Guidance and Framework

Information last updated: 24 July 2017

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Summary of published key strategic guidance for health EPRR

These charts give an overview of the key strategic EPRR guidance documents currently published. For published documents, web-site links are imbedded in the charts.

NHS England Emergency Preparedness, Resilience and Response Framework

This is a strategic national framework containing principles for health emergency preparedness, resilience and response for the NHS in England at all levels including NHS provider organisations, providers of NHS-funded care, clinical commissioning groups (CCGs), GPs and other primary and community care organisations.

All NHS-funded organisations must meet the requirements of the Civil Contingencies Act 2004, the NHS Act 2006 as amended by the Health and Social Care Act 2012, the NHS standard contract, the NHS England Core Standards for EPRR and NHS England business continuity management framework.

NHS England Incident Response Plan (National)

The NHS England Incident Response Plan (National) is the overarching generic plan that details how NHS England responds to any health related incident or emergency at the national level.

Regional and Director of Commissioning Operations teams’, at a local level, incident response plans will be modelled on the national plan to ensure consistency and standardisation of NHS England’s response plans and functions.

The key objective is to provide confidence through effective oversight, direction and co-ordination of the NHS to enable it to provide a resilient response to incidents and emergencies that could have a national impact upon the NHS.

NHS England EPRR Annual Assurance Process

The purpose of the EPRR Annual Assurance Process is to assess the preparedness of the NHS, both commissioners and providers, against common NHS EPRR Core Standards.  NHS England has written to commissioners and providers of NHS services confirming the process for EPRR assurance for 2017/18.

NHS England Core Standards for Emergency Preparedness, Resilience and Response (EPRR)

The NHS England Core Standards for emergency preparedness, resilience and response (EPRR) set out clearly the minimum EPRR standards which NHS Organisations and providers of NHS-funded care must meet.

The core standards matrix is available in Excel format.

The Core Standards will also enable agencies across the country to share a common purpose and to co-ordinate EPRR activities in proportion to the organisation’s size and scope; and provide a consistent cohesive framework for self-assessment, peer review and assurance processes.

Supporting material for the core standards related to the response to hazardous materials (HAZMAT) and/or chemical, biological, radiation, and nuclear (CBRN) incidents can be found here, ‘Preparation for incidents involving hazardous materials: Guidance for primary and community care facilities, alongside related training material.

NHS England Shelter and Evacuation Guidance

This guidance is intended to provide a framework for all Health and Social Care providers in the planning, preparation and response to sheltering and evacuating of patients, staff and others from, or within, health care settings, including whole site evacuation.

While this guidance concentrates on the shelter and evacuation of hospital sites, the principles are sufficiently flexible to be adapted for use in respect of other buildings or facilities on healthcare provider sites or to wider primary, social and community care and independent sector facilities. Shelter and evacuation planning is part of broader emergency planning and preparedness.

This guidance updates and supersedes the 2009 Department of Health guidance ‘Planning for the evacuation and sheltering of people in health sector settings: Interim strategic national guidance’.