Evacuation sheet to be permanently in place under 120mm size anti pressure mattress. This fixes permanently to the bottom of a flexible foam mattress by means of strong elastics. It has safety belts to hold the patient on the mattress and pulling straps at each end. The combination of slippery sheet and mattress which will flex will pass through narrow doorways and down stairs. The holding strap at the head is to hold back on stairways. Two people required to operate this sheet safely and there is no transferring or lifting of patient. There are pockets for the straps.