We have reviewed the Winter Planning guidance for 2011/12 and have applied the guidance, where relevant, within this refreshed plan.
|
|
- Joanna Patterson
- 5 years ago
- Views:
Transcription
1 NHS National Waiting Times Centre Winter Plan 2011/12 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This plan supports the existing NWTCB Business Continuity Planning Policy, Pandemic Flu Contingency Plan and NWTCB Pandemic Flu Business Continuity Plan. Our updated business continuity plans can be found via the link below: U:\Civil contingency\nwtcb BC Plans\UPDATED PLANS APRIL 2011 We have reviewed the Winter Planning guidance for 2011/12 and have applied the guidance, where relevant, within this refreshed plan. Changes to our Plan for 2011/12 We have adjusted our Winter Plan due to a number of key pressures: Whilst the widespread disruption due to Flu anticipated in previous winters has not materialised, our Pandemic Flu Business Continuity Plan is still active and describes the control measures that we have put in place. It is noted that any significant influenza or norovirus outbreak could have a significant impact on staff availability. For this reason, department business continuity arrangements are in place describing priorities for skill sets in the event of an increasing percentage absence rate. As this winter coincides with the delivery of the 18 Weeks Referral to Treatment target we will pre-plan and model elective activity to minimise disruption. In the event of severe weather impacting significantly on elective activity, appropriate communication will be initiated with the Scottish Government Access Support Team to discuss arrangements for rescheduling activity and managing demand. Cardiology day case (24 hour patients) it is recognised that the volumes of emergency cardiology patients presenting to GJNH may increase over the winter and there are greater challenges with repatriation of these patients to in-patient beds across the region. We will continue to work closely with referring Boards to manage these challenges. Rescue Extracorporeal Membrane Oxygenation (ECMO) during 2010/11 we accepted one H1N1 influenza patient under the Leicester rescue protocol. It is anticipated that there could be in the region of cases in Scotland this winter as Aberdeen had only two designated beds last year, and it is anticipated that we may be required to assist. The GJNH has significant clinical experience in this area and is close to the main centre of population in Scotland. It is likely that the GJNH will admit patients for both cardiac and respiratory ECMO in the coming year. Consideration will be given to the potential impact on our cardiac surgery activity and critical care beds. 1
2 Period Affected This plan covers the winter period effective from 1 October Key Objectives To communicate business continuity planning over this period that is in line with Board continuity plans and enables the Board: To continue to provide the planned elective activity where possible (in discussion with SGHD and other NHS Boards) and emergency/urgent services. This activity may be re-prioritised depending on referring Board/NWTCB delivery pressures. To continue to work with partners i.e. social services and primary care services and ensure effective discharge. This is likely to be more challenging with the impact of financial pressures. To enhance the ability of staff to face the challenges of the winter period efficiently and effectively and with confidence. To continue to work with NHS Greater Glasgow and Clyde (NHSGGC) ensure the effectiveness of the patient pathway for re-patriating medical and cardiology patients. When developing this plan a number of key factors have been taken into account. Current Board wide and department specific business continuity plans Ongoing work in relation to bed management, discharge planning and the patient journey Initiatives to reduce staff sickness absence levels Communication The Incident Management Flowchart (attached at Appendix 1) should be used in emergency situations During other winter pressures e.g. severe weather, which may compromise delivery of Board services, operational meetings will be convened with key clinical and managerial staff to manage the available service capacity and prioritise resources. The Pandemic Service Escalation Form (attached at Appendix 2) may, where relevant, be used during major winter pressure situations The communications department will co-ordinate and respond to any press enquiries over the winter period linking in with any key partners Exception reporting of events that are likely to or will significantly reduce the hospital s ability to manage waiting lists, will be made known to Scottish Government by the Nurse Director or delegated Executive Director. The Scottish Government Winter Management report will be returned by the Board on a weekly basis throughout the winter period until early April 2012.In addition, the Board already 2
3 provides regular reports to SGHD on the availability of intensive care beds. We have developed a reporting template to share our critical care bed availability status with NHS GGC worked closely with NHSGGC to agree H1N1 patient pathways and are in the process of installing the WardWatcher system. Health Protection Scotland issue influenza updates and norovirus ward closures to the NHS during the winter period. Infection Control/ Immunisation Staff Flu Immunisation Programme The annual seasonal flu vaccination programme continues with uptake continuing to rise among the over 65 and under 65 at risk group. However the uptake of seasonal vaccination by NHS staff remains low and there is encouragement for all staff and particularly those working in areas with high risk patients, to be vaccinated to prevent the potential spread of infection to patients. As set out in CMO letter (2011)2008, the Scottish Government encourages uptake of at least 50% amongst such groups of staff and a survey will be conducted at the end of the current flu season in one high risk clinical area in every NHS Board to determine levels of uptake. Occupational Health are actively collecting this data. Our Board flu vaccination programme commenced in October Last year, around 35% of staff received the influenza vaccine. Flexible approaches to facilitate staff vaccination will be provided to encourage wider uptake. Effectively Implement Norovirus Outbreak Control Measures It was noted last winter that the impact of norovirus was relatively low due to a combination of fewer community cases and the level of preparedness and control measures adopted across the NHS. However Health Protection Scotland (HPS) expect an increase in community cases of norovirus to occur this year. HPS and the Scottish Government Health and Social Care directorate will continue to work together and issue national medial releases on norovirus as required. Seasonal Flu The impact of a flu or norovirus outbreak could have a significant impact on health and social services and could involve: Increased workload of patients with influenza/ norovirus and its direct complications. Particular needs for critical care and infection control facilities and equipment. Depletion of the workforce and of numbers of informal carers, due to the direct or indirect effects of flu on themselves and their families, e.g. the need to provide childcare or care for ill members of their families. 3
4 Contingency Plan Demand Management & Communications NHS National Waiting Times Centre has: A Board Pandemic Influenza and Contingency Plan Board wide and department specific Business Continuity plans A Senior Duty Manager rota to deal with out of hours operational issues 24 hour Senior Nurse cover including a Hospital at Night Service Bed Management and Discharge Coordination An external communications plan which is managed by our Head of Corporate Affairs with appropriate out of hours arrangements An Adverse Weather Policy and Procedure to give guidance and support to managers and employees in the event of adverse weather conditions which cause major disruption to travel services thereby severely affecting the ability of employees to attend work, or where weather conditions deteriorate significantly whilst employees are at work. Elective Demand, Capacity and Activity for the Winter Period A multidisciplinary planning group meets fortnightly to review elective admissions. These admissions are planned approximately six weeks in advance and are adjusted, if necessary, to accommodate last minute changes. Admissions around the festive period are largely dictated by the patients willingness to accept an admission date close to Christmas or New Year, or the availability of blood products. Our experience to date has been that patients are more receptive to accepting festive dates for major joint replacements than for minor orthopaedic procedures, we therefore plan to maximise the opportunity to continue with joint replacements at this time. Elective cardiac surgery will not continue over the festive period due to the availability of blood products. Elective cardiac activity will recommence with careful case selection by Thursday 5 January 2011, subject to confirmation of from the Blood Transfusion Service. Between the Christmas and New Year public holidays there will be reduced elective activity for the other specialties. It is anticipated that elective orthopaedic activity will return to normal levels on Wednesday 4 January This plan also takes into account the general guidance for NHS Boards on triggering mutual aid and the notification of abnormal service pressures. We are continuing to discuss with the Access Support Team how GJNH can assist Boards to meet the 18 week Referral to Treatment target while anticipating winter pressures. Escalation Plans Escalation arrangements are in place to ensure that the Scottish Government Health Directorate receives appropriate and timely notification of winter pressures. Escalation plans are in place within Clinical Divisions which describe the processes for managing clinical activity during periods of winter pressure. 4
5 While it is intended that boarding of patients outwith the specialty area will be avoided as far as possible, cross-division arrangements are in place to manage any boarding through joint working with Operational Management, Nurse Managers and Bed Management support. Plans have also been developed which describe the impact on elective activity in the event of increasing emergency admission rates for flu patients. Management Meetings Twice daily operational meetings will be held to ascertain: Levels of staff sickness Bed availability Theatre requirement and availability Cardiac Catheter lab requirement and availability The operational meetings will also consider any threats to the provision of clinical support services, coordinated through the senior nurse on duty. Similarly twice daily multidisciplinary clinical briefings will be held to monitor bed status and handover unstable or problem patients. A process is established which will manage access to hotel rooms for staff in the event of adverse weather. This links to the Management meetings where a full assessment of risks to service delivery can be assessed and appropriate levels of control and authorisation will be put in place. Discharge lounge The efficient and effective flow of patients out of the NWTC on a daily basis remains a priority to maintain service quality and patient safety. The purpose of the discharge lounge, which is co-located with an in-patient nursing unit, is to provide and appropriate supervised environment for patients to wait discharge thereby freeing beds for new patient throughput. Transport We operate a range of vehicles to deal with transport requirements of our patients. All patient transport drivers have undergone basic first aid courses. Two dedicated ambulances, operated by SAS, are based at GJNH to facilitate the transfer of cardiothoracic and cardiology patients to GJNH and back to their base hospital. This will continue to be available over the winter and festive period. In the event of extreme pressures, we will review options for the use of our vehicles to assist with the re-patriation of medical patients back to NHSGGC. Social Services Links Early notification of requirements is essential to allow social services to source the care package required. We have named contacts within most local authorities and the winter guidance advises territorial boards that refer their patients to us ensure that their local authorities ensure adequate resources are available during the winter period. Where available or appropriate for individual patients, discussions with local authority partners, referring Health 5
6 Boards, and/or primary care services around options for utilisation of community hospital capacity will be pursued. Most social work services have cut- off points for referrals over the festive period. This is likely to mean that all referrals would require to be made around 22 December. Governance Arrangements Staff Governance Plans are in place to provide information for staff on how to access services during the period and to ensure that they are offered flu vaccination in a timely manner. A Pandemic Flu Human Resources policy has been agreed which describes the staff governance arrangements during a pandemic. Clinical Governance There is a need to ensure that patients are cared for in the most appropriate environment and that the quality and safety of clinical care is maintained throughout the winter period. There is heightened awareness of infection control arrangements and support as well as risk management arrangements. The purpose of the plan is to ensure that as far as is possible an acceptable level of service is maintained during the winter and festive period. The Head of Clinical Governance is involved in the development and implementation of Business Continuity Plans. A detailed and robust Governance structure for Pandemic Flu is in place. Financial Governance It is anticipated that the plan will be achieved within existing resources, although, any exceptional demands on beds may require the use of external agencies to provide additional capacity on a short term basis. Should there be any resource implications, proposals will be discussed at Senior Management level. It is anticipated that additional financial pressures would result in the event of a flu pandemic. Equality & Diversity Every effort will be made to ensure that as far as possible the needs of all patients are met and that there is equality of access during the winter period. This plan has been assessed for relevance and screened for equality impact. The relevant assessment documentation is available on request from the Performance and Planning Department Performance and Planning Department November
7 7
8 Appendices Appendix 1 Appendix 2 Appendix 3 Incident Management Flowchart Service Escalation Card SGHD Maintaining Patient Safety Ceasing Elective Treatment Algorithm 8
9 Appendix 1 Incident Management Flow Chart Incident has occurred Does the incident have potential to cause major disruption beyond your immediate area of work? In working hours: Contact Duty Manager on Out of hours: Contact Senior Nurse who in turn will call Duty Manager Yes No Report/Manage using incident reporting process as per guidance in Incident Guidelines Incident assessed by duty manager as major No Can be managed locally Yes Duty Manager contacts core team and exec directors. Incident group report to Incident Room and manage incident Incident Closed. Stand down is called by Duty Manager Will incident have longer term impact on business Yes No Documentation completed. Incident review / root cause analysis undertaken. Business Continuity Plans arrangements initiated 9
10 Appendix 2: SERVICE ESCALATION CARD This card gives guidance on the daily actions required to support the management of services during major flu pandemic and winter planning. It is important that senior management are fully aware of staff and resource issues which may impact on delivery of services. This card applies to: Heads of Operations and designated deputies. Booking office and business service managers Executive directors leading corporate services and their designated deputies. Chief Executive AT LEVELS 4-6 OF THE WHO PANDEMIC ALERT SCORE, THE BOARD RESPONSE TEAM WILL BE CONVENED TO OVERSEE MANAGEMENT OF THE PANDEMIC. SUPPORT AND ADVICE CAN BE OBTAINED FROM ANY MEMBER OF THIS TEAM AND CONTACT NUMBERS FOR ALL MEMBERS ARE HELD IN THE HOSPITAL RECEPTION. Escalation and reporting procedures. Stage 1 and 2 are managed in normal operational working. Stage 3* Higher levels of emergency admissions escalation procedures triggered within NHS Boards. there is increased emergency activity arising from pandemic flu and elective activity will be under pressure and with much higher levels of rescheduling. Whilst no breaches of waiting time targets have yet occurred, there is a potential for future serious disruption if higher levels of emergency activity still maintain. At this point (1 st Flag), NHS Boards should provide detail to the SGHD Performance and Business Management Team and NHS Special Board sponsor through the normal Winter Weekly Management Information report, to be submitted to SGHD each Tuesday by Noon. Stage 4 Increased emergency activity, regional mutual aid arrangements triggered. NHS Board should immediately notify performance management of the situation (2 nd Flag). NHS Boards can accommodate some (but not all) elective activity within National Waiting Time Targets. Regional mutual aid arrangements require to be formally triggered, where NHS Boards seek additional capacity in neighbouring NHS Board areas (including, where appropriate, private sector capacity) to ensure that waiting time guarantees are maintained. The Board Chief Executive or named Deputy should make telephone contact with the NHS Special Board sponsor to discuss the extent of the pressures and recovery measures. It would be responsibility of both the regional coordinating manager and the Board Chief Executive or named deputy to provide subsequent situation updates to the NHS Special Board sponsor. The normal Winter Weekly Management Information report (including details of the stage 4 rescheduled activity) will continue to be provided by NHS Boards. Stage 5 Very high emergency activity and / or with significantly reduced elective capacity. NHS Boards cannot accommodate elective activity either within NHS Board areas or via regional mutual aid arrangements. Numbers of potential breachers and expected duration of the cessation of elective activity (by specialty) must be notified as soon as possible (3 rd Flag). Initially the Board Chief Executive or named Deputy should make telephone contact the NHS Special Board sponsor, to discuss the extent of the pressures and recovery measures, including continually retrying mutual aid. This should be followed up with immediate written notification to the Director of Health Delivery. The normal Winter Weekly Management Information report (including details of the stage 4 rescheduled activity) will continue to be provided by NHS Boards. - *(modified from Health Delivery Directorate Letter ) 10
11 YOU OR YOUR DESIGNATED DEPUTY SHOULD: Daily: complete Proforma A (below) electronically and place in the relevant folder on the U drive (see below for location). this will ensure sufficient information is available to populate the daily board situation reports which feed report sent daily/weekly to the Scottish Government. Complete Proforma B. this provides important information to the boards response team regarding the operational activity within your area and key staff. This need only be completed on an exception basis where more detail on essential working is required. If board priorities change which impact on your local priorities, you will be informed of this. Refer to pandemic flu policy and pandemic flu business continuity plan for advice and guidance. Regular staff bulletins will be issued updating key issues. Folders are found at: U:\PANDEMIC FLU\Level 6 resource updates. Place complete Resource Proforma here Folders are arranged by area / by week / by day. Open appropriate folder to place template as appropriate 11
12 STATUS REPORT FORM COMPETED BY: DATE: DIVISION a Are all departments are fully staffed? Document areas of concern below: b If no, are there implications for service delivery? (e.g. potential for breaching patients or requests for additional work mutual aid) Describe: Describe levels of sickness/absence (i) Number of confirmed flu cases (ii) Number of probable flu cases c (iii) Number of possible flu cases (iv) Number of staff off caring for family members (v) Number of staff off sick (vi) Approx total % of absence for this directorate (vii) Staff returning to work- Are there any concerns for specific departments? 12
13 DIVISION SERVICE PRIORITY FORM PROFORMA B Corporate services Name of person completing form Specific Service and description of service. Date complete Review Service Leader(s) (Include key leaders) Name Contact number Internal: External: Internal: External: Internal: External: Internal: External: Service priorities Corporate service priorities will be agreed by Board Response Team following declaration of level 6. You should check status thereafter.. If there is no change to status mark clearly in red NO CHANGE. Priority A: Essential Area s within service priority applies to. Status Priority B: Important Area s within service priority applies to. Status Priority C: Support Function Area s within service priority applies to. Status 13
14 Appendix 3- Maintaining Patient Safety Ceasing Elective Treatment Algorithm Stage 1: Normal / Steady State Emergency Activity Elective Activity Access Targets Maintained Stage 2: Minor Rescheduling of Appointments/Elective Procedures, but no Elective Breachers Increased Emergency Activity Reduced Elective Activity Cancellations rescheduled within target times Access Targets Maintained Stage 3: Higher Levels of Emergency Admissions, Trigger Escalation Procedures within NHS Boards Further Increased Emergency Activity Access Targets Maintained Further Reduced Elective Activity Stage 4: Increased Emergency Activity, Trigger Regional Mutual Aid Arrangements 1 st FLAG notify SGHD Higher levels of cancellations - escalate within Board e.g. increase daycases; rigorous discharge; etc 2 nd FLAG notify SGHD Further Increased Emergency Activity Further Reduced Elective Activity Some rescheduling can be done within Board Boundaries Some rescheduling CANNOT be done within Board Boundaries Some Patients may miss Access Targets: Re-book with Minimum Delay Trigger Regional Mutual Aid Stage 5: Very High Emergency Activity and with Significantly Reduced Elective Capacity Heightened Emergency Activity Reduced Elective Activity Some Patients may miss Access Targets: Re-schedule with Minimum Delay In extreme situations suspend targets for limited period Some rescheduling can be done in Board Rescheduling Rescheduling cannot be cannot be done in done - Board - retry Mutual Aid classified as breaches 3 rd FLAG - written notification to SGHD 14
15 15
Core Standard 24. Cass Sandmann Emergency Planning Officer. Pat Fields Executive Director for Pandemic Flu Planning
Trust Board Meeting Agenda Item 7 Date: 30 September 2009 Title of Report Recommendations (please outline the purpose of the report and the key issues for consideration/decision) Progress with Pandemic
More informationNHS PREPAREDNESS FOR A MAJOR INCIDENT
NHS PREPAREDNESS FOR A MAJOR INCIDENT In light of the recent tragic events in Paris, NHS England has asked that the Trust reviews the following, and that assurance is provided in the form of a Statement
More informationSets out clearly the DoH s expectations of the NHS and the roles and responsibilities of each part of the system over the coming months.
NORTH EAST AMBULANCE SERVICE NHS TRUST UPDATE AND RESILIENCE ACTIONS FOR NHS BOARDS REPORT BY : Director of Ambulance Operations INTRODUCTION As Board members are aware, the World Health Organisation (WHO)
More informationReport to: Trust Board Agenda item: 13. Date of Meeting: 8 June 2011
Report to: Trust Board Agenda item: 13. Date of Meeting: 8 June 2011 Title of Report: Status: Board Sponsor: Author: Appendices Emergency Planning Annual Report To note James Rimmer, Director of Operations
More informationWednesday 29 July Management of Pandemic Flu
JOINT TRUST BOARD AND MEMBERSHIP COUNCIL MEETING TITLE Wednesday 29 July 2009 Management of Pandemic Flu PURPOSE To provide a briefing and assurance to the Trust Board and Governors on the actions taken
More informationPrioritasing services in hospital
Prioritasing services in hospital Admission to, utilisation of and discharge from services Capacity in services can be created through the active management of admissions and discharges in conjunction
More informationItem No: 10. Meeting Date: Wednesday 20 th September Glasgow City Integration Joint Board. Alex MacKenzie, Chief Officer, Operations
Item No: 10 Meeting Date: Wednesday 20 th September 2017 Glasgow City Integration Joint Board Report By: Contact: Alex MacKenzie, Chief Officer, Operations Anne Mitchell, Head of Older People & Primary
More informationPANDEMIC FLU HUMAN RESOURCES PROCEDURES
PANDEMIC FLU HUMAN RESOURCES PROCEDURES Under Review Policy Extant Agreed vie Area Partnership Forum (APF) Review March 2019 Version Control Date Implementation Date On outbreak and implemented by SMT
More informationReview of the response to the H1N1 Flu Pandemic 2009/2010 WLMHT
Contents 1 Introduction... 2 2 Command and Control... 4 2.1 Lessons identified Command and Control... 4 3 Internal Communication... 6 3.1 Lessons identified Internal Communications... 4 4 External Communications...
More informationSelective Dorsal Rhizotomy (SDR) Scotland Service Pathway
Selective Dorsal Rhizotomy (SDR) Scotland Service Pathway This pathway should to be read in conjunction with the attached notes. The number in each text box refers to the note that relates to the specific
More information2.2 The primary roles and responsibilities of the Committee are to:
Edinburgh Child Protection Constitution 1. Introduction 1.1 This document sets out the governance arrangements established to promote the delivery of integrated, high quality child protection services
More informationCritical Care Strategy for Wales: Managing the swine flu pandemic
Critical Care Strategy for Wales: Managing the swine flu pandemic Executive summary The current pandemic A(H1N1) influenza virus is mild for the majority of those who become infected. It appears to be
More informationTRUST WIDE DOCUMENT DOCUMENT NUMBER: ELHT Version 1
i TRUST WIDE DOCUMENT DOCUMENT TITLE: SEASONAL INFLUENZA PLAN DOCUMENT NUMBER: ELHT Version 1 DOCUMENT PURPOSE: Seasonal Influenza (Flu) Plan sets out a coordinated and evidence-based approach to planning
More informationCounty of Los Angeles Department of Health Services Public Health
Biological Incident Plan PANDEMIC INFLUENZA GUIDELINES County of Los Angeles Department of Health Services Public Health January 2006 Executive Summary Page 1 The Los Angeles County (LAC) Department of
More informationEnc 9 Appendix 5 RTT Recovery Plan June 2015 PROGRESS UPDATE MANAGE R LEAD RISKS TO DELIVERY OF ACTION COMPLETION ON DATE NUMBER ACTION EXEC LEAD
Enc 9 Appendix 5 RTT Recovery Plan June 2015 Status Key 5 Complete 4 On track 3 Some delay-expect to complete as planned or implemented but not consistently delivering 2 Significant delay unlikely to be
More informationabcdefghijklmnopqrstu
CMO and Public Health Directorate Health Improvement Strategy Division Dear Colleague Scottish Abdominal Aortic Aneurysm Screening Programme This CEL outlines the plan for the implementation of the AAA
More informationJOB DESCRIPTION. ImROC Business Manager (Mental Health Network) and Senior. Policy Manager (NHS Clinical Commissioners)
JOB DESCRIPTION Job Title: Location: Salary: Reports To: Accountable To: Team Administrator London 21,630 (plus London weighting) ImROC Business Manager (Mental Health Network) ImROC Business Manager (Mental
More informationCancer Improvement Plan Update. September 2014
Cancer Improvement Plan Update September 2014 1 Contents Page 1. Introduction 3 2. Key Achievements 4-5 3. Update on Independent Review Recommendations 6-13 4. Update on IST Recommendations 14-15 5. Update
More informationSafe Use of Latex Policy
Safe Use of Latex Policy Lead Manager: Andy Crawford- Head of Clinical Governance Responsible Director: Jointly by: Director of Human Resources Medical Director Approved by: Jointly by: Health & Safety
More informationPandemic Influenza Plan. NHS South Cheshire Clinical Commissioning Group
NHS South Cheshire and NHS Vale Royal Clinical Commissioning Groups Pandemic Influenza Plan NHS Vale Royal Clinical Commissioning Group NHS South Cheshire Clinical Commissioning Group Pandemic Influenza
More informationGOVERNMENT OF ALBERTA. Alberta s Plan for Pandemic Influenza
GOVERNMENT OF ALBERTA Alberta s Plan for Pandemic Influenza November 2003 What is pandemic influenza? The word pandemic is used to describe diseases that cause worldwide outbreaks of illness involving
More informationNova Scotia s Response to H1N1. Summary Report
Nova Scotia s Response to H1N1 Summary Report December 2010 H1N1 Summary Report l 1 Introduction In April 2009, an outbreak of a new virus called H1N1 influenza was identified in Veracruz, Mexico. As the
More informationCORPORATE PLANS FOR CHILD PROTECTION AND LOOKED ATER CHILDREN AND YOUNG PEOPLE
NHS Highland Board 28 March 2017 Item 4.11 CORPORATE PLANS FOR CHILD PROTECTION AND LOOKED ATER CHILDREN AND YOUNG PEOPLE Report by Dr Stephanie Govenden Lead Doctor Child Protection and Looked After Children
More informationDE-DESIGNATION OF YELLOW FEVER VACCINATION CENTRES
DE-DESIGNATION OF YELLOW FEVER VACCINATION CENTRES January 2014 INDEX Page 1. Introduction 3 2. De-designating a YFVC 4 3. The de-designation process 5-6 4. Repeated breaches of the standards for designation
More informationRTT Exception Report
Appendix 3 RTT Exception Report 1. Purpose To provide a summary of factors impacting on 18 week RTT performance and a revised forecast of red rated performance for Quarter 2 2015/16 for the admitted pathway.
More informationPANDEMIC CONTINGENCY PLAN
PANDEMIC CONTINGENCY PLAN Version: 1 Date issued: August 2015 Review date: August 2018 Applies to: The main audience for this plan are Trust staff, especially managers and executives who will provide an
More informationUK Pandemic Preparedness A Cross-government Approach. Jo Newstead Legal and International Manager Pandemic Influenza Preparedness Programme
UK Pandemic Preparedness A Cross-government Approach Jo Newstead Legal and International Manager Pandemic Influenza Preparedness Programme Overview The importance of a cross-government approach for the
More informationDirector of Public Health Board Paper No. 13/13
Greater Glasgow and Clyde NHS Board Director of Public Health Board Paper No. 13/13 Report of the Director of Public Health : Major Development to Immunisation Programmes in Scotland Implications for NHSGGC
More informationabcdefghijklmnopqrstu
Chief Medical Officer and Public Health Directorate Dear Colleague abcdefghijklmnopqrstu CMO 9 (2009) ROUTINE SEASONAL INFLUENZA IMMUNISATION FOR POULTRY WORKERS IN 2009-10 1. I am writing to inform you
More informationPreparing For Pandemic Influenza: What the CDC and HHS Recommend You Can Do
Preparing For Pandemic Influenza: What the CDC and HHS Recommend You Can Do Based on current data and information from the Centers for Disease Control (CDC) and the U.S. Department Health and Human Services
More information6.1.2 Other multi-agency groups which feed into the ADP and support the on-going work includes:
6. ALCOHOL AND DRUGS PLANNING FRAMEWORK 6.1 Analysis of Local Position 6.1.1 The Alcohol and Drug Partnership (ADP) in Renfrewshire has responsibility for local planning of alcohol and drug services. ADPs
More informationCABINET PROCURING A SUBSTANCE MISUSE & COMMUNITY TREATMENT SERVICE IN RUTLAND
CABINET Report No: 105/2017 PUBLIC REPORT 16 May 2017 PROCURING A SUBSTANCE MISUSE & COMMUNITY TREATMENT SERVICE IN RUTLAND Report of the Director of Public Health Strategic Aim: Safeguarding Key Decision:
More informationNHS Rotherham Clinical Commissioning Group
NHS Rotherham Clinical Commissioning Group Operational Executive: 2 nd November 2015 Governing Body: 4 th November 2015 Review of Stroke Care Pathway GP Lead: Dr Phil Birks Lead Executive: Keely Firth
More informationBUSINESS CONTINUITY PLAN FOR PANDEMIC FLU
BUSINESS CONTINUITY PLAN FOR PANDEMIC FLU Service Name : Theatre Booking Objectives Provision of operating dates for all admitted patients within Salisbury Foundation Trust, including any preadmission
More informationFlu Policy. Faculty of Computer Science September, 2009
Flu Policy Faculty of Computer Science September, 2009 This policy has been developed in response to the potential impact that the H1N1 flu virus may have on the Dalhousie Faculty of Computer Science community,
More informationBrighton and Sussex University Hospitals NHS Trust Board of Directors. Mark Smith Chief Operating Officer
Meeting: Brighton and Sussex University Hospitals NHS Trust Board of Directors Date: 24 th August 2015 Board Sponsor: Paper Author: Subject: Mark Smith Chief Operating Officer Clinical Director and Directorate
More informationEmergency Preparedness, Resilience and Response Strategic Pandemic Influenza Plan
A Complete Emergency Preparedness, Resilience and Response Strategic Pandemic Influenza Plan Version 6.1 April 2015 1.1 Document Control Document Title Lead Officer Author(s) (name and designation) Ratified
More informationGOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4
GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services
More informationPandemic Flu Plan. Revision #7, September Reviewed: 5/06, 7/06, 9/06, 2/07, 12/08, 09/09 Revised: 6/06, 8/06, 9/06, 2/07, 03/09, 09/09
Pandemic Flu Plan Revision #7, September 2009 Reviewed: 5/06, 7/06, 9/06, 2/07, 12/08, 09/09 Revised: 6/06, 8/06, 9/06, 2/07, 03/09, 09/09 Revision #7, May, 2009 Page 2 of 152 Disclaimer: This plan was
More informationBest practice case studies
Best practice case studies NHS Fife Flu Fighters campaign 2017/18 NHS Fife s flu campaign, dedicated to driving up staff flu vaccinations during the 2017/18 flu season, saw uptake rates soar to over 50%,
More informationImplementation guide. Pandemic flu kit
Implementation guide Implementation guide Disclaimer The information set out in this publication is current at the date of first publication; it is intended for use as a guide of a general nature only
More informationAneurin Bevan Health Board. Measles Emergency Response
Measles Emergency Response 1. Introduction The purpose of this paper is to inform the Board of the Measles Emergency Response measures and the work underway to try to prevent an epidemic of measles in
More informationThe Ayrshire Hospice
Strategy 2010-2015 Welcome... The Ayrshire Hospice : Strategy 2010-2015 Index 05 06 08 09 10 12 15 17 19 Foreword Our vision and purpose Our guiding principles Our achievements 1989-2010 Our priorities
More informationMarie Valente, Head of NHSGGC Child Protection Unit
Guideline for Emergency Departments, Minor Injury Units and Receiving Units where a child or young person presents under the influence of alcohol and/or drugs Lead Manager: Marie Valente, Head of NHSGGC
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician GMCN ROYAL WOLVERHAMPTON HOSPITALS The Royal Wolverhampton Hospitals Trust Lung MDT (11-2C-1) - 2011/12 Dr Angela Morgan
More informationDUMFRIES AND GALLOWAY ALCOHOL AND DRUG PARTNERSHIP; PRIORITY ACTIONS AND
DUMFRIES AND GALLOWAY ALCOHOL AND DRUG PARTNERSHIP; PRIORITY ACTIONS 2013-14 AND 2014-15 RECOMMENDATION/WORKPLAN CURRENT POSITION IN D & G PLAN 1. Annual Report 1.1 Develop robust reporting mechanisms
More informationSOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS)
SOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS) REVIEW AND DEVELOPMENT PLAN 2013 2016 1 EXECUTIVE SUMMARY Solihull Bereavement Counselling Service (SBCS) is a charity which provides specialist bereavement
More informationNHS GRAMPIAN. NHS Grampian Dental Plan 2020 and the Current Challenges within Grampian
NHS GRAMPIAN Board Meeting 04 06 15 Open Session Item 7.3 NHS Grampian Dental Plan 2020 and the Current Challenges within Grampian 1. Actions Recommended The Board is asked to: Note the continued improvements
More informationThe NHS Cancer Plan: A Progress Report
DEPARTMENT OF HEALTH The NHS Cancer Plan: A Progress Report LONDON: The Stationery Office 9.25 Ordered by the House of Commons to be printed on 7 March 2005 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL
More informationItem No: 6. Meeting Date: Tuesday 12 th December Glasgow City Integration Joint Board Performance Scrutiny Committee
Item No: 6 Meeting Date: Tuesday 12 th December 2017 Glasgow City Integration Joint Board Performance Scrutiny Committee Report By: Susanne Millar, Chief Officer, Strategy & Operations / Chief Social Work
More informationALCOHOL AND DRUGS PLANNING FRAMEWORK
ALCOHOL AND DRUGS PLANNING FRAMEWORK 1. NATIONAL CONTEXT 1.1 Scotland continues to have the highest alcohol and drug-related death rates in the UK with drug and alcohol problems particularly affecting
More informationNHS Sheffield Community Pharmacy Catch Up Seasonal Flu Vaccination Programme for hard to reach at risk groups
NHS Sheffield Community Pharmacy Catch Up Seasonal Flu Vaccination Programme for hard to reach at risk groups 2011-12 Service Evaluation Supported by Sheffield Local Pharmaceutical Committee Supporting
More informationAyrshire and Arran NHS Board
Paper 4 Ayrshire and Arran NHS Board Monday 11 ember Healthcare Associated Infection Reporting Template Report Author: Bob Wilson, Infection Control Manager Sponsoring Director: Professor Hazel Borland,
More informationNHS England Activity Report. Fiona Theadom. Primary Care Commissioning Committee
Agenda18.98 Subject: Presented by: Submitted to: Purpose of Paper: NHS England Activity Report Fiona Theadom Primary Care Commissioning Committee To note Executive Summary: This briefing paper sets out
More informationEngaging with our stakeholders
Engaging with our stakeholders Report to: Board Date: 27 June 2014 Report by: Report No: Jenny Copland, Senior Communications Adviser Agenda Item: 6.3 PURPOSE OF REPORT To propose a format and processes
More informationMEDICAL OFFICES AND CLINICS PANDEMIC INFLUENZA PLANNING CHECKLIST
MEDICAL OFFICES AND CLINICS PANDEMIC INFLUENZA PLANNING CHECKLIST Planning for pandemic influenza is critical for ensuring a sustainable healthcare response. The Department of Health and Human Services
More informationUniversity of Prince Edward Island PANDEMIC PREPAREDNESS PLAN. October 7, 2009
University of Prince Edward Island PANDEMIC PREPAREDNESS PLAN October 7, 2009 University of Prince Edward Island PANDEMIC PREPAREDNESS PLAN Table of Contents Page 1.0 Introduction 3-6 1.1 Objective 1.2
More informationBedfordshire, Luton and Milton Keynes (BLMK) Sustainability and Transformation Partnership (STP) Central Brief: October 2017
Bedfordshire, Luton and Milton Keynes (BLMK) Sustainability and Transformation Partnership (STP) Central Brief: October 2017 Issue date: 2 November 2017 News Work progresses on proposed merger of Bedfordshire
More informationGateway reference : 13683
Gateway reference : 13683 Richmond House 79 Whitehall London SW1A 2NS 020 7210 4340 ian.dalton@dh.gsi.gov.uk TO: All Chief Executives in NHS Trusts in England, All Chief Executives in Primary Care Trusts
More informationNHS Sheffield Community Pharmacy Seasonal Flu Vaccination Programme for hard to reach at risk groups (and catch up campaign for over 65s)
NHS Sheffield Community Pharmacy Seasonal Flu Vaccination Programme for hard to reach at risk groups 2012-13 (and catch up campaign for over 65s) Service Evaluation! Supported by Sheffield!Local!Pharmaceutical!Committee!
More informationManagement of Severe Influenza, Pandemic Influenza and Emerging Respiratory Illnesses in Australasian Emergency Departments
May 2014 Management of Severe Influenza, Pandemic Influenza and Emerging Respiratory Illnesses in Australasian Emergency Departments AUSTRALASIAN COLLEGE FOR EMERGENCY MEDICINE PURPOSE A resource that
More informationCorporate Parenting Plan
Corporate Parenting Plan 2016-2018 Plan: Corporate Parenting Author: Lorna Jenkins, ; Jill Davie, Schools & Community Planning Officer Published: June 2016 Review Date: April 2018 Equality and diversity
More informationEMEA PANDEMIC INFLUENZA CRISIS MANAGEMENT PLAN FOR THE EVALUATION AND MAINTENANCE OF PANDEMIC INFLUENZA VACCINES AND ANTIVIRALS
European Medicines Agency London, 21 August 2006 Doc. Ref. EMEA/214301/2006 EMEA PANDEMIC INFLUENZA CRISIS MANAGEMENT PLAN FOR THE EVALUATION AND MAINTENANCE OF PANDEMIC INFLUENZA VACCINES AND ANTIVIRALS
More informationThis paper contains analysis of the results of these processes and sets out the programme of future development.
Fitness to Practise Committee, 14 February 2013 HCPC witness support programme Executive summary and recommendations Introduction This paper outlines the approach taken by HCPC in relation to witness management
More information18 WEEK RTT RECOVERY PLAN. April 2015
18 WEEK RTT RECOVERY PLAN April 2015 1. Background WHHT is not currently compliant with the national RTT standards which require 95% of non-admitted and 90% of admitted patients to receive their elective
More informationMeeting the Future Challenge of Stroke
Meeting the Future Challenge of Stroke Stroke Medicine Consultant Workforce Requirements 2011 201 Dr Christopher Price BASP Training and Education Committee Stroke Medicine Specialist Advisory Committee
More informationPANDEMIC INFLUENZA PLAN
PANDEMIC INFLUENZA PLAN Sheffield Health and Social Care (SHSC) NHS Foundation Trust In the event of a Flu Pandemic turn to Page 11: Action Cards for the Accountable Emergency Officer in the first instance
More informationVolunteering in NHSScotland Developing and Sustaining Volunteering in NHSScotland
NG11-07 ing in NHSScotland Developing and Sustaining ing in NHSScotland Outcomes The National Group for ing in NHS Scotland agreed the outcomes below which formed the basis of the programme to develop
More informationHealth and Safety Committee October Pandemic Influenza Preparedness
The University of Edinburgh Health and Safety Committee October 2009 Pandemic Influenza Preparedness Brief description of the paper This Paper summarises the current state of play as regards the University
More informationCANCER IN SCOTLAND: ACTION FOR CHANGE The structure, functions and working relationships of Regional Cancer Advisory Groups
CANCER IN SCOTLAND: ACTION FOR CHANGE The structure, functions and working relationships of Regional Cancer Advisory Groups Introduction/Background 1. Our National Health: A Plan for action, a plan for
More informationIntegrated Cancer Services Action Plan. Colchester Hospital University NHS Foundation Trust 31 March 2014
Integrated Cancer Services Action Plan Colchester Hospital University NHS Foundation Trust 31 March KEY Implemented, clearly evidenced and externally approved On Track to deliver Some issues narrative
More informationInfluenza A/H1N1v Pandemic in Grampian April 2009 February 2010
Influenza A/H1N1v Pandemic in Grampian April 2009 February 2010 Dr Helen Howie, Consultant in Public Health Medicine Mrs Dianne Donald, Civil Contingencies Manager On behalf of the Director of Public Health
More informationUnited States Fire Administration. Pandemic Influenza. Planning and Preparation Best Practices Model Draft Version 1.
United States Fire Administration Pandemic Influenza Planning and Preparation Best Practices Model Draft Version 1.0 December 6, 2006 United States Fire Administration Emergency Responder and Pandemic
More informationSmoke Free Policy. Printed copies must not be considered the definitive version. Policy Group. Author Version no 3.0
Smoke Free Policy Printed copies must not be considered the definitive version Policy Group DOCUMENT CONTROL POLICY NO Smoke Free Grounds Author Version no 3.0 Reviewer Smoke Free Working Group Implementation
More informationSwine Flu Pandemic Policy Llanishen High School
2009/2010 Swine Flu Pandemic Policy Llanishen High School This document contains the specific policy and associated information relating to the Swine Flu Pandemic and how it could possible affect Llanishen
More informationWhat s the latest on the staff vaccination programme for swine flu?
H1N1 VACCINATION PROGRAMME Healthcare professional Q&A What s the latest on the staff vaccination programme for swine flu? Scientists have now developed an approved vaccine for the A(H1N1) or Swine Flu
More information2010 National Audit of Dementia (Care in General Hospitals) North West London Hospitals NHS Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth West London Hospitals NHS Trust The 2010 national audit
More informationBORDERS ALCOHOL AND DRUGS PARTNERSHIP (ADP) DELIVERY PLAN UPDATE FOR CPP STRATEGIC BOARD. Fiona Doig. 1 September 2016
BORDERS ALCOHOL AND DRUGS PARTNERSHIP (ADP) DELIVERY PLAN 2015-2018 UPDATE FOR CPP STRATEGIC BOARD Fiona Doig 1 September 2016 CONTENTS Contents 1 troduction... 3 2 ADP Strategy Priorities for 2015-16...4
More informationYoung onset dementia service Doncaster
Young onset dementia service Doncaster RDaSH Older People s Mental Health Services Introduction The following procedures and protocols will govern the operational working and function of the Doncaster
More informationIMMUNISATION PROGRAMMES IN NHS GREATER GLASGOW AND CLYDE
NHS Greater Glasgow & Clyde NHS BOARD MEETING Jennifer Reid and Dr Syed Ahmed 16 th August 2016 Paper No: 16/51 Insert Title of NHS Board Paper Here IMMUNISATION PROGRAMMES IN NHS GREATER GLASGOW AND CLYDE
More informationContents. Flu and Infectious Disease Outbreaks Business Continuity Plan
Contents What is a business continuity plan?... 1 Is a plan for an infectious disease different than... 1 regular business resumption plan? Why will people be off work?... 2 If there is a pandemic flu,
More informationSHETLAND NHS BOARD NEWS RELEASE
SHETLAND NHS BOARD NEWS RELEASE Seasonal flu immunisation The seasonal flu immunisation campaign started on 1 st October. As in previous years, people in Shetland aged 65 and over, along with pregnant
More information2010 National Audit of Dementia (Care in General Hospitals) Guy's and St Thomas' NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Guy's and St Thomas' NHS Foundation Trust The 2010 national
More informationInitiation of Clozapine Treatment Community Patients
Initiation of Clozapine Treatment Community Patients Who Should Read This Policy Target Audience All clinical staff working in the community N/A N/A Initiation of Clozapine Treatment for Patients in the
More informationHEALTHWATCH AND HEALTH AND WELLBEING BOARDS
HEALTHWATCH AND HEALTH AND WELLBEING BOARDS INTRODUCTION In April 2013 local Healthwatch organisations came into being. The national body, Healthwatch England, with clear responsibilities and powers, was
More informationAyrshire and Arran NHS Board
Paper 3 Ayrshire and Arran NHS Board Monday 19 Healthcare Associated Infection Position Report Author: Bob Wilson, Infection Control Manager Babs Gemmell, Business Manager Sponsoring Director: Fiona McQueen,
More informationADMINISTRATIVE POLICY & PROCEDURE SUPERCEDES
SUBJECT ADMINISTRATIVE POLICY & PROCEDURE SUPERCEDES May 2001, October 2008, September 2009, October, 2010,October 2012 POLICY NO: S 1 of 6 APPROVAL Senior Leadership Team : AMENDED: Occupational Health
More informationSafeguarding Children and Young People Policy
Safeguarding Children and Young People Policy Policy Summary This policy outlines our commitment to keeping the children and young people who engage with the Red Cross safe. It outlines the expectations
More informationInformation for general practitioners
Information for general practitioners Mycobacterium chimaera: Assessing patients who have had cardiothoracic surgery or extracorporeal membrane oxygenation (ECMO) Background It is now recognised that patients
More informationJustice Committee. Alternative Dispute Resolution. Written submission from Scottish Mediation
Justice Committee Alternative Dispute Resolution Written submission from Scottish Mediation The Availability of Mediation in Scotland 1. Introduction Scottish Mediation are delighted to be invited to the
More informationAppendix C. Aneurin Bevan Health Board. Smoke Free Environment Policy
Appendix C Aneurin Bevan Health Board Smoke Free Environment Policy Content 1. Policy statement 2. Introduction 3. Smoking restrictions within the Health Board 4. Responsibilities 5. Staff working in patients
More informationMinutes of the 17 th Trust Board Meeting held on 12 th November 2009 at 10.00am, in the Betty Chambers Room, Musgrave Park Hospital
Minutes of the 17 th Trust Board Meeting held on 12 th November 2009 at 10.00am, in the Betty Chambers Room, Musgrave Park Hospital Present: Mr P McCartan Mr W McKee Professor E Evason Dr V McGarrell Ms
More informationActivity Report July 2012 June 2013
Urological Cancers Managed Clinical Network Activity Report July 2012 June 2013 Mr Seamus Teahan Consultant Urologist MCN Clinical Lead Tom Kane MCN Manager 1 CONTENTS EXECUTIVE SUMMARY 3 1. INTRODUCTION
More informationNHS TAYSIDE RESPIRATORY MANAGED CLINICAL NETWORK BOARD TAYSIDE RESPIRATORY MANAGED CLINICAL NETWORK: ANNUAL REPORT
NHS TAYSID RSPIRATORY MANAGD CLINICAL NTWORK BOARD TAYSID RSPIRATORY MANAGD CLINICAL NTWORK: 2013-14 ANNUAL RPORT The Respiratory MCN Work plan for 2013-14 was agreed by the Respiratory MCN xecutive Board
More informationInfluenza Campaign (Wales) Code of Practice (The Flu Code)
Influenza Campaign (Wales) Code of Practice (The Flu Code) May 2016 Public Health Wales Influenza Campaign (Wales) Code of Practice Purpose and Summary of Document: This code of practice sets out the minimum
More informationMeeting of Bristol Clinical Commissioning Group Governing Body
Meeting of Bristol Clinical Commissioning Group Governing Body To be held on Tuesday 24 February 2015 commencing at 13:30 at the Vassall Centre, Gill Avenue, Bristol, BS16 2QQ Title: OFSTED Report Agenda
More informationMental Health Foundation Job Description
Mental Health Foundation Job Description Communication & Engagement Manager July 2016 Dear Applicant We are a leading UK charity in the field of mental health. For 65 years we have been the source of fresh
More informationLOCAL EQUALITY ADVISORY FORUM (LEAF) A Staffordshire CCGs Equality & Inclusion Group. Terms of Reference
LOCAL EQUALITY ADVISORY FORUM (LEAF) A Staffordshire CCGs Equality & Inclusion Group Terms of Reference (1) Introduction and Purpose Promoting equality and inclusion is at the heart of our values. We will
More informationSwine Flu. Media Briefing. 13 January 2011
Swine Flu Media Briefing 13 January 2011 Overview Systems for monitoring swine flu Pattern of flu in Northern Ireland Updated swine flu deaths Vaccination programme Systems for Monitoring Flu Special arrangements
More informationBoard of Management Students, Staff & Equalities Committee
Board of Management s, Staff & Equalities Committee Date of Meeting Wednesday 24 October 2018 Paper No. SSEC2-J Agenda Item 13 Subject of Paper FOISA Status Primary Contact Date of production Action British
More information