In one year NHS England declared 217 times as many critical and major incidents as NHS Scotland did

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As BBC Scotland today reports a critical incident in NHS Grampian, we can report that, in 2024, the most recent year with a full report [above], NHS England reported 198 critical incidents plus 19 major [more serious] incidents; 217 declarations in total. Average duration was about 4.6 days. https://www.england.nhs.uk/long-read/annual-eprr-assurance-report-march-2025/

There was one NHS Scotland critical report in 2024, also in NHS Grampian.

In NHS emergency-preparedness terminology, a major incident is more serious and wider in scope than a critical incident. They sit in a recognised hierarchy of escalation:

  1. Business continuity incident – disruption to normal services that can usually be managed with local workarounds.
  2. Critical incident – a more serious internal operational escalation. The organisation (or a part of it) is losing, or is at risk of losing, the ability to deliver critical services, or patients/staff may be at risk of harm. It is typically declared by a trust or health board to trigger extra internal measures (cancelling non-urgent work, mutual aid within the system, command-and-control structures, etc.).
  3. Major incident – an event with serious, often multi-agency consequences that require special arrangements beyond one organisation. This is the Cabinet Office / JESIP definition used across UK emergency services. Examples include mass-casualty events, large-scale attacks, or incidents that overwhelm a whole system and need coordinated response from police, ambulance, fire, local authorities and multiple NHS organisations.

There have been no major incidents ever reported in NHS Scotland.

With only 3 days left, support Talking-up Scotland's work to counter the lies and get you the facts, daily, at:

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Or by direct bank transfer to: JOHN WATSON ROBERTSON Sort Code – 08-91-04 Account – 12266421

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