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1 Welcome to the Norfolk and Norwich University Hospital Corporate Induction - Distance Learning Package Emergency Planning Leaflet An Introduction to Emergency Preparedness, resilience and Response in the NHS Emergency Preparedness, Resilience and Response (EPRR) in the NHS Incidents are classed under the following definitions: Business Continuity Incident an event or occurrence that disrupts or might disrupt normal service delivery below acceptable pre-defined levels. Special arrangements are required to be implemented until services return to an acceptable level. (This could be a surge in demand requiring resources to be temporarily redeployed) Critical Incident any localised incident where the level of disruption results in the Trust temporarily or permanently losing its ability to deliver critical services, patients may have been harmed or the environment is not safe requiring special measures and support from other agencies to restore normal operating functions.

Emergency Planning Leaflet

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Welcome to the Norfolk and Norwich University Hospital

Corporate Induction - Distance Learning Package

Emergency Planning Leaflet

An Introduction to Emergency Preparedness, resilience and Response in the NHS

Emergency Preparedness, Resilience and Response (EPRR) in the NHS Incidents are classed under the following definitions: Business Continuity Incident – an event or occurrence that disrupts or might disrupt

normal service delivery below acceptable pre-defined levels. Special arrangements are required to be implemented until services return to an acceptable level. (This could be a surge in demand requiring resources to be temporarily redeployed)

Critical Incident – any localised incident where the level of disruption results in the Trust

temporarily or permanently losing its ability to deliver critical services, patients may have been harmed or the environment is not safe requiring special measures and support from other agencies to restore normal operating functions.

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Major Incident – any occurrence that presents serious threat to the health of the

community or causes such numbers of casualties as to require special arrangements to be implemented

Incident Levels

As an event evolves, it may be described in terms of its level below. For clarity these levels must be used by all organisations across the NHS when referring to incidents

Declaring an Incident Internal This would be declared by the on call Executive Director. Internal incidents affect the Trust’s Business Continuity such as a loss of utilities e.g. electricity/IT failure. Each department has a business continuity plan with actions to undertake for loss of services. All staff should ensure that they are familiar with these plans and their role

External The message will be telephoned to the Emergency Department (ED) dedicated number by one of the following standardised messages: Standby: This alerts the organisation that a Major Incident may be declared Declared: This alerts the organisation that they need to activate their Major Incident Response Plan and mobilise additional resources Cancelled: This message cancels either of the first two messages at any time Stand down: All receiving NHS organisations are alerted as soon as all casualties have left the scene. It is the responsibility of the receiving hospital to assess when it is appropriate for them to stand down

Trust response ED will communicate the incident to switchboard, the Operations Centre and Theatres. This will start a pre-defined communications cascade to the relevant personnel, wards and departments. The Hospital Control Room (HCR) from which the incident will be managed is the operations centre, East Block level 1.

What do you need to do?

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Ensure you have read the relevant plans (available on the intranet and in departments), and discuss your role with your manager

Ensure your manager has up to date contact details During an incident If you are at work, follow the instructions on your action card (if you have a specific role) or instruction from your line manager If you are called in to work ensure you have everything you might need – Trust ID, small amount of money, food, change of clothes (it may be safer for you to stay at work then travel home e.g. during a severe snow episode)

Please note: There is a pre-defined callout list.

If you are not at work, wait to be called – DO NOT just turn up at the hospital

Some incidents may attract media attention. It is vital that staff do not communicate with the media. This should be directed to the Communications Team After an incident A hot debrief is held immediately after the incident that all staff involved are invited to attend. There is a formal process for debriefing, and a cold debrief would be held at a later date Discuss any concerns with your line manager. Where can I find the plans? All of the Trust’s plans are held on the intranet. Departments may print off these documents but should remember the current version is the one held electronically. See overleaf how to access on the intranet

Emergency Planning & Business Continuity

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HOME

Civil Contingencies Act

Community Risk Register

Emergency Plans

Business Continuity

Cromer Hospital Plans

Contacts

Useful Links

Emergency Planning and Business Continuity A major Incident can occur at any time of the day or night, and it is vital that we are prepared and can respond.

What is an Emergency? The Civil Contingencies Act 2004 provides the definition of an emergency as:

An event or situation which threatens serious damage to human welfare

An event or situation which threatens serious damage to the environment

War, or terrorism, which threatens damage to security.

Preparedness Our Trust has a duty to assess the threats and risks that may affect the organisation, and to plan for the response and recovery should a major incident occur.

We also contribute to wider multi-agency planning through the Norfolk Resilience Forum and Local Health Resilience Partnership.

Response Every member of staff plays a vital role in ensuring a professional response to an emergency. It is therefore essential that you are familiar with your own departmental procedures and with the role you may be asked to provide during a major incident.

Recovery Recovery is the process of restoring the normal business of our Trust following a major incident.

Training and Exercising Our Trust has a duty to exercise (test) its plans as a minimum:

Communications exercise x2 per year

Table Top exercise x1 per year

Live exercise x1 every three years

We also need a number of loggists to record events. If you are interest in becoming a loggist please contact [email protected]

For further Information contact: Paul Holley-Smith, Trust Lead: Emergency Preparedness, Resilience, Response and Business Continuity [email protected] Telephone ext. 5907 Mobile: 07511 164052 or Dect 6053 Simon Wardale, Deputy EPRR Officer and Local Security Management Specialist [email protected] Telephone ext. 5789 Vincent Bennell, Deputy EPRR Officer [email protected]