Under the Civil Contingencies Act 2004, the Trust is required to plan for major incidents and put strategies in place to return to ‘business as normal’ as soon as possible after an event. The Trust works closely with partner agencies to share information, participate in joint training and exercising and devise consistent plans for implementation in an emergency.
An emergency is an event that threatens human welfare or the environment, or a major security incident or threat such as a terrorist act or war. Emergencies could strike at any time, and the Trust’s patients, service users, staff and others involved in our business could be severely affected by a major flood, fire, failure of utility services or severe weather such as heavy snow, heatwave or a period of very cold weather.
A major incident or emergency may also result in damage to an extent where facilities such as wards or clinics need to be evacuated, or conversely people may be required to stay inside a building for a period of time.
This is the general term for work that the Government, the NHS, emergency services, local authorities etc. all routinely do to prepare for an emergency situation.
Under the Civil Contingencies Act 2004, the Trust is required to plan for major incidents and put strategies in place to return to ‘business as normal’ as soon as possible after an event. This of course necessitates working with partner agencies to share information, participate in joint training and exercising and devise consistent plans for implementation in an emergency.
Role of the Trust
- To have plans in place for major incidents and business continuity. The Trust has a corporate Major Incident Plan and separate Business Continuity Plan, and individual service lines have their own Business Continuity Plans to reflect their specific areas of operation.
- To train staff to enable them to manage a major incident or emergency
- To actively participate in multi-agency partnership working with other interested parties i.e. Local Authorities, Police, London Fire Brigade, London Ambulance Service, Voluntary Sector
- To share information with those who may be affected by our activities
A major incident is something which by definition cannot be managed internally by the Trust so partnership working is absolutely vital to ensure that there is a coordinated response to emergency situations so that disruption to patients, service users, staff and other people affected by our activities is kept to a minimum. The Trust fulfils its obligations in respect of partnership working by:
- Attending Borough Resilience Forums in Barnet, Enfield and Haringey. These are multi-agency committees where emergency planning issues in all three boroughs are discussed and coordinated responses agreed.
- Participating in ‘table-top’ and live exercises in all three boroughs designed to test existing arrangements and identify where improvements are needed.
- Participating in Sector and London based NHS major incident meetings and training exercises.
- Sharing information with partner agencies regarding threats to human welfare.
- Reviewing and revising its major incident and business continuity plans in light of changing circumstances.
Community Risk Register
Barnet Enfield and Haringey boroughs are part of the North Central London sector, and risks in these boroughs are documented in a community risk register. A risk level is assigned based on the likelihood that an incident may take place, and the potential impact it could have. This directs borough planning and ensures that the North Central London sector is prepared for the emergencies or risks most likely to occur, and which will have the biggest impact. The major risks in the North Central London sector are flooding, industrial accident, infectious disease outbreak, terrorism, loss of utilities, transport accidents.
Trust Risk Register
The Trust Risk Register works exactly in the same way as the community risk register i.e. identification of emergency situations or risks, an assessment of how likely they are, and an evaluation of their impact. Broadly speaking, the main emergencies affecting the Trust are likely to be:-
a) Loss or lack of availability of staff (through infectious disease, bad weather causing transport difficulties)
b) Loss of key buildings (through fire, flood, explosion, terrorist incident)
c) Loss of or damage to I/T systems causing communication and information difficulties
d) Loss of key partners – disruption of supplies such as food, laundry, utilities etc.
Trust and Service Line Business Continuity Plans are separate from but operate alongside the Trust Major Incident and Emergency Preparedness Plan and are designed to mitigate disruption caused by the above.
For further information or emergency planning and business continuity planning please contact:
Non-Clinical Risk Team
c/o Ivy House, Chase Farm Hospital
Tel: 020 8702 6293
Fax: 020 8375 7106
Out of hours Senior Management can be contacted via an on-call system through St Ann’s switchboard: 020 8702 3000
Always call ‘999’ in an emergency for police, fire and ambulance