NHS Trusts: Standards

(asked on 21st October 2025) - View Source

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what support his Department has provided to Hospital Trusts that reach Opel 4.


Answered by
Karin Smyth Portrait
Karin Smyth
Minister of State (Department of Health and Social Care)
This question was answered on 27th October 2025

The National Health Service’s operational pressures escalation levels (OPEL) framework provides a standardised approach to support an effective, integrated, and coordinated response to acute trust operational pressures. This includes the actions locally, regionally, and nationally that support the depressurising of services and ensure patient safety. Further information about the OPEL framework is published by NHS England at the following link:

https://www.england.nhs.uk/long-read/integrated-opel-framework-2024-to-2026/

NHS England’s national operations team actively monitors escalations and maintains oversight of organisations at OPEL Escalation Level 4. Where specific support is required, NHS England can enact collaboration with national subject matter experts, regional teams, and external agencies to adapt national policy or provide targeted intervention.

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