I don't know the answer, Baggs, but thinking of the Cygnus exercise in 2016. The report on the exercise, which will, of course, include recommendations on how to improve preparedness, goes to the Health Minister. Possibly to the whole Cabinet.
Who then decides if the recommendations are to be acted on?
If they are to be acted on, who then informs the appropriate departments in the fractured NHS what action they need to take?
I would assume the Minister, or the Cabinet, makes the decision to action (or not to action) and the Minister then instructs his department to take whatever action has been decided on.
Presumably there is a cost implication for emergency stocks of medical equipment and presumably it doesn't come out of the 'ordinary' NHS budget. So who authorises the payment for this equipment?
Looking at that, my supposition would be that it would be the Treasury which decides the budget allocation
Who is responsible for a Department? Who takes responsibility (or used to, in the good old days) for the failings of a Department?
Others might be more informed than me, but I think that that is probably how it works.