My name is Dominic Mellon and I will be delivering this presentation on... I hope you enjoy this presentation.
NHS Improvement Plan = Modernisation Agenda NB: Commissioning a Patient Led NHS (July 2005) - part one: review of configuration for delivery of services Using the south west of england as an example... (Ambulance Service previously reconfigured.)
‘ Shifting the Balance of Power’: changes to NHS organisation instrumental in passing responsibility for emergency planning from the SHAs to the PCTs - Oct 2002.
Obviously, the amalgamation of PCTs has resulted in changing boundaries. Many hazards are linked to the local geography including natural hazards such as coastal, fluvial and flash flooding; and socio-technical hazards such as COMAH sites and other industrial hazards What are new hazards for new organisations will be old risks: I.e. they will have been identified and assessed already. Vulnerability? Local demographics need to be assessed as the areas covered by each organisation will have changed.
Rationalisation involves centralisation of resources and delivering services within tighter budgets
Arguably the most important area of concern arising from NHS reconfiguration. Communication and liaison identified within the AGW submission document as a significant organisational risk: concerns over “the impact on relationships with key partners and the effectiveness of local relationships”. There are three duties placed on category one responders under the CCA which deal directly with communication & liaison... Mechanisms for undertaking these duties include... Importance of resilient communications infrastructure and systems during an emergency response. Emergency contact details.
Issues identified as risks in various reports, however this can be seen as an opportunity to develop and improve civil protection functions. NHS South West identifies one of the core priorities for 2006-2007 to be the “ Maintaining effective arrangements for health protection and emergency planning.”
Interview presentation bristol 230307
‘The Implications of NHSReconfiguration forEmergency PreparednessDominic Mellon23rd March 2007
What is NHS Reconfiguration? Based on Commissioning a Patient Led NHS Part of overall NHS Improvement Plan Review of configuration of PCTs and SHAs Ensure effective delivery of healthcare servicesAvon, Gloucestershire & WiltshireDorset & SomersetSouth West PeninsulaNHSSouthWest12 PCTs7 PCTs:Great Western Ambulance 3 Ambulance Trusts
What are the main areas of impact? Geographic and demographic issues Emergency plans and arrangements Communications & Liaison Personnel, Funding & Resources Civil protection duties and responderstatus under CCA 2004 Emergency planning guidance Need for all-hazards approach to planning
Geographic & Demographic Issues Changing boundaries Many hazardsgeographically linked Risk based planning New hazards/old risks Local population -local vulnerabilities Community RiskRegister (LRF) VulnerabilityAssessments
‘Administrativeboundaries ... shouldnot be a reason for notworking withorganisations overthose boundaries indeveloping mutual aidarrangements’Ensuring that theappropriate partnerresponding agenciesare identified, includedand consulted with.Understanding of newemergencymanagementstructures, roles andresponsibilities andexisting anddevelopingorganisational culturesControl & Coordination- Strategic, Tactical &Operational plans.Changing triggerpoints.Interfacing plans.Emergency Plans & ArrangementsOrganisational RestructuringSize and scale of organisationsMutual aid arrangementsIncluding Major Incident Plans & Business ContinuityArrangementsPartner Responders
Personnel, Funding & Resources Reconfiguration involves rationalisation Reduced resources, including personnel New people, new roles Training needs analysis and delivery Sharing/pooling of resources Increased need for joint working & cooperation
Communication & LiaisonInternal: Emergency planningliaison committees Public health emergencyinformationCooperationInformationSharingWarning& InformingExternal: Local Resilience Fora Working groups Bilateral relationships
SummaryVarious implications and areas of concernRisks vs. opportunitiesCommunication & Liaison issues highlysignificant