The track plan that was published years ago (which might be out of date, if it has been updated) suggested the middle two islands of the 4 pairs could be reached from either main or relief lines.
It was more complicated than each of the four tracks just splitting into pairs either side of an island, and although I can't find plan now, think it also allowed reversal away from London on some platforms (so some trains didn't need to continue towards Paddington, if there was emergency, or in middle of night if Paddington was closed for work).
Hopefully someone can find link to proposed track plan, so can check if I remember correctly