Services and functions to maintain
Continuity of care and protection of patients, residents and staff.
Health and social care settings support activities with different clinical, personal and operational needs. Assess an asset through the care it enables, the people affected and the safe alternatives available. Decisions about service change or recovery require the appropriate care, technical and operational responsibilities to be brought together.
Relevant assets and dependencies
- Buildings, equipment, utilities and environmental systems support specific care activities.
- Clinical and care information, communications, access and supplier services influence continuity.
- Staffing, alternative spaces, transport and receiving facilities can affect the practicality of a recovery plan.
A utility fault affects a care area
A power or environmental-system fault affects a space used for care. The appropriate response depends on the activity underway, patient or resident needs and available alternatives.
Connect technical assessment with care-service priorities, establish suitable temporary arrangements and communicate responsibilities. Verify the repaired systems and readiness of the care environment before normal use resumes.
This example supports discussion of the framework. It describes no measured result or prescribed operating procedure.
Decisions TAR helps inform
- Identify the care activities affected and involve the responsible clinical or care leads in setting priorities.
- Assess repair, temporary support, relocation or changes to service alongside the needs of patients and residents.
- Agree technical and care-service evidence required before resuming normal operation, with accountable approval.
Evidence of the intended outcome
Select evidence that reflects the service, its agreed limits and the consequences of impairment.
- Care activities maintained, delayed or relocated and the people affected.
- Relevant equipment and environmental checks, together with service-owner confirmation.
- Recovery exercises and incident reviews that examine coordination, communication and the effectiveness of alternatives.
Record the baseline, assumptions and any remaining constraints. Review what the intervention achieved and use the findings to improve future decisions.
Explore the six outcome domainsConnected environments
Health estates may include data centres, residential accommodation and research facilities. Assess their specialist dependencies alongside the consequences for care delivery.