MAJOR INCIDENT PLAN - NHS Cumbria

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7 PRIMARY CARE TRUST RESPONSIBILITIESPLANNING RESPONSIBILITIES OF NHS CUMBRIA TEACHING PRIMARY CARE TRUST (NHS CUMBRIA)7.1 NHS Cumbria Teaching Primary Care Trust is responsible for planning its ownresponse to incidents that cannot be dealt with as part of normal, day to day activity. NHSCumbria responsibilities in planning for a major incident are to:• Fulfil the requirements as a Category 1 Responder under the Act (CCA)• Coordinate NHS Cumbria response to a major incident• Develop command and control structure for NHS Cumbria that links in with LocalResilience Forum arrangements, including membership of appropriate LRF workinggroups• Implement National and Regional policy and guidance• Ensure NHS Cumbria staff are trained and exercised to respond appropriately to a majorincident• Ensure NHS Cumbria Escalation Plan recognises the higher level requirements of amajor incident• Develop Business Continuity Plans• Participate in multi agency training and exercise events as scheduled by CumbriaResilience Forum• Have regard for the needs of vulnerable groups of patients including children;• Maintain, test and review emergency plansTHE ROLE OF PRIMARY AND COMMUNITY HEALTH SERVICES7.2 In the event of a major incident, NHS Cumbria is responsible for the coordination ofprimary care services at local level. Primary and community health services (including out ofhours and GP services) have an essential role to play in caring for:• Casualties who do not need hospital treatment, and patients who are discharged earlyfrom hospital• Those who may also need other support to aid their recovery, which may be long term• The families and friends of the dead or injured, uninjured survivors and people who mayhave been evacuated from the area of the incident.• People with special needs who may need additional attention due to the incident suchas frail elderly people, pregnant women, vulnerable children and the people withdisabilities.The roles and responsibilities of the two Out of Hours Services are included in their respectivePlans and can be found on the NHS Cumbria Intranet.NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 20 OF 46Version 3 (Dec 2008)
8 THE ROLES AND RESPONSIBILITIES OF NHS TRUSTS IN CUMBRIANORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST,UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS TRUST, ANDCUMBRIA MENTAL HEALTH PARTNERSHIP NHS FOUNDATION TRUST8.1 Mental Health Trusts are not currently classified as Category 1 or 2 Responders andtherefore do not currently have a legal responsibility for emergency preparedness. However,all NHS organisations are required to demonstrate that their arrangements for emergencyplanning meet the requirements of the NHS Guidance 2005.8.2 Cumbria Partnership NHS Foundation Trust will continue to provide essential MentalHealth & Learning Disability services focusing on the needs of vulnerable individuals. Providesupport and specialist psychological advice and interventions to the local community andensure resources are aligned to support other agencies8.3 The roles and responsibilities of both the Acute NHS Trusts and Cumbria Partnership,relating to Major Incidents in Cumbria, are included within their respective Major IncidentPlans.CUMBRIA AND LANCASHIRE HEALTH PROTECTION UNIT8.4 Health Protection Unit will:• Provide specialist emergency planning advice in support of the NHS• Advise on, participate in or lead emergency preparedness exercises for NHS andpartner organisations• Maintain an overview of the risk from health protection emergencies and advocate for aproportionate response to prevent and prepare for their occurrence• Maintain arrangements to attend, on a 24/7 basis, Scientific and Technical Advice Cellsin support of multi agency Strategic Coordination Groups• When required, convene/chair health and multi agency emergency preparedness groupsfor addressing health protection threats• Ensure the provision of trained Public Health Advisors to support the Public Health OnCall Rota for Cumbria and Lancashire and to provide representation at the StrategicCoordination Group• Liaise with the Police and Director(s) of Public Health to advise on any requirements forthe introduction of urgent countermeasures, including sheltering and evacuation.• Attend the scene, if required and where safe to do so, as soon as possible to assist andadvise the emergency services.• On the request of the Police, and in discussion with the Director of Public Health orDeputy, set up a Scientific and Technical Advice Cell to offer advice to the multi-agencyStrategic Coordination Group about health issues, including information which is suitablefor distribution to the public.• Provide a representative to the Recovery Working Group, if established.• Provide a representative to the environment group, if established.NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 21 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 and 14: SECTION 2 FRAMEWORK, GUIDANCE AND D
Page 15 and 16: Cumbria to discharge their civil pr
Page 17 and 18: 5. NHS EMERGENCY PLANNING GUIDANCE
Page 19 and 20: 5.9 Although not formally described
Page 21: • Run a programme of training and
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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