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Health Protection Service
Public Health Agency, Northern Ireland
Dr. Lorraine DohertyAssistant Director of Public Health (Health
Protection)[email protected]
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Public Health Agency Established 1 April 2009 Chief Executive, 3 executive Directors – Public
Health, Nursing & Allied Professions, Operations Director of Public Health - 4 Assistant Directors - Health Protection- R&D- Service Development and Screening- Health & Social Well Being Improvement
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Health Protection“Public health activities intended to protect
individuals, groups, and populations from infectious diseases, environmental hazards such as chemical contamination, and from radiation”
Includes emergency planning and response
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Health Protection in Northern IrelandPre 1st April 2009 DHSSPS responsible for health protection policy 4 Health and Social Services Boards DPH in each board with responsibility for health
protection activities Consultant in Communicable Disease Control (CCDC)
led on communicable disease control External expert advice sought when required, e.g. from
HPA, ChaPD Assisted by Specialist Registrars, Health Protection
Nurses and Emergency Planning Officers 2 surveillance centres – CDSCNI (infectious diseases)
and HISC (SSIs)
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From 1 April 2009 DHSSPS responsible for health protection policy Regional Public Health Agency with 1 DPH Assistant DPH leads Regional Health Protection
Service Includes staff from previous Health and Social
Services Boards, CDSCNI and HISC – CCDCs, Specialist Registrars, Health Protection Nurses, Infection Control Nurses, Regional Epidemiologists, Surveillance Staff and Emergency Planning Officers
MOU with HPA in place
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Health Protection Service• Front line role in protecting the NI population
from infectious diseases and environmental hazards by:
- Surveillance and monitoring of diseases. - Operational support and advice to a range of
health professionals/other stakeholders. - Response to adverse health Protection
incidents – outbreaks etc. - Education, Training, Research.
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Assistant Director of Public Health (Health Protection)
Dr. Lorraine Doherty
Consultants in Health Protection (8.2) Consultant Nurse: Health Protection
Consultant Lead, Health Protection
Surveillance
Senior ICN(1)
Health Protection Nurses
(5.8)
Emergency Planners (2)
Infection Control Nurses2.5
HP Surveillance Staff
Health Protection Officer (1)
SpRs, FY2
Doctors, EPIET
Fellows, Doctors
in training
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Health Protection Teams & Leads Acute Response/Duty Room Blood Borne Viruses/STIs Emergency Planning, Environmental Hazards,
Environmental Health Gastrointestinal, Waterborne, Zoonoses HCAI, AMR, Infection Control Immunisation Respiratory Infections Training, Standards and Development Health Protection Improvement and Inequalities Health Protection Surveillance
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Acute Response / Duty Room
Consultant NurseHealth Protection
Officer (Duty Room)
Duty Room Administrator
Duty RoomAdministrator
Duty ConsultantHealth Protection
NurseHealth Protection
Nurse
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Health Protection- Acute Response Service
First point of call in hours:PHA Duty RoomTel. 02890 553 994Email – [email protected] with all incidents, immunisation issues,
outbreaks, meningo cases, chemical incidents etc.
HP Zone installedOut of hours - rota, accessed via NIAS control
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Regional Duty Room oDeals with all Health Protection queries, incidentsoIncident responseoHP Zone -installed & fully functionaloSOPS in place oCommunity Associated C difficile cases surveillance established.
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Consultant Lead for Health Protection
Surveillance
Epidemiological Scientist Band 7
Respiratory Infections /
Zoonoses / Gastro
Information Manager Band 7Immunisation /
VPs / STIs / BBVs / IT
Epidemiological ScientistBand 7
HCAI / AMR
Information ManagerBand 7
SSI
Flu Surveillance Information Officer
Band 5
Surveillance Information Officer
Band 5
Surveillance Information AssistantBand 4
Surveillance Information Officer
Band 5
Surveillance Information Officer
Band 5
Epidemiological ScientistBand 6
AMR / HIV / STIs
Epidemiological Scientist Band 6
PVL / MRSA / CJD / CDiff
Regional Surveillance Co-OrdinatorBand 6 SSI
Surveillance Information Officer
Band 5
Surveillance Information AssistantBand 3
Surveillance Information Officer
Band 6
Epidemiological ScientistBand 6
Surveillance Information Officer
Band 5
Surveillance Information Assistant
Band 4
Health Protection ServiceSurveillance Team
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Surveillance Forum
AD Health Protection Dr
Doherty (Interim Chair)
Band 7 Surveillance
Staff
Health Protection Team
Leads
Surveillance Lead
Surveillance
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Blood Borne Viruses and STIs
Consultant in Health Protection (Team Lead)
Consultant in Health Protection
Health Protection Nurse
Information OfficerInformation Manager
Surveillance Support
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Emergency Planning, Environmental
Hazards, Environmental HealthConsultant in Health Protection
(Team Lead)
EmergencyPlanning Officer
EmergencyPlanning Officer
Consultant in Health Protection (Emergency Preparedness)
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Gastrointestinal, Waterborne, Zoonoses
Consultant inHealth Protection
(Team Lead)
Consultant in Health Protection
Zoonoses
Consultant inHealth Protection
GI Disease
Consultant inHealth Protection
WaterborneDisease and IHR
Consultant inHealth Protection
Waterborne Disease
Consultant InHealth Protection
Port Health
Information Officer
Surveillance Support
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HCAI, AMR, Infection Control TeamConsultant in Health
Protection (Team Lead)
Senior Infection Control Nurse
Infection Control Nurse
Infection Control Nurse
Infection Control Nurse
Microbiology Consultant2 Sessions
Microbiology Consultant4 Sessions
Information Manager
Epidemiological Scientist
Information Officer
Information Officer
Surveillance Support
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Immunisation TeamConsultant in
Health Protection(Team Lead)
Consultant inHealth Protection
Consultant inHealth Protection
ConsultantNurse
Health ProtectionNurse
Health ProtectionNurse
Surveillance Support
Information Officer
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Respiratory Infections TeamConsultant in Health
Protection (Team Lead)
EpidemiologicalScientist
SurveillanceOfficer
Consultant in Health Protection TB
Consultant in Health Protection Flu
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Health Protection NursingConsultant
Nurse
Senior Infection
Control Nurse
InfectionControlNurse
InfectionControlNurse
InfectionControlNurse
HealthProtection
Nurse
HealthProtection
Nurse
HealthProtection
Nurse
HealthProtection
Nurse
HealthProtection
Nurse
HealthProtection
Nurse
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Training, Standards and Professional
Development TeamConsultant in Health Protection
(Team Lead)
Health ProtectionNurse
FY2 Doctor Training Lead
SpR Training Lead
CPD Lead
Emergency Planning
Audit & R&D
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Health Protection Improvement and Inequalities Team
Dr Lorraine Doherty(Team Lead)
HCAI LeadTB and Migrant
Health LeadImmunisation Lead
Consultant Nurse HIV/STI Lead Port Health Lead
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Our Stakeholders Public Health Agency Directorates, AMT etc DHSSPS – CMO’s Office, Primary Care,
Minister Trust staff, Primary care Close links with COE, QUB Links to HPA (England), HPS (Scotland), PH W (Wales), HSE (Ireland), ECDC, CDC
(USA). MOU with HPA for specialist support
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Regional Health Protection Forum Advisory to Health Protection Service. Representation from across Health and
Social Care System. Informs Business Plan and response plans. Forum for discussion Health Protection
Challenges
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Strategy and Planning
DHSSPS Policy and Ministerial Targets
PHA Corporate Strategy
Public Health Directorate Plan
Health Protection Service Business Plan
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Excerpts from Health Protection Service Business Plan
2010/11
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Work Programme 2010/11 Health Protection Duty Room Operational – SOPs,
NOIDs, trained staff, HP Zone. Identify and respond to all health protection
incidents. Ensure Surveillance of communicable diseases. Contribute to Review of PHA response to
Pandemic Influenza, update and test plans.
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Immunisation Lead Implementation of DHSSPS policy on Immunity
Testing and MMR Immunisation for health care workers in Trusts.
Increase HPV immunisation uptake rates Improve MMR uptake in hard to reach groups Respond to measles cases Achieve target for seasonal flu vaccine uptake rates Influenza Immunisation for Pregnant Women
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HCAI Implement recommendations in DHSSPS
HCAI Strategy - ‘Changing the Culture II’ for which PHA accountable.
Lead Joint HSCB / PHA HCAI team and deliver on work plan.
Provide HCAI improvement support to Trusts during 2010/11.
Develop a HCAI action plan for Primary Care/Community.
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Emergency Planning, Env Hazards and Env Health Ensure a joint PHA/HSCB/BSO emergency
response plan is in place and tested. Standard Operating Procedures for the duty
room and HP Zone; ensure implementation and usage of HP Zone by trained staff.
Identify and respond to all emergency hazard notifications /incidents.
Develop training programme for key staff
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TransmitMonthly Bulletin Health Protection ServicePrimarily for HSC and Environmental Health professionalsObjectives:oTo highlight local health protection issuesoTo describe NI epidemiology trends and compare with GB/ROIoOpportunity for non consultant staff to publish reports/studies
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Summary• Northern Ireland one unified Regional Health
Protection Service• Integrates Surveillance functions and
Operational Health Protection elements = a strength
• http://www.publichealth.hscni.net/directorate-public-health/health-protection