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Nhs emergency response presentation (final) 101020

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Nhs emergency response presentation (final) 101020

  1. 1. 1Role and responsibilities of theNHS in emergency responseDominic MellonSpecialty Registrar – Public Health
  2. 2. 2Role and responsibilities of theNHS in emergency response NHS command, control and coordination The structure of the NHS Organisational roles and responsibilities NHS role in a chemical, biological, radiologicalor nuclear response (HART) Hazardous Area Response Teams (HART) Scientific and Technical Advice Cell (STAC) NHS reorganisationSUBJECT TOCHANGE
  3. 3. 3Department of HealthCabinet OfficeCivil Contingencies CommitteeNHS South West(Strategic Health Authority)Regional CoordinatingGroupPrimary CareTrustAcuteTrustsSHArepresentativePrimaryCarAmbulanceServiceOtherhealthservicesLocal Health responseLocal StrategicCoordinatingCentre(‘Gold’)AmbulanceExecutiverepresentativePCT ExecutiverepresentativeOperational Level management (Bronze Commanders)Command and Control
  4. 4. 4Strategic Health AuthoritiesRole of NHS South West: Strategic leadership of the NHS Ensuring the local NHS operates effectivelyand delivers improved health and healthcareperformance Development of NHS organisations and staff Delivery assurance, e.g. Civil ContingenciesA compliance
  5. 5. 5Role and ResponsibilitiesSource: Information about the NHS in the Southwest, NHS Southwest, 2006
  6. 6. 6Role and ResponsibilitiesStrategic Health Authorities: Strategic command and control for widespreadmajor incidents Support coordination of local NHS response Coordinate mutual aid/military assistance Liaise with the Department of Health Assure command of a local response if required Asses ongoing situation and identify emergingissues
  7. 7. 7Primary Care TrustsRole of Primary Care Trusts: 14 Primary Care Trusts in the South West Primary Care health services: General Practitioners; Public Health of the local population; walk-in centres/ minor injuries units; Community hospitals Community nurses;
  8. 8. 8Role and ResponsibilitiesPrimary Care Trusts Represent the local NHS at StrategicCoordinating Group Coordinate the implementation of the localNHS response Implement arrangements for massprophylaxis Health monitoring and surveillance Manage local health media messages
  9. 9. 9Role and ResponsibilitiesAcute Trusts Activate Major Incident Plans when alertedby the Ambulance Service Establish a control room Provide a Medical Emergency Responseincident Team to the scene Lockdown hospital Decontaminate patients
  10. 10. 10Ambulance Service TrustAmbulance Service Trusts: Two ambulance services in the South West Great Western Ambulance Service NHS Trust(GWAS) South Western Ambulance Services NHS Trust(SWAST) The saving of life …by instigate a triage process when required …by treat casualties …by transport casualties to hospital
  11. 11. 11Role and ResponsibilitiesAmbulance Service Trusts To instigate a command and control structure To protect the health, safety and welfare of allhealth service personnel on site To co-ordinate the NHS communications onsite and to alert the main receiving hospitalsfor the receipt of the injured To carry out a health service assessment forthe incident
  12. 12. 12Specialist incident response Special Incident Response Teams (SORT) provideclinical decontamination and support massdecontamination Specialist equipment: National capabilities mass casualty equipment Multi-patient oxygen deliveryAmbulance service chemical, biological,radiological and nuclear incident response:
  13. 13. 13
  14. 14. 14NHS ZonesIncidentIncidentSiteSiteHot ZoneHot ZoneMobileMobileDecon.Decon.UnitUnitDe-De-robbingrobbingareaareaModestyModestyareaareaWarm ZoneWarm ZoneCasualtyCasualtyClearingClearingAmb.Amb.LoadingLoadingPointPointCold ZoneCold ZoneHospitalsHospitalsInnerInnerCordonCordonOuterOuterCordonCordonFire & RescueFire & Rescue Ambulance ServiceAmbulance ServiceTriageTriageOfficerOfficerDecon.Decon.operatorsoperatorsDecon. Officer
  15. 15. 15Hazardous Area ResponseTeams The Hazardous Area Response Team (HART) isa new capability to Great Western AmbulanceService Hazardous Area Response Teams are nationalassets Provides a capability for ambulance services tosave lives in CBRN or hazardous incidents Improve the care provided by ambulanceservices inside the inner cordon of majorincidents Teams of six provide 24 hour cover
  16. 16. 16 HART provides an incident support capability toextend paramedic care into a range ofchallenging situations: Complex/protracted incidents Urban Search and Rescue Incident Response Unit Incidents involving hazardous materials Working at height Inland water operations CBRN decontaminationHazardous Area ResponseTeams
  17. 17. 17
  18. 18. 18NHS Blood & TransplantRole of NHS Blood & Transplant Hold reserve national stockpile for MajorEmergencies on behalf of Department of Health Stockpile includes nerve agent antidotes andother counter measures Activated by ambulance control to NHS Blood &Transplant Only delivered to hospitals with a transfusion lab
  19. 19. 19Scientific and TechnicalAdvice Cell Multi-agency expert group Provide advice to Strategic CoordinatingGroup (SCG) on health, scientific andtechnical matters Activated by SCG chair Commonly chaired by Director of PublicHealth Ensures advice is consistence Liaison with national specialist advisors
  20. 20. 20Scientific & Technical AdviceCellRegional CivilContingenciesCommitteeStrategicCoordinatingGroupTacticalOperationalRegionalSTACSTACScientific Advicefor Governmentin EmergenciesCabinet OfficeBriefing Room(COBR)
  21. 21. 21Scientific and TechnicalAdvice Cell Members of the Scientific and Advice Cell mayinclude: Director of Public Health Health Protection Unit Environmental Health (Local Authority) Utility companies (water/gas/electric) Environment Agency Met Office Health & Safety Executive Site Operator Port Health
  22. 22. 22NHS reorganisation April 2011 – provider services must beindependent from the Primary Care Trust March 2012 Abolition of Strategic HealthAuthorities March 2013 Abolition of Primary CareTrusts Creation of GP consortia Creation of Public Health Service Abolition of Health Protection Agency Implications for resilience?
  23. 23. 23Department of HealthCabinet OfficeCivil Contingencies CommitteeNHS South West(Strategic Health Authority)Regional CoordinatingGroupPrimary CareTrustAcuteTrustsSHArepresentativePrimaryCarAmbulanceServiceOtherhealthservicesLocal Health responseLocal StrategicCoordinatingCentre(‘Gold’)AmbulanceExecutiverepresentativePCT ExecutiverepresentativeOperational Level management (Bronze Commanders)Command and Control
  24. 24. 24NHS reorganisationDepartment ofHealth?X GP consortia17 AcuteTrusts2 AmbulanceService Trusts6 MentalHealth TrustsNationalRegionalLocalx Primary CareProviderServicesNHS CommissioningBoard(Including PublicHealth Service)
  25. 25. 25Questions?Jody JamesAssociate Director Regional ResilienceNHS South Westjody.james@southwest.nhs.uk

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