Health Emergency Preparedness and Response

231 Pages·2016·5.61 MB·English

by  Chloe Sellwood

H e P r
ealtH mergency reParedness and esPonse
Andy dedicates this book to all those who have inspired him and supported
him throughout his career. Derek, Tony and Mick have been inspirational in
their leadership of emergency planning and response. Their experiences and
progressive thinking have constantly been a source of motivation.
Andy’s parents Pat and Barry, and partner Stuart have provided unques-
tionable support in his passion for evidence-based practice and education in
emergency preparedness, resilience and response. Their encouragement and
endless supply of tea have helped to make this book possible.
Chloe would like to thank family, friends and colleagues for their support
and input, and for making the field of health emergency preparedness,
resilience and response continuously challenging, interesting and enjoyable.
H e
ealtH mergency
P r
reParedness and esPonse
Edited by
Chloe Sellwood
BSc (Hons), PhD, FRSPH, DipHEP
National Lead Pandemic Influenza, NHS England
Honorary Associate Professor, Health Emergency Preparedness, Resilience and
Response, University of Nottingham
and
Andy Wapling
OStJ, MSc, FRSPH, FICPEM
Regional Head of Emergency Preparedness, Resilience and Response, NHS
England (South)
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may be reproduced in any form or by any means, electronically,
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A catalogue record for this book is available from the British Library, London, UK.
Library of Congress Cataloging-in-Publication Data
Names: Sellwood, Chloe, editor. | Wapling, Andy, editor.
Title: Health emergency preparedness and response / edited by Chloe Sellwood
and Andy Wapling.
Description: Wallingford, Oxfordshire, UK ; Boston, MA : CABI, [2016] |
Includes bibliographical references and index.
Identifiers: LCCN 2016013450| ISBN 9781780644554 (alk. paper) | ISBN
9781786390431 (epub) | ISBN 9781786390431 (PDF)
Subjects: | MESH: Disaster Planning--organization & administration |
Emergencies | Risk Management | Emergency Medical Services | Public
Health | Health Policy
Classification: LCC RA645.5 | NLM WA 295 | DDC 363.34/8--dc23 LC
record available at
http://lccn.loc.gov/2016013450
ISBN-13: 978 1 78064 455 4
Commissioning editors: Rachel Cutts and Caroline Makepeace
Associate editor: Alexandra Lainsbury
Production editor: Tracy Head
Typeset by SPi, Pondicherry, India.
Printed and bound in the UK by CPI Group (UK) Ltd, Croydon, CR0 4YY.
Contents
Contributors vii
About the Editors ix
Preface xi
1 Introduction: Why Do We Need to Prepare? 1
C. Sellwood and A. Wapling
2 The Planning Process 10
C. Sellwood and A. Wapling
3 Risk Assessment 18
J. Bush
4 Writing an Emergency Plan 30
A. Wapling
5 Emergency Planning and Response: Working in Partnership 37
S. Lewis
6 Interprofessional Working: Understanding Some Emotional
Barriers and Unconscious Processes That Might Influence
Practice in Group and Team Work 50
P. Sully
7 Command, Control and Communication 60
A. Rowe and P. Thorpe
8 Communications During a Health Emergency 72
J. Cole
v
vi Contents
9 Psychosocial and Mental Health Care Before, During and
After Emergencies, Disasters and Major Incidents 82
R. Williams and V. Kemp
10 Business Continuity 99
J. Hebdon
11 Training and Exercising for Emergency Preparedness,
Resilience and Response 109
R. Ellett and A. Wapling
12 Post-incident Follow-up 126
K. Reddin and G. Macdonald
13 Mass Casualty Incidents 138
M. Shanahan
14 Preparedness and Response to Pandemics and Other
Infectious Disease Emergencies 152
J.S. Nguyen-Van-Tam and P.M.P. Penttinen
15 CBRN Incidents 166
R.P. Chilcott and S.M. Wyke
16 A Military Case Study 181
D. Ross and A. Charnick
17 From Pandemics to Earthquakes: Health and Emergencies
in Canterbury, New Zealand 194
A. Humphrey
Index 211
Contributors
Jacky Bush, MSc DipFM DipHEP, Corporate Risk Manager, Waitemata District
Health Board, New Zealand
Andrew Charnick, CMCIEH Grad IOSH AMEPS, Former Defence Specialist
Advisor in Environmental Health, Army Health Unit, Former Army Staff
College, Surrey, UK
Professor Robert P. Chilcott, Head of Toxicology, Department of Pharmacy,
University of Hertfordshire, Hatfield, UK
Jennifer Cole, Senior Research Fellow, Resilience and Emergency Management,
Royal United Services Institute, London, UK
Rob Ellett, Former Fire Commander, Humberside Fire and Rescue Service; and Course
Director at the Emergency Planning College, Easingwold, Yorkshire, UK
James Hebdon, Emergency Preparedness, Resilience and Response Senior Officer,
NHS England Central Team, UK
Dr Alistair Humphrey, Canterbury Medical Officer of Health, Christchurch, New
Zealand
Verity Kemp, Director, Healthplanning Ltd; and Associate, Welsh Institute for
Health and Social Care, University of South Wales, Pontypridd, UK
Simon Lewis, Head of Crisis Response, British Red Cross, London, UK
Gordon Macdonald, Director of Studies, Organisational Resilience Programmes,
Loughborough University, Loughborough, UK
Professor Jonathan S. Nguyen-Van-Tam, MBE BMedSci BM BS DM CSci
CBiol FFPH FRCPath Hon FFPM FRSPH FSB, Professor of Health
Protection, University of Nottingham School of Medicine, Nottingham, UK
Dr Pasi M.P. Penttinen, MD MPH PhD, Head of Disease Programme: Influenza
and other Respiratory Viruses, European Centre for Disease Prevention and
Control (ECDC), Solna, Sweden
Dr Karen Reddin, Strategic Emergency Planning Manager, Public Health England,
London, UK
vii
viii Contributors
David Ross, QHP MSc MBBS MRCGP FRCPCH FFPHM FFTM
RCPS(Glasg) L/RAMC, Parkes Professor of Preventive Medicine, Army
Health Unit, Former Army Staff College, Surrey, UK
Anthony Rowe, QPM, Retired Metropolitan Police Operational Commander,
London, UK; and Service Senior Emergency Planning Manager for the London
Ambulance Service NHS Trust, London, UK
Philippa Sully, MSc RN RM RHV CertEd RNT CC Relate, Honorary
Visiting Researcher, Department of Psychology, University of Westminster,
London, UK
Dr Chloe Sellwood, BSc (Hons) PhD FRSPH DipHEP, National Lead
Pandemic Influenza, NHS England, London, UK; and Honorary Associate
Professor, Health Emergency Preparedness Resilience and Response, University
of Nottingham, Nottingham, UK
Mike Shanahan, Head of Special Operations, Yorkshire Ambulance Service NHS
Trust, UK
Peter Thorpe, Executive Director of the British Columbia Ambulance Service,
Canada; previously Head of Olympic Planning for the London Ambulance
Service NHS Trust, London, UK
Andy Wapling, OStJ MSc FRSPH FICPEM, Regional Head of Emergency
Preparedness, Resilience and Response, NHS England (South), UK
Professor Richard Williams, OBE TD MB ChB FRCPsych FRCPCH DPM
DMCC MHSM MIoD, Emeritus Professor of Mental Health Strategy, Welsh
Institute for Health and Social Care, University of South Wales, Pontypridd, UK
Dr Stacey M. Wyke, Principal Public Health Scientist, Centre for Radiation,
Chemical and Environmental Hazards, Public Health England, Chilton, UK
About the Editors
Chloe Sellwood, BSc (Hons) PhD FRSPH DipHEP, is the National Lead
Pandemic Influenza for National Health Service (NHS) England, within
the Emergency Preparedness, Resilience and Response (EPRR) Team. She
leads NHS England internal pandemic influenza preparedness as a subject
matter expert and is coordinating national pandemic preparedness across
the NHS, with a specific focus on London. Her experience in pandemic in-
fluenza ranges from local to international levels and encompasses scientific,
strategic and operational aspects, in both preparedness and response. She
spent over 7 years at the Health Protection Agency, including 3 years as the
Senior Scientist and Coordinator of the Pandemic Influenza Office. In 2008
she joined NHS London (the then strategic health authority for London) as
the Pandemic Influenza Resilience Manager and was heavily involved in the
response to the swine flu pandemic. In 2010 she assumed the additional role
of 2012 Health Resilience for the NHS across London for the Olympic and
Paralympic Games. Since autumn 2014 she assumed the strategic leadership for
NHS Ebola preparedness in London. She is the co-editor of, and a contributing
author to, two textbooks on pandemic influenza, as well as many other articles
and papers on influenza resilience. She has worked with the World Health
Organization and the European Centre for Disease Prevention and Control on
international consultations, as well as on secondment to the Department of
Health (England) Pandemic Influenza Preparedness Programme.
Andy Wapling, OStJ MSc FRSPH FICPEM, is the Head of Emergency
Preparedness, Resilience and Response for NHS England South Region.
Andy provides strategic leadership and assurance across providers and com-
missioners of NHS-funded care for a quarter of the UK population. Andy
has been involved in emergency preparedness for over 20 years where he
has worked in private, voluntary and public sector organizations. He has
been directly involved in the response to many emergencies including the
ix