INCIDENT RESPONSE PLAN Version 1 3.3 Independent Plan Activation Any Head of Service may activate...

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Transcript of INCIDENT RESPONSE PLAN Version 1 3.3 Independent Plan Activation Any Head of Service may activate...

  • Page 1 of 49

    Harrogate & Rural District (HaRD) CCG

    INCIDENT RESPONSE PLAN

    Version 1

    To be used in conjunction with: NHS England Guidance - Concept of Operations for the Management of Mass Casualties https://www.england.nhs.uk/publication/concept-of-operations-for-the-management- of-mass-casualties/

    Implemented: December 2017

    Revision due: December 2018 or in the event of any changes to information and guidance(whichever occurs first)

    Authors: Clare Hedges, Head of Quality & Performance

    Version: One, January 2018

    Authorised by: Governing Body, HaRD CCG and Senior Management Team, HaRD CCG

    A hard copy of this and the above document can be found in the on-call file.

    However the on-line version is the only version that is maintained. Any printed copies should therefore be viewed as ‘uncontrolled’ and should be checked that the version corresponds with the on-line version.

    https://www.england.nhs.uk/publication/concept-of-operations-for-the-management-of-mass-casualties/ https://www.england.nhs.uk/publication/concept-of-operations-for-the-management-of-mass-casualties/

  • Page 2 of 49

    REVISIONS/AMENDMENTS SINCE LAST VERSION

    Date of Review Amendment Details

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    CONTENTS

    1. Identifying significant incidents or emergencies ..................................................................... 6 1.1 Overview ...................................................................................................................... 6 1.2 Definition ...................................................................................................................... 6 1.3 Types of incident .......................................................................................................... 6 1.4 Incident level ................................................................................................................ 7 1.5 Triage levels ................................................................................................................. 7

    2. The role of the CCG within the local area .............................................................................. 8

    3. Scenarios .............................................................................................................................. 8 3.1 Major incident declared by an Ambulance Service ....................................................... 8 3.2 Major Incident declared by NHS England ..................................................................... 9 3.3 Independent Plan Activation ......................................................................................... 9

    4. Planning and Prevention ..................................................................................................... 11 4.1 Partnership Working ................................................................................................... 11 4.2 Contracting responsibilities ......................................................................................... 12

    5. Hazard Analysis and Risk Assessment: .............................................................................. 12 5.1 North Yorkshire Community Risk Register .................................................................. 12 5.2 Specific Local Risks ................................................................................................... 13 5.3 Assurance .................................................................................................................. 15

    6. Escalation, Activation & Response ...................................................................................... 16

    7. Communication Cascade System ........................................................................................ 17 7.1 Action Cards ............................................................................................................... 18 7.2 CCG Response .......................................................................................................... 18 7.3 Local NHSE (Y&H) Team Response .......................................................................... 18 7.4 Public Health England ................................................................................................ 18

    8. Information Governance ...................................................................................................... 19

    9. Communications.................................................................................................................. 19

    10. Stand Down ....................................................................................................................... 20

    11. Vulnerable People ............................................................................................................. 21

    12. Recovery ........................................................................................................................... 21 12.1 Debriefing and Staff Support ................................................................................... 21

    13. Testing & Monitoring of Plans ............................................................................................ 22

    14. Contact Details .................................................................................................................. 23

    14.4 Cascade System ................................................................................................................. 26

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    14.5 GP Emergency Contact Details...................................................................................... 27

    Appendix 1: Divert Policy HaRD CCG ......................................................................................... 28

    Appendix 2: Action Cards ............................................................................................................ 32

    ACTION CARDS ......................................................................................................................... 32 1 - INCIDENT LEAD EXECUTIVE ........................................................................................ 34 2 - INCIDENT EMERGENCY PLANNING CO-ORDINATOR ................................................ 36 3 - COMMUNICATIONS LEAD............................................................................................. 38 4 - LOGGIST ........................................................................................................................ 39 4a – INCIDENT LOG PAGES ............................................................................................... 41 5 - SUPPORT STAFF .......................................................................................................... 43

    Appendix 3 - Sharing Personal Information ................................................................................. 45

    Appendix 4 - NHS Choices Web Page. ....................................................................................... 47

    Appendix 5 - Access to post incident mental health services ....................................................... 49

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    GLOSSARY

    Term

    Definition

    A&EDB A & E Delivery Board (previously SRG)

    CCA Civil Contingencies Act (2004)

    EPRR Emergency preparedness, resilience and response

    HaRD CCG Harrogate and Rural District Clinical Commissioning Group

    LHRP Local Health Resilience Partnership

    LRF Local Resilience Forum

    PHE Public Health England

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    EMERGENCY PLANNING PROCEDURE

    1. Identifying significant incidents or emergencies 1.1 Overview This procedure covers the HaRD CCG response to a wide range of incidents and emergencies that could affect health or patient care, referred to in the health service as ‘emergency preparedness resilience and response’ (EPRR). 1.2 Definition A significant incident or emergency can be described as any event that cannot be managed within routine service arrangements. Each requires the implementation of special procedures and may involve one or more of the emergency services, the wider NHS or a local authority. A significant incident or emergency may include;  Any occurrence where NHS funded organisations are required to implement special

    arrangements to ensure the effectiveness of the organisation’s internal response. This is to ensure that incidents above routine work but not meeting the definition of a major incident are managed effectively.

     An event or situation that threatens serious damage to human welfare in a place in

    the UK or to the environment of a place in the UK, or war or terrorism which threatens serious damage to the security of the UK.

     The term ‘‘major incident’’ is commonly used to describe such emergencies. These

    may include multiple casualty incidents, terrorism or national emergencies such as pandemic influenza.

    1.3 Types of incident An incident may present as a variety of different scenarios, they may start as a response to a routine emergency call or 999 response situation and as this evolves it may then become a significant incident or be declared as a major incident. Examples of these scenarios are:  Big Bang – a serious transport accident, explosion, or series of smaller incidents.