Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many ambulance services were at Level Four in the Resource Escalation Action Plan in England as of 8 December 2022.

As of 8 December 2022, 10 out of the 11 Ambulance Trusts in England were at level four in the Resources Escalation Action Plan (REAP).

No assessment has been made. REAP is a National Health Service operational framework, and the four REAP levels correspond to OPEL (Operational Pressures Escalation Levels) used by other NHS organisations. They provide a framework to maintain an effective and safe operational and clinical response for patients.