1Strategic Leadership in a CrisisDominic MellonRegional Resilience Manager29 June 2010
2Responding to the emergencyResponse conditions: Stress & anxiety Pressure from rapid responserequirements Working with limited information Rapidly evolving situations
3Successful incident responseteams: Having the right team in place Clear, accountable, decision making Timely communication to appropriatestakeholders Crisis response team with the authority toact Team members accepting theirresponsibility & authority
4Risk awareness Pandemic Flu Flooding Terrorism Awareness of national, regional & localrisk registers Local leaders understanding of risk in theircommunity
5Subsidiarity in Command & Control Emergency Response lead at local level Strategic Health Authority empoweringPrimary Care Trusts SHA Command & Control– Major Incident impacting several PCTs– Pandemic Flu- National command andControl
6IncidentResponse LevelsLevel Definition1 Major incident contained within one Local Resilience Forumarea2 Major incident covering more than one Local Resilience Forumareaorexceeds the command capability of local Primary Care Trust3 Major incident exceeds command capabilities of multiplePrimary Care Trusts cooperating through the StrategicCoordinating GrouporStrategic Health Authority Strategic Command requested bythe Department of Health4 Incident external to NHS South West area with regionalimpacts requiring national and regional coordination
7Indicators Where mutual aid is required; Requiring the attendance of the NHS at theStrategic Coordinating Centre or Regional CivilContingencies Committee; Requiring communication links with nationalcoordination; Serious untoward incidents; Declared or suspected terrorist incidents; Chemical, biological, radiological or nuclear incident; Significant incident that requires media coordination; Incidents self declared by an NHS organisation,including by the South West Strategic HealthAuthority.
8Strategic Incident Management National capabilities survey identified needto improve strategic level training National Occupational Standards outlinecompetencies for executive directors- Response principles- Applicable legislation- Communications & media
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