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Primary Care Primary Care Emergency Planning Emergency Planning
A tool kit to assist General A tool kit to assist General Practices in preparing a Practices in preparing a Service Continuity PlanService Continuity Plan
Why Plan at allWhy Plan at all
Nothing ever goes wrong here!Nothing ever goes wrong here! We have a great practice manager We have a great practice manager
who can always be relied on to sort it who can always be relied on to sort it out!out!
The PCT will always have to bail us The PCT will always have to bail us out if the worst happens!out if the worst happens!
Planning won’t make matters any Planning won’t make matters any better!better!
Risk assessmentRisk assessment Carry out a risk assessment Carry out a risk assessment
for your area and practicefor your area and practice Rate those you rate as high Rate those you rate as high
risk of severe impact to risk of severe impact to service provision or high service provision or high likelihood of happeninglikelihood of happening
Those who score high for both Those who score high for both risk and likelihood need risk and likelihood need particular attentionparticular attention
CommunicationsCommunications
Always a problem area with Always a problem area with real incidentsreal incidents
Can you communicate with Can you communicate with your staff, patients or PCT your staff, patients or PCT during an emergency?during an emergency?
Does your communication Does your communication work without power to the work without power to the building? building?
Can you access email outside Can you access email outside the practice?the practice?
Command and ControlCommand and Control
Who would command duringWho would command during
• A practice incident?A practice incident?
• A major incident?A major incident?
• A pandemic?A pandemic?
UtilitiesUtilities
How long can you provide a service How long can you provide a service without power?without power?
What limitations are there on the What limitations are there on the service?service?
Do you have a prepared fall back Do you have a prepared fall back position?position?
Evacuation PlanEvacuation Plan
If you needed to evacuate your If you needed to evacuate your premises how would it work?premises how would it work?
Do people know what is expected of Do people know what is expected of them?them?
Have you practiced?Have you practiced?
Infection ControlInfection Control
How would you manage an How would you manage an infectious patient presenting to infectious patient presenting to your premises?your premises?
Would the procedure be the Would the procedure be the same if they were same if they were contaminated? contaminated?
Do you have any protective Do you have any protective clothing or masks?clothing or masks?
Personal Protective EquipmentPersonal Protective Equipment
What have you got?What have you got?
Is it all in one place?Is it all in one place?
Can it be used in all Can it be used in all circumstances? Do you know its circumstances? Do you know its limitations?limitations?
Major IncidentsMajor Incidents
Do you have a role to play?Do you have a role to play?
Who would be in charge?Who would be in charge?
How quickly would normal service be How quickly would normal service be restored?restored?
Local supportLocal support
Have you talked to neighbouring Have you talked to neighbouring practices?practices?
Have you considered a mutual aid Have you considered a mutual aid agreement?agreement?
What support might you get from What support might you get from your PCT or ICT department?your PCT or ICT department?
Pandemic FluPandemic Flu
Consider minimum staffing requirementsConsider minimum staffing requirements
Need to prioritise workNeed to prioritise work
Contributions to services organised by PCT Contributions to services organised by PCT or localityor locality
Consider altered work patternsConsider altered work patterns
Different arrangements for Primary Different arrangements for Primary Care in a PandemicCare in a Pandemic
Guidance on arrangements may be Guidance on arrangements may be centralisedcentralised
Arrangements for patient assessment may Arrangements for patient assessment may be centrally coordinatedbe centrally coordinated
Doctors may need to work differentlyDoctors may need to work differently
Flexibility and cooperation will be requiredFlexibility and cooperation will be required
Plans and ActionsPlans and Actions
Write things downWrite things down
Action cards for key rolesAction cards for key roles
Set a review date for the planSet a review date for the plan
Test it and revise if appropriateTest it and revise if appropriate
Talk to your PCT Talk to your PCT
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