COVID-M3.7: ICU Resource Allocation Framework
Under consideration · No statement from Department of Health and Social Care found
Recommended
The UK government and devolved administrations should publish a UK-wide framework setting out ethical and operational principles to guide the allocation of adult intensive care resources in the extreme event that they are saturated during a pandemic. That framework must: be informed by comprehensive engagement with the public and developed in conjunction with professionals across healthcare, law and ethics, as well as with regulators of healthcare professionals; set out clearly established triggers for its use, based at least in part on a UK-wide system that measures critical care capacity strain and facilitates mutual aid (such as the CRITCON tool used in England); establish clinicians' legal and professional duties in applying the framework, which should be clearly explained to clinicians through guidance; and be regularly reviewed with reference to contemporary patient data during a pandemic, and any future use of it must be evaluated and reported on publicly. A plan and timeline for completing this work should be published within six months of this Report. Application of the framework should be tested as part of the pandemic response exercises recommended in the Inquiry's Module 1 Report (Recommendation 6).
Since then (summary written by this site)
The Department of Health and Social Care stated in September 2026 that it will explore developing principles to guide adult intensive care allocation during pandemic saturation, but noted that formulating a plan and timeline will take longer than six months (Department of Health and Social Care and Cabinet Office response, Sep 2026). That month, the Scottish Government accepted the recommendation in principle and confirmed work with the other nations, while health advisers and ministers in Wales likewise committed to developing a UK-wide framework (Scottish Government response, Sep 2026; Welsh Government response, Sep 2026). The department stated it will provide an update in May 2027 through the inquiry implementation dashboard, and the record holds no update since the Welsh Government's response of September 2026 (Department of Health and Social Care and Cabinet Office response, Sep 2026; Welsh Government response, Sep 2026).
Addressed to Department of Health and Social Care · Full record