In response to a national ransomware attack on the NHS, NECS supported over 25 organisations work collaboratively to detect and locate the security threat, block the threats and ensured data was fully secure minimising disruption to services. We also ensured a consistent public relations and internal communications strategy was developed and rolled out in a timely and co-ordinated way. We ensured delivery of consistent key messages supported patient behaviour around use of services ensuring patient safety. This resulted in maintained public confidence in the region’s NHS by issuing region wide communications via social media and drawing on good relationships with media providers and journalists. We co-ordinated clinical leaders doing media interviews ensuring a consistent response to an evolving situation, targeted TV and radio broadcasting ensuring public kept up to date ensuring safe patient care was supported. The impact of our support resulted in reductions in surge of patients attending emergency departments and calling NHS 111 (no trusts had serious issues with A&E attendances) patients attended planned appointments with key documentation and the total social media reach across the region was over 7.97 million.