annual report 2016-17 - naru · delivered two update days for delivery leads and trainers with over...
TRANSCRIPT
![Page 1: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/1.jpg)
ANNUAL REPORT 2016-17
NHS
AM
BULANCE SER
VICE
![Page 2: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/2.jpg)
Contents
1.0 General Overview 3
2.0 Capabilities 4
3.0 Training and Education 5
4.0 Compliance 6
5.0 JESIP 7
6.0 Communications and Stakeholder Engagement 8
Annex A 9
Overview of NARU Compliance andQuality Assurance 9
Summary Compliance and Quality AssuranceSuccesses for 2016/17 10
Whole System Review 10
Standard Operating Procedures 11
Policy Development 11
www.naru.org.uk
2
Contents
NHS
AM
BULANCE SER
VICE
![Page 3: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/3.jpg)
NARU operates under the remit of NHS England who approveNARU’s Annual Business Plan, Workplan and Risk Registerand all three of these documents were approved by the NHSEngland Steering Board at the start of the year. In 2016/17NARU received funding of £5.35M for this work and a further£5.6M but this latter sum was immediately passed-through toAmbulance Service providers to support specific areas of work.NARU finished the year within its budget with increasedefficiencies and service improvements which were used to fundnew initiatives and extra in-year commitments for NHS England.
NARU worked with Ambulance Service Trusts in Englandas well as the Devolved Assemblies and Crown Dependenciesto help them meet their required standards and improve heir responses.
In preparation for the Care Quality Commission (CQC)inspection of WMAS, the Trust conducted an internal reviewof NARU and considered it exemplary.
The NHS England Steering Board has recently approved theNARU End-of-Year Workplan which successfully completed allthe work that NARU was tasked to undertake either at the startof or during the course of the year. This report will now reportupon specifc areas of work successfully undertaken by NARUand its staff in the various disciplines.
The National Ambulance Resilience Unit (NARU) - ANNUAL REPORT 2016-2017
1.0
General
Overview
3
1.0 General Overview
Mission
NATIONAL AMBULANCERESILIENCE UNIT
Our MissionPreparingfor theFuture,ProtectingLives Today
This Annual Report has been prepared for stakeholders by Keith Prior, Director, National AmbulanceResilience Unit (NARU). The report provides a narrative and commentary for the period March 2016 toMarch 2017 with progress in main areas highlighted.
Keith PriorNARU Director
![Page 4: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/4.jpg)
2.0
Capabilities
www.naru.org.uk
4
2.0 CapabilitiesKey markers in the Capabilies area are;
PROCLUS dashboard functionality has been enhanced
(National telephone directory, dashboard reporting,
dairy and movement sheet).
Contracts were awarded, after competitive tender,
for the HART Replacement vehicle to WAS UK Ltd and
Wilker and that for the HART Incident Ground
Technology Contact to Excelerate Technologies Ltd.
The research for Phases 1 & 2 for the development of
the NARU Special Operations Recruitment and Selection
Manual has been completed.
Project SULIS reviewed the current clinical
decontamination procedure and identified and evaluated
an optimised, evidence-based revised procedure.
A FAQ sheet has been produced for Initial Operational
Response (IOR) and Nerve Agent Countermeasures.
The NARU Central Stores based at Winterbourne
Gunner in Salisbury have achieved CQC compliance.
NHS
AM
BULANCE SER
VICE
![Page 5: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/5.jpg)
In addition the Faculty has:
Enhanced the practical exercise facilities enabling
more staff to train for the same cost, demonstrating
value for money.
Supported the safe system of work project with development
of training information sheets and competencies.
Introduced competency assessed command education
for Ambulance Tactical and Operational commanders,
well attended and a significant enhancement of capability.
Supported multi agency strategic command courses and
CBRNC command courses.
Supported MTFA National multi agency programme
throughout the year.
Assisted in the planning and supported national exercises
throughout the year.
Conducted Exercise AMBER 3 the largest Ambulance
Service exercise in the UK.
The National Ambulance Resilience Unit (NARU) - ANNUAL REPORT 2016-2017
3.0
Training
and Education
5
3.0 Training and EducationThe Training and Education Faculty has successfully delivered the planned programme of courses forthe year to support HART operations with over 1,000 delegates attending courses and workshops.USAR courses were increased to meet demand as well as MTFA responder courses as an outcome of theNARU MTFA survey.
23RD MARCH 2017, UK
![Page 6: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/6.jpg)
4.0
Compliance
www.naru.org.uk
6
4.0 ComplianceCompliance is one area which has changed and advanced the most in the last year. It is important thatthe reader understands what ‘compliance’ means to the Ambulance Service in this context and the workbeing undertaken by NARU in this area. To that end Annex A (Page 9) gives a detailed resume of NARU’scompliance work.
NHS
AM
BULANCE SER
VICE
![Page 7: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/7.jpg)
The National Ambulance Resilience Unit (NARU) - ANNUAL REPORT 2016-2017
5.0
JESIP
7
In order to support this have:
Reviewed the Joint Doctrine and
published edition 2.
Designed and delivered updated
commander courses to further support
the joint training of commanders.
Designed and delivered an all staff
training package which can be
delivered via e-learning or in a classroom setting.
Updated the mobile App which is now available across
all main mobile platforms.
Delivered two update days for delivery leads and trainers
with over 100 people attending.
Continued to support the national CT exercise programme
with scenario build, objectives and umpires.
Identified a replacement for the JOL system with an aim
to making the capture of lessons and searching for inputs
much simpler and robust.
Begun the assurance programme visiting every Ambulance,
Fire and Police service in the country to assess the levels
to which JESIP is embedded into business as usual. This
programme will run through to August 2017.
5.0 JESIP (THE JOINT EMERGENCY SERVICES INTEROPERABILITY PROGRAMME)The JESIP team have continued to promote interoperability across the emergency services and widerresponder agencies.
JESIP’s stated aim is:
To ensure the blue lightservices are trained andexercised to worktogether as effectively aspossible at all levels ofcommand in responseto major or complexincidents (including fastmoving terroristscenarios) so that asmany lives as possiblecan be saved.
“
”
![Page 8: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/8.jpg)
6.0
Communications and
Stakeholder Engagement
www.naru.org.uk
8
In particular, NARU has focused on:
Developing relationships across all ambulance services,
NHS England, commissioners, the wider NHS health
economy and across Government Departments and
communicating clearly with the other emergency services
about the remit and range of the NARU work programme.
Ensuring the NARU website continues to be a leading,
industry-standard shop window explaining how NARU
works and provides users with the opportunity to
communicate with us and receive immediate responses
to their various queries. The site, combined with our daily
social media and general communications activity
(such as our regular online NARU newsletter) also gives
patients and the public information about how NARU
is contributing to national resilience on a daily basis.
Attending AMBITION (the annual event for professionals
working in the emergency preparedness, resilience and
response field, linked to the Counter Terror Expo in
London) which was a valuable way to meet suppliers,
counterparts from other emergency services and related
government agencies, and representatives from other
countries, who are always keen to learn more about
NARU and in particular, our world class training facility.
The publishing work has continued throughout the year,
providing various important items of national ambulance
service guidance and training materials for use by all
NHS ambulance services.
NARU released two important awareness films in 2016.
The first was aimed at Ambulance Service Board
Members to raise awareness of the corporate liabilities
arising from the specialist capabilities. The second was
aimed at NHS Commissioners to raise their awareness
of the role that interoperable capabilities play in UK
emergency preparedness.
6.0 Communications and Stakeholder EngagementDuring the past year, NARU has continued to work hard to ensure key stakeholders understand moreabout the work we do and why we do it.
NHS
AM
BULANCE SER
VICE
![Page 9: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/9.jpg)
The National Ambulance Resilience Unit (NARU) - ANNUAL REPORT 2016-2017
A
Annex A
9
NARU is responsible for coordinating and maintaining a set
of nationally interoperable capabilities. They include:
Hazardous Area Response Teams (HART),
Marauding Terrorist Firearms Attack (MTFA),
Chemical, Biological, Radiological and Nuclear (CBRN),
Mass Casualties.
Each of these capabilities extend NHS care into the high-risk
area of complex emergencies to save life and improve clinical
outcomes.
During 2016/17 these capabilities were responded to over
12,689 incidents and the capabilities were utilised at over
6,913 incidents to provide patient care in high-risk areas.
In extending its reach, the NHS has also extended its legal duty
of care, both to employees and to those critically in need of its
services. It has increased its exposure to risk at these incidents
exponentially. The capabilities that facilitate this care must,
therefore, be subject to clear standards and a nationally
consistent safe system of work. NARU facilitates this through
its ‘Compliance and Quality Assurance’ activities.
NARU’s Compliance activities involve setting and monitoring
national standards. Its Quality Assurance activities involve
reviewing and improving those standards. Both of these are
done with the aim of keeping Ambulance Service specialist
responders safe whilst taking calculated risks to improve
the clinical outcomes of patients caught within dangerous
environments. NARU works closely with a range of
stakeholders to develop these standards, including Regulators,
NHS Commissioners and various responding agencies. NARU
also works closely with NHS England and the Department of
Health to develop policy which is consistent with the balance
of risk described above.
As always, it is essential that the Ambulance Service
undertakes this work in a manner that achieves the greatest
efficiency from the public funds allocated. Over the last 12
months this is exactly was has been achieved - more for less.
Annex A to NARU Annual Report 2016/17Overview of NARU Compliance and Quality Assurance
RESPONDED TO OVER
INCIDENTS
12,689CAPABILITIES UTILISED AT OVER
INCIDENTS
6,913
![Page 10: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/10.jpg)
A
Annex A
www.naru.org.uk
10
NARU has conducted a
comprehensive review of
the national safe systems of
work for each interoperable
capability. In conjunction
with the Health and Safety
Executive and other
stakeholders we have
developed a new
Compliance and Quality
Assurance Framework
which was published in 2016,
see opposite.
Compliance and Quality Assurance FrameworkThe Safe System of Work for Nationally Interoperable Capabilities
Summary Compliance and Quality Assurance Successes for 2016-17
WHOLE SYSTEM REVIEW
QUALITY ASSURANCE
Ongoing Maintenance
Safety Notification System
Change Management Process
SOP Amendment Process
Learning Lessons Process
Service Specifications
Capability Matrices
CONTROLS
RISK ASSESSMENT
National Standard Operating Procedures
Monitoring
Support to National Policy Development
National Assurance Courses
Physical & Psychological Evaluation Process
National Operations GroupNational Trainers ForumNational Equipment GroupClinical Reference Group (NARU)
Reviewing & Improving Standards
COMPLIANCE
NHS Contract Standards
Setting & Monitoring Standards
Annual Whole System Review
Service SpecificationsCapability MatricesStandard Operating ProceduresResilience & Capability SurveyReview of legal and regulatory provisionsProcedures
Rescue PlansOperational Risk AssessmentsEquipment Data SheetsTraining Information Sheets
Audit / Reviews / InspectionsAssurance Support to NHS EnglandCommissioning SupportSupport to RegulatorsResource Level MonitoringRoot Cause Analysis Investigations
ACTIVITIESEQUIPMENT COMPETENCE
NHS
AM
BULANCE SER
VICE
![Page 11: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/11.jpg)
The National Ambulance Resilience Unit (NARU) - ANNUAL REPORT 2016-2017
A
Annex A
11
STANDARD OPERATING PROCEDURES
To ensure effective national interoperability, NARU
develops Standard Operating Procedures (SOPs) for each
of the interoperable capabilities.
In 2016/17 NARU has undertaken a root and branch review
of the HART and MTFA SOPs. They have been subject to
extensive research and consultation. They have also been
re-formatted into the revised safe system of work framework.
A bespoke online interface has been designed to facilitate
rapid access to operational activities and controls. This
innovative system is unique in the emergency services.
STANDARD OPERATING PROCEDURES
During 2016/17 NARU has worked closely with NHS England
and the Department of Health to develop policy in several
important areas. NARU developed a new operating model for
the Mass Casualty Capability which has received Ministerial
approval and a range of enhancement options for the MTFA
capability have been put forward. NARU has also produced a
new contract service specification for Ambulance Command
and Control which will enhance and standardise the quality
of Ambulance Commanders throughout England.
![Page 12: ANNUAL REPORT 2016-17 - NARU · Delivered two update days for delivery leads and trainers with over 100 people attending. Continued to support the national CT exercise programme with](https://reader031.vdocuments.us/reader031/viewer/2022013022/5f783a4224d2d637051d20f9/html5/thumbnails/12.jpg)
The National Ambulance Resilience Unit (NARU)ANNUAL REPORT 2016-17
For further information please contact:
National Ambulance Resilience Unit (NARU)
Website: www.naru.org.uk
© National Ambulance Resilience Unit (NARU). Produced by NARU Communications and Stakeholder Engagement, May 2017.
NHS
AM
BULANCE SER
VICE