MAJOR INCIDENT PLAN - NHS Cumbria

FOLLOW-UP ARRANGEMENTS FOR AFFECTED PATIENTS IN THE AFTERMATH OF A MAJOR INCIDENT35.13 Follow up arrangements for the physical and mental health of affected patients willdepend on the severity of the condition. Patients will be treated by whatever services areappropriate for their needs. This could mean treatment at regional or national specialistcentres.35.14 Patients will be told that due to unusual circumstances of the incident, that they mayhave not been given the standard treatment for injuries. NHS Cumbria clinical staff will havealso been alerted to this if the community hospital or designated Emergency Support Centreaccepts transfer patients from an acute hospital. It is possible that injuries may not have beenidentified, or symptoms develop after leaving hospital. Patients will be told to seek furtherconsultation for any injuries or other adverse effects which have not been treated fully orwhich were not identified at the time of initial consultation. Patients will be told to return to theA&E, nominated Emergency Support Centre or see their GP.MOBILISATION OF EXTRA EQUIPMENT35.15 NHS Cumbria will maintain lists of essential suppliers and sources from whom extraequipment can be purchased or sourced at short notice. This information will be containedwithin the NHS Cumbria Business Continuity Plan.USEFUL WEB LINKS:35.16Department of Health Emergency Planning, including:• The NHS Emergency Planning Guidance 2005http://www.dh.gov.uk/en/Policyandguidance/Emergencyplanning/index.htm• Beyond a Major Incidenthttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4098252• Mass Casualties Incidents: A Framework for Planninghttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_073395• UK Reserve National Stock for Major Incidentshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4135370UK Resilience, including:• Civil Contingencies Act 2004 http://www.ukresilience.info/preparedness.aspx• New guidance on the provision of public health advice during a major incidenthttp://www.ukresilience.info/news/stac_guidance.aspx• Emergency Response and Recovery http://www.ukresilience.info/response.aspxCumbria Resilience Forum:• http://www.cumbriaresilience.info/home.aspHealth Protection Agency• http://www.hpa.org.uk/cepr/default.htm.NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 46 OF 46Version 3 (Dec 2008)