MAJOR INCIDENT PLAN - NHS Cumbria

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SECTION 5 MANAGEMENT OF THE INCIDENT22 OVERVIEW22.1 A Major Incident is an event which, because of its nature of effects, requires a multiagencyresponse. It can be declared by a Category 1 responder, including NHS Cumbria.This may require the establishment of a County Strategic Coordination Group, often referredto as Gold command which will set up an Emergency Control Centre as appropriate. TheStrategic Coordination Group may link with Regional Committees, as appropriate.22.2 In Cumbria, there are a number of site-specific Off Site Emergency Plans which requireautomatic multi-agency attendance; copies of these Off Site Plans are available in the NHSCumbria Incident Control Room.22.3 All agencies responding will bring into play arrangements at strategic, tactical andoperational level as appropriate ensuring good liaison between all levels.23 STRATEGIC LEVEL (GOLD)23.1 In an incident that is beyond the capabilities of NHS Cumbria or involves other partneragencies, a multi agency team will be set up. This team or Strategic Coordination Group willcoordinate and integrate the responses on each affected service, at Strategic, Tactical andOperational level. This Group will usually be chaired by the Police, allowing partnerorganisations to share information and coordinate their response in the management of theincident.23.2 The Chief Executive or nominated deputy (Gold on Call) will be the NHS GoldCommander and will provide the strategic lead during the incident. The NHS GoldCommander will attend the Strategic Coordination Group and will formulate both the strategyfor incident response and monitoring of the response to the incident. The NHS GoldCommander will have overall command and control to direct actions of all NHS resources inCumbria, including NHS Cumbria. This includes directing the strategic and tactical operationsrequired to complete the assigned functions.Command: the authority for an agency to direct the actions of its own resourcesControl: the authority to direct strategic and tactical operations in order to complete anassigned function and includes the ability to direct the activities of other agencies engaged inthe completion of that function. The control of the assigned function also carries with it aresponsibility for the health and safety of those involved.24 REGIONAL CIVIL CONTINGENCIES COMMITTEE (RCCC)24.1 In a large scale incident that threatens to overwhelm the ability of Cumbria agencies torespond, or which have an impact over a wider area, a Regional Civil ContingenciesCommittee (RCCC) may be formed to coordinate the wider response. The RCCC will includerepresentation from those agencies that normally attend the Regional Resilience Forum.NHS North West will represent the NHS at any Regional Civil Contingencies Committee.Mutual aid will be coordinated across regional and county boundaries to ensure a coordinatedresponse both within the county and cross border. The NHS NW will monitor the resilience ofNHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 36 OF 46Version 3 (Dec 2008)
the NHS within the region and advise the Department of Health accordingly. National andmedia briefing will be provided by NHS NW to ensure consistency at all levels.25 SCIENTIFIC AND TECHNICAL ADVICE CELL25.1 Some incidents may require specialist / expert advice to be managed effectively.Where there is a need for public health and/or scientific advice a Scientific & Technical AdviceCell (STAC) maybe convened. If a STAC is required, the Director of Public Health/Deputy willbe required to attend the Emergency Control Centre, to provide specialist advice to theStrategic Coordination Group. Dependent on the incident, the STAC may convene at analternative site, for example, during a flooding; the STAC may meet at the EnvironmentAgency Office, Penrith.25.2 The public health professional will take on the responsibility for obtaining the relevantspecialist advice for the SCG, either locally within public health and C&L HPA resources, orregionally via the Regional Director of Public Health.26 TACTICAL LEVEL (SILVER)26.1 The Tactical level of management provides overall management of the response andwill be provided by NHS Cumbria Incident Control Room Team. Tactical managers will beresponsible for formulating the tactical plan to be adopted by the operational serviceproviders. The tactical managers will focus on overall general management; determinepriorities in allocating resources, obtain further resources as required, and plan andcoordinate when task will be undertaken. Tactical managers need to be aware of what ishappening at operational level whilst leaving the responsibility for dealing with operations tothe operational managers.26.2 The Tactical level can pass requests up to NHS Gold Commander as well asforwarding requests down to Operational teams.27 OPERATIONAL LEVEL (BRONZE)27.1 The operational level of management is concerned with the normal day-to-dayarrangements; it is the level at which ‘hands on’ work is undertaken, it provides theoperational response to an incident. They will control the resources of their respectiveservice; implement any tactical requests passed down from Tactical Level.NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 37 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 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: 21 DEBRIEF21.1 An NHS debrief of th
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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