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Primary Care Primary Care Emergency Planning Emergency Planning A tool kit to assist A tool kit to assist General Practices in General Practices in preparing a Service preparing a Service Continuity Plan Continuity Plan

Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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Page 1: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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

Page 2: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service 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!

Page 3: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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

Page 4: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 5: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 6: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 7: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 8: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 9: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 10: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 11: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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?

Page 12: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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

Page 13: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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

Page 14: Primary Care Emergency Planning A tool kit to assist General Practices in preparing a Service Continuity Plan

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