MAJOR INCIDENT PLAN - NHS Cumbria

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SECTION 7 GENERAL GUIDANCE ON INCIDENT RESPONSECASUALTY ENQUIRIES35.1 All enquiries about casualties should be referred to Cumbria Constabulary who willhave established a Police Casualty Enquiry Bureau. Under no circumstances shouldspeculation take place or be offered as to numbers or identities of casualties or deceased.This may well be subject of a criminal investigation and all such enquiries should be referredto Cumbria Police Control Room.HEALTH AND SAFETY35.2 NHS Cumbria has supplies of personal protection equipment (PPE) which are usedduring normal operational issues (apron, gloves, masks, goggles etc.). Supplies would bemade available to community staff as appropriate. Staff would follow NHS Cumbria Healthand Safety and Risk Management Policies and Procedures. For each situation, including amajor incident, the lead manager for the area would review the situation and undertake adynamic risk assessment to identify any health and safety / risk management issues that mayarise that would not be covered by NHS Cumbria standard procedures. Procedures would beagreed to manage the risk during the major incident.SOCIAL SERVICES35.3 Social Services support will be co-ordinated with Adult and Children’s Social Servicesas outlined in the Cumbria County General Emergency Plan. Where additional social orpsychological support is required by individuals affected by the incident this will be arrangedthrough Adult and Children’s Social Services and Cumbria Mental Health Partnership NHSTrust.VOLUNTARY SERVICES35.4 Requests for assistance to the British Red Cross, St John’s Ambulance and theWomen’s Royal Voluntary Service will be initiated by and through the Emergency ControlCentre. Individual volunteers offering their services on a spontaneous basis may only beused in a general capacity. It will be impossible in a crisis to conduct any check of credentials;therefore, such volunteers cannot be used in any capacity which may result in direct contactwith patients.BANK STAFF35.5 NHS Cumbria will maintain a list of prior approved bank staff who have agreed to andwho are suitable for call-out.MINIMISING REQUIREMENTS FOR EMERGENCY ADMISSIONS35.6 General Practices in Cumbria may be asked to manage and minimise requests foremergency admissions or to divert patients to other hospitals. In minimising the number ofrequests for emergency admissions, in the event of a major incident, GPs will be asked to: Prioritise those patients where there is no alternative but an emergency admission; Request that Nursing and Residential Care Homes continue to provide care to patientsif admission to hospital can be safely avoided; Consider alternative hospitals.ACCELERATING HOSPITAL DISCHARGES35.7 North Cumbria University Hospitals NHS Trust and the University HospitalsMorecambe Bay NHS Trust may seek early discharge of patients, necessitating additionalNHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 44 OF 46Version 3 (Dec 2008)
input from NHS Cumbria community nursing services and involvement of the CommunityLiaison Team.35.8 On notification of a major incident the senior nurse in charge should: Inform the Locality Team Leader/Senior Clinical Manager Contact local GPs and every effort made to discharge or transfer as many patients aspossible so that transfers can be accepted from local hospital trust. Prepare an accurate bed state and wait to be contacted by the Bed Manager from thelocal hospital trust35.9 Additional staff should be called in to assist with discharges and transfers. Communityhospital staff should report to their senior nurse and if they are not required then the seniornurse should contact the Bed Manager at the Acute Hospital NHS Trust to offer availablestaff. At the request of the Acute Hospitals, a Senior Clinical Manager may be requested toattend the Hospital to ensure a smooth transfer of patients from the Acute into the Community(Action Card can be found in Part B)MASS VACCINATIONS IN DESIGNATED RECEPTION CENTRES35.10 If a local population requires urgent vaccinations, it may be necessary for largenumbers of people to attend a nominated Emergency Support Centre. In this event advicefrom Cumbria and Lancashire Health Protection Unit should be sought. NHS Cumbria maybe required to despatch teams of Community Nurses to undertake this role, GP assistancemay also be requested.CUMBRIA MASS FATALITIES35.11 When large numbers of unexpected deaths occur, it is the responsibility of theCoroner, assisted by a Senior Investigating Officer (SIO) and a Senior Identification manager(SIM) from Cumbria Constabulary, to form an Identification Commission to identify thedeceased together with the cause, time and location of death. Cumbria has two Coroners, inthe north, west and south of the county. Effective Disaster Victim Investigation (DVI) mayonly be achieved safely and securely by the Police and Home Office Pathologist withinespecially established Temporary Mortuary facility.35.12 Cumbria County Council maintains a Mass Fatalities Plan which encompasses the useof a temporary demountable fully equipped facility capable of storing an additional 50 bodies.The Coroner in whose jurisdiction the fatalities fall will chair the Mass Fatalities CoordinationTeam. NHS Cumbria will represent the Health Services in Cumbria, to provide advice on theexisting mortuary provision and its likely long term availability. The business continuity needsof the hospital concerned will be factored into the advice provided 11 Cumbria Mass Fatalities Plan Feb 2007NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 45 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 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: • Depending on the nature of the
Page 49: Contact details:Name:Diane Weatherl

MAJOR INCIDENT PLAN - NHS Cumbria

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