MAJOR INCIDENT PLAN - NHS Cumbria

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• Share information with other local responders to enhance coordination; and• Co-operate with other local responders to enhance coordination and efficiency.DUTY ON CATEGORY 1 RESPONDERS4.5 As a Category 1 Responder, NHS Cumbria (Teaching Primary Care Trust) mustperform its duties under the Act (CCA) only in relation to two situations, either of which posesa considerable test for a Category 1 Responders ability to perform its normal functions. Thetwo tests are:a. Where the emergency would be likely to seriously obstruct its ability to perform itsfunctionsb. Where the Category 1 Responder:- Would consider it necessary or desirable to act to prevent, reduce, control ormitigate the emergency’s effects or otherwise take action, and- Would be unable to act without changing the deployment of its resources oracquiring additional resourcesDEFINITION OF AN EMERGENCY4.6 Part 1 of the Act (CCA) defines an emergency as:“An event or situation which threatens serious damage to human welfare in a place in theUnited Kingdom, the environment of a place in the United Kingdom, or war or terrorism whichthreatens serious damage to the security of the United Kingdom”4.7 The definition is concerned with the consequences, rather than cause or source.Therefore an emergency inside or outside the United Kingdom is covered by the definitionprovided it has consequences inside the United KingdomLOCAL RESILIENCE FORUM (LRF)4.8 The Act (CCA) places a duty on Category 1 and Category 2 responders to cooperatelocally to improve emergency preparedness and response. The principal mechanism for multiagency cooperation is the development of Local Resilience Forums, based on police area.Cumbria Resilience Forum (CRF) operates locally to fulfil this duty.4.9 All NHS Trusts in Cumbria are members of the Cumbria Resilience Forum. Howeverto better coordinate the NHS planning and response for emergencies NHS Cumbria TeachingPrimary Care Trust is the Lead Trust for the county and attends on behalf of UniversityHospitals Morecambe Bay NHS Trust and North Cumbria University Hospitals NHS Trust andCumbria Partnership NHS Foundation Trust. North West Ambulance Service attends theCRF in its own right.INTEGRATED EMERGENCY MANAGEMENT4.10 Civil protection arrangements need to be integrated both within and between Category1 and 2 responders. In line with national guidance, Cumbria Resilience Forum has developedan integrated approach to emergency preparedness and response to enable responders inNHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 12 OF 46Version 3 (Dec 2008)
Cumbria to discharge their civil protection duties. The following six activities are fundamentalto an Integrated Emergency Management (IEM) approach:a. Anticipation; sometimes called horizon scanning. Responders should aim to beaware of new hazards and threats which might affect their locality, and be ready torevise their risk assessments and plans accordingly;b. Assessment; of the risks that may result from the hazards identified;c. Prevention; this is an important component of Integrated Emergency Management.The Act (CCA) does not deal with it to any extent because it is largely dealt with byother legislation, for example fire safety, building regulations etc. Prevention underthe Act (CCA) is limited to actions that help prevent an emergency which may beabout to occur. For example, activating an emergency plan in advance of a majorpublic event;d. Preparation; although the Act (CCA) focuses on preparedness for response toemergencies, it should be seen in the wider context of safety, risk and threatmanagement. Although the Act (CCA) concentrates on the maintenance of planningarrangements, effective management is the aim. Planning is a process of preparingmanagers and personnel for the act of managing an emergencye. Responsef. Recovery;COMMUNITY RISK REGISTER4.11 The Act (CCA) places a duty on Category 1 Responders to cooperate with each otherin maintaining a Community Risk Register (CRR). The CRR provides an agreed position onthe risk affecting Cumbria and on the planning and resource priorities required to prepare forthose risks. The purpose of the CRR is to ensure that all Category 1 Responders have anaccurate and shared understanding of the risks they face so that planning may beproportionate.4.12 The purpose of the Community Risk Register is to enable each Category 1 Responderto:a. Be fully informed of the risk of an emergency in its area;b. Benefit from the range of views on risk of its partners on the LRF;c. Identify collectively the main local emergency plans and capabilities which may beneeded across all Category 1 responders;d. Decide on which plans and capabilities should properly fall to the it, ande. Know which of its partners in the LRF acknowledges responsibility for developingplans and capabilities against the various risksThe Cumbria Community Risk Register is available online at Cumbria Resilience Website:http://www.cumbriaresilience.info/home.aspNHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 13 OF 46Version 3 (Dec 2008)
Page 1 and 2: MAJOR INCIDENT PLANFramework for re
Page 3 and 4: Document ControlPolicy Number:Autho
Page 5 and 6: It will be the responsibility of th
Page 7 and 8: TABLE OF CONTENTSChapter Para Descr
Page 9 and 10: SECTION 7 GENERAL GUIDANCE ON INCID
Page 11 and 12: SECTION 11. INTRODUCTION1.1 The Maj
Page 13: SECTION 2 FRAMEWORK, GUIDANCE AND D
Page 17 and 18: 5. NHS EMERGENCY PLANNING GUIDANCE
Page 19 and 20: 5.9 Although not formally described
Page 21 and 22: • Run a programme of training and
Page 23 and 24: 8 THE ROLES AND RESPONSIBILITIES OF
Page 25 and 26: 8.8 The Primary Care Trusts have ag
Page 27 and 28: 11 CRITERIA FOR ACTIVATION OF THE P
Page 29 and 30: 13 ALERT AND RESPONSE FLOWCHART FOR
Page 31 and 32: 15 LEVELS OF MAJOR INCIDENTINCIDENT
Page 33 and 34: 16 INCIDENT AFFECTING THE WIDER NHS
Page 35 and 36: NHS NORTH WEST (STRATEGIC HEALTH AU
Page 37 and 38: 21 DEBRIEF21.1 An NHS debrief of th
Page 39 and 40: the NHS within the region and advis
Page 41 and 42: 29.4 The NHS Cumbria Incident Contr
Page 43 and 44: 31 HELPLINES31.1 The Incident Contr
Page 45 and 46: • Depending on the nature of the
Page 47 and 48: input from NHS Cumbria community nu
Page 49: Contact details:Name:Diane Weatherl

MAJOR INCIDENT PLAN - NHS Cumbria

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