAP 3 action cards, signage changed and that this reduction is not a sign of a return to normal, but is an enabler to focus on business essential activity.

All clinically trained managers should continue to book on daily and remain at operating level 1. Any changes will be separately communicated.

As a reminder of good practice to support daily operation, staff are asked to consider the following:

  • For those responsible for the driving, to consider the information of severe pressure in making a decision on C3 responses.
  • To consider alternative transport options / pathways
  • Make timely requests to support getting home on time with your dispatcher.
  • Escalate delays in handovers or issues affecting the care of patients at the acute sites.
  • Deploy the patients waiting in the community protocol promptly.
  • Continue to raise Datix reports on issues affecting care.

We recognise the continued pressure on all staff and are extremely grateful to everyone who supported the extreme pressure.

The review of REAP remains under weekly review.

Published 10th January 2018

Leave a Comment
Name (required)
Email Address (required, never displayed)
Enter a message

(all comments are moderated - your submission will be posted on approval.)