{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T03:53:45Z","timestamp":1771905225770,"version":"3.50.1"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"unspecified","delay-in-days":103,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789325000990_sec1\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>In England, the Civil Contingencies Act (Contingency Planning) Regulations 2005 require National Health Service (NHS) Trusts which provide hospital accommodation and services in relation to accidents or emergencies to conduct Emergency Preparedness, Resilience and Response (EPRR) exercises. The NHS England EPRR Framework specifies the minimum frequencies of these exercises. This review assessed the number of Trusts conducting exercises in accordance with these frequencies one year after the national NHS COVID-19 response was stepped down.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325000990_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>The outcome of interest was the number of Trusts having a record of conducting their most recent exercises in accordance with the minimum frequencies required by the NHS England EPRR Framework.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325000990_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Of the applicable 122 Trusts, 95 had a record of conducting a communication systems exercise, 115 had a record of conducting a table-top exercise, 106 had a record of conducting a live play exercise and 90 had a record of conducting a command post exercise in accordance with the minimum frequencies.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325000990_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusion<\/jats:title>\n\t    <jats:p>Over one fifth of Trusts did not have a record of conducting an EPRR communications systems exercise as required. This review may also be of interest to other state-level bodies which specify high level EPRR requirements to healthcare providers.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2025.99","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T12:46:09Z","timestamp":1744634769000},"source":"Crossref","is-referenced-by-count":2,"title":["Review of the Emergency Preparedness, Resilience, and Response Exercise Frequency of NHS Acute Trusts in England"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3108-5321","authenticated-orcid":false,"given":"William","family":"Wetherell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"S1935789325000990_r4","unstructured":"4. Civil Contingencies Act 2004 (Contingency Planning) Regulations 2005, SI 2005\/2042. Published November 14, 2005. Accessed January 30, 2025. https:\/\/www.legislation.gov.uk\/uksi\/2005\/2042\/contents"},{"key":"S1935789325000990_r1","unstructured":"1. Civil Contingencies Act 2004, c. 36. Published November 18, 2004. Accessed January 30, 2025. https:\/\/www.legislation.gov.uk\/ukpga\/2004\/36\/contents"},{"key":"S1935789325000990_r3","unstructured":"3. NHS England. NHS Emergency Preparedness, Resilience and Response Framework. Version 3. July 2022. Accessed January 30, 2025. https:\/\/www.england.nhs.uk\/publication\/nhs-emergency-preparedness-resilience-and-response-framework\/"},{"key":"S1935789325000990_r7","unstructured":"7. Pritchard, A , Sloman, D. Next Steps on Transitioning from COVID-19 Response to Recovery. May 19, 2022. Updated September 8, 2022. Accessed January 30, 2025. https:\/\/www.england.nhs.uk\/coronavirus\/publication\/next-steps-on-transitioning-from-covid-19-response-to-recovery\/"},{"key":"S1935789325000990_r8","unstructured":"8. EPRR Exercise Dates. WhatDoTheyKnow website. Published June 04, 2024. Updated January 28, 2025. Accessed January 30, 2025. https:\/\/www.whatdotheyknow.com\/info_request_batch\/4799"},{"key":"S1935789325000990_r2","unstructured":"2. NHS England. NHS Standard Contract 2024\/25 Service Conditions (Full Length). Version 2. Published February 2024. Updated March 2024. Accessed January 30, 2025. https:\/\/www.england.nhs.uk\/publication\/full-length-nhs-standard-contract-2024-25-particulars-service-conditions-general-conditions\/"},{"key":"S1935789325000990_r5","unstructured":"5. NHS England. Monthly A&E June 2024. Published July 11, 2024. Accessed January 30, 2025. https:\/\/www.england.nhs.uk\/statistics\/wp-content\/uploads\/sites\/2\/2024\/07\/June-2024-AE-by-provider-HW3bJ.xls"},{"key":"S1935789325000990_r6","unstructured":"6. Pritchard, A , Sloman, D . NHS Response to COVID-19: Stepping Down from NHS Level 3 Incident. May 18, 2023. Accessed January 30, 2025. https:\/\/www.england.nhs.uk\/publication\/nhs-response-to-covid-19-stepping-down-from-nhs-level-3-incident\/"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789325000990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T12:46:09Z","timestamp":1744634769000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789325000990\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":8,"alternative-id":["S1935789325000990"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2025.99","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e91"}}