Emergency Preparedness, Resilience and Response (EPRR)

Emergency Preparedness, Resilience and Response (EPRR)


The NHS needs to plan for, and respond to, a wide range of incidents and emergencies that could affect health or patient care. These could be anything from extreme weather conditions to an outbreak of an infectious disease or a major transport accident. The Civil Contingencies Act (2004) requires NHS organisations, and providers of NHS-funded care, to show that they can deal with such incidents while maintaining services.  This programme of work is referred to in the health community as emergency preparedness, resilience and response (EPRR).

Self-assessment requirements

NHS Organisations are required to undertake an annual self-assessment of preparedness for response to emergencies through an assessment of the extent of compliance with the NHS Core Standards for EPRR. These are marked relevant to the specific organisation. The declaration of the results of the assessment must be taken to the Board or Governing Body of the organisation prior to its formal submission to NHS England.

Clinical Commissioning Groups

CCGs are category 2 responders and are expected to provide support to NHS England in relation to the coordination of their local health economy. Accountable Emergency Officers (AEOs) and governing bodies must make sure that their organisations and sub-contractors work to these core standards.

Buckinghamshire CCG’s 20202/2021 assessment against these standards is published here:

Local area second wave surge plan