Download - The pan avon response (hicc) 270607
The Pan-Avon Response& The Health Incident Coordination Centre
Presentation Aims & Objectives
• Consider duties under the Civil Contingencies Act 2004• Consider the implications of the NHS Emergency
Planning Guidance 2005• Revisit some basic concepts of resilience• Examine preparedness and response arrangements• Compare the roles of the ECT and HMT• Discuss the mechanisms for providing public health
advice
Civil Contingencies Act 2004
• Civil Contingencies Bill received royal assent in 2004• Creates a framework for resilience in the UK• Defines an emergency• Categorises responding agencies• Places duties on responding agencies• Monitoring of implementation remains with existing
arrangements• Enabled The Civil Contingencies Act 2004 (Contingency
Planning) Regulations 2005• Substantial statutory and non-statutory guidance
CCA Duties
Seven duties placed on responding agencies:• Cooperation• Information Sharing• Risk Assessment• Emergency Planning• Business Continuity Management• Warning and Informing The Public• Business Continuity Promotion (Local Authorities)
NHS Emergency Planning Guidance
• Emphasises the ‘all hazards’ approach to emergency preparedness
• Provides a framework by which NHS Trusts can implement the requirements of the CCA and associated regulations and guidance
• Introduces the elements of Command, Control & Coordination and the framework of the health response
• Sets roles and responsibilities for healthcare organisations
Concepts in Resilience 1: The Disaster Cycle
Response
Anticipation
Assessment
Recovery
Prevention
Preparation
Concepts in Resilience 1: Command & Control
GOLD
SILVER
BRONZE
Health Emergency Preparedness
LRF Management Group
Avon Public Health Network
Avon HealthSub-Group
(AHSG)
Emergency Planning Liaison Officers’ Forum
(EPLOF)
Training Group(Proposed)
Avon Pandemic Flu Planning
Group
Avon PCT Emergency
Planning Officer
Local Resilience Forum (LRF)
LRF Secretariat
BANES PCTEmergency
Planning Group
Bristol PCT Emergency
Planning Group
North Somerset PCT Emergency Planning Group
South Gloucestershire PCT Emergency Planning Group
Avon Primary Care
Somerset Health Sub-Group
(SHSG)
Pandemic Flu(Proposed)
Health Emergency ResponseO
pe
rati
on
alT
acti
cal
Str
ateg
ic Strategic Coordinating
Group (SCG or GOLD)
Health Management Team (HMT)
Scientific & Technical
Advisory Cell (STAC)
Multi-Agency Silver
Ambulance Service Tactical
Command
Lead PCT Emergency
Control Team (ECT)
Supporting PCTEmergency
Control Team (ECT)
Primary Care
Walk-In Centres
Community Hospitals
General Practice
Emergency Treatment
Centres
Acute Trust Emergency
Control Centre
Receiving Hospital
Acute Care
Supporting Hospital
MERIT
Ambulance Service Forward
Control
Multi-Agency Bronze
Emergency Care
PCT Emergency Control Team
“The Emergency Control Team is a nominated group of PCT personnel consisting whose role is to set up, manage and run the PCT Local Control centre (LCC) either as ‘Lead’ or as ‘Support’.”
Membership:• Emergency Control Team Leader (On-call Director)• Emergency Coordinator (Head of Corporate Services)• Community Nursing Coordinator (Head / Director of Nursing)• Medical Director (Chair / Vice Chair of Executive Committee)• Media Coordinator (Member of Communications Team)
The Local Control Centre (LCC)
“The LCC will serve as the focal point for all liaison, coordination and control matters.”
Location: Board Room, Waverley House, Clevedon
Health Management Team
Membership:• Ambulance Trust Executive Liaison Officer• Acute Trust Executive Liaison Officer• Primary Care Trust Executive Liaison Officer• Administrative Support• Strategic Health Authority Liaison Officer
Health Incident Coordination Centre (HICC)
“The Health Incident Co-ordination Centre (HICC) will be the focus of the co-ordination of a service wide response on a pan-Avon basis. Whenever necessary, in response to a real or potential for a significant increase in demand for NHS services a HICC may be established.”
Location: Acuma House, Almondsbury
Around the HICC
Activating the HICC
Activated as a result of:
• Declaration of major incident requiring coordinated health response
• Notification of a ‘rising-tide’ incident
Decision to activate HICC should be taken by the ECT lead
Utilising the HICC
• Centralised collation of bed-state information across Avon• Centralised coordination of patient admissions, transfers
and discharges• Determining admissions policies• Central coordination of liaison arrangements• Coordination of mutual aid arrangements• Resource monitoring and allocation
STAC
• Need for public health advice for SCG• Previous arrangements for JHAC/HAT/HAG• STAC Guidance issued by Cabinet Office June 2007• Retrospectively active• LRF responsible for developing arranements• Draft to be submitted to the Avon Health Sub-Group• Approval/adoption required by the LRF
Further Progress
• Development of Standard Operating Procedures• Development of Health Management Team (HMT) and
support staff action cards• Additional training for HMT and support staff• Installation of resilient satellite telecommunications
system• Identification of fallback facility• Integrate STAC arrangements with HICC• Develop continuity arrangements• Incident Command Systems and GIS
References
References for presentation are available upon request.
Any Questions?
Thank you.