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The Trust’s escalation status is an indicator of the operational pressures the organisation is experiencing. Key factors influencing divisional and overall Trust escalation status include: predicted demand, available resources, and capacity. The national framework for operational escalation levels (referred to as Operational Pressure Escalation Levels – OPEL) is designed to ensure standardisation of escalation status declaration, interpretation and response. This plan is based upon the national framework and has been adapted to incorporate specific triggers (at a local level) influencing both departmental and Trust wide escalation status.


Aims and Objectives

The aims of this plan are to enable NW Surrey Local A&E Delivery Boards (LAEDB) & ASPH to align their escalation protocols to a standardised process ensuring:

  • Maintenance of quality and patient safety as a priority
  • A consistent approach to mitigation strategies in times of pressure
  • Clear expectations around roles and responsibilities for all those involved in escalation in response to surge pressures at local level, in and out of hours


Policy Details

Download: PDF version
Compiled by: James A. Thomas, Chief Operating Officer
Claire O’Brien, Head of Emergency Planning and Resilience
Janet McAuley, Patient Flow and Discharge Lead
Filipe Alves, Clinical Site Nurse Practitioner Team Leader
Anne Carey, Deputy Chief Operating Officer
Ratified by: TEC
Date Ratified: January 2021
Date Issued: February 2021
Review Date: January 2022
Target Audience: All staff
Contact name: Claire O’Brien, Head of Emergency Planning and Resilience


See also:

  • Internal Incident Plan
  • Business Continuity Plan
  • Outbreak/CoVid Plan
  • Surrey-wide Surge Escalation Plan
  • On-call managers Guidance
  • Admission and Discharge Policy
  • Rostering and Temporary Staffing Policy
  • Paediatric Operational Pressures Escalation Plan
  • Surrey Heartlands Operational Pressures Escalation Levels System Plan