UK Military

Operations Course

June 4-5 2008

Introduction

Geoff Farnworth Yorkshire Ambulance Service

Derek Bartrop North Yorkshire & York Primary Care

Trust

NHS Overview

Responsibilities in a Major

Incident

Capabilities and Assets

Requirements

• Ambulance Trust
• Primary Care Trusts
• Acute Trusts
• Foundation Trusts
• Mental Health Trusts
• Hospice
• Air Ambulances
• Community Hospitals –inc

MIU

• ISTC
• Independent Providers

(BUPA)

• Nursing Homes / Care

Homes

• Community Nursing Services

(

Health Visitors, School Nurses, District Nurses

)

• Walk-in-Centres
• Out-of-Hours Providers
• Voluntary Sector
• GPs (Doctors)
• GDPs (Dentists)
• Pharmacists
• Strategic Health Authority
• Health Protection Agency

Providers of Health
Services

Health response to Major
Incidents

Ambulance Service

Acute & Foundation
Hospitals

Primary Care Trust

Health Protection

Agency

Leads initial response within NHS
Responsible for communicating EP
messages
Triages, Treats & Transfers

Receive, triage, treat patients
Provide MERIT teams

Responsible for ensuring NHS plans
Co-ordination & Command of NHS
response
Response & Recovery Responsibilities

Provides specialist advice re health,
health issues, infections, risks

• Responsible for ensuring NHS plans
• Co-ordination & Command of NHS

response

• Identify vulnerable people and groups
• Provide Minor Injuries
• Nurses to Rest & Reception centres
• Replacement medications
• Supported Discharge
• Emergency Vaccination
• Ensuring Health advice to SCG & Public

(STAC)

• Assessment & Monitoring of survivors

PCT Responsibilities

YAS Responsibilities

• Co-ordinate the NHS response at the scene

of a major incident

• Nominate and Alert and liaise with receiving

hospitals and other NHS agencies

• Provide treatment, stabilisation, care and

transport of those injured at the scene

• Maintain emergency and routine cover for

the rest of the region

YAS Roles in a Major Incident

• Ambulance Incident Commander
• Forward Incident Commander
• Casualty Clearing Officer
• Parking Point Officer
• Staff Officer
• Loading Point Officer
• Hospital Liaison Officer
• Medical Incident Commander
• Loggist

PCT Roles in a Major Incident

• Gold

- Command of local NHS

• Silver - Incident

Liaison Officers

• Bronze -

Identify Vulnerable People

-

Minor Injuries Treatment

-

Nurses to Rest & Reception

Centre

• Health Advice
• Scientific & Technical Advice Cell

YAS Response Capabilities

• Accident and Emergency Service
• Patient Transport Service
• Air Ambulance
• BASICS
• Mobile Emergency Response Incident Teams
• Mutual Aid
• St John Ambulance
• British Red Cross Society
• Other Voluntary Agencies

YAS Specialist Assets

• CBRN Decontamination Providers

• Urban Search and Rescue

• Hazardous Area Response Teams (Jan

09)

• PODS

PCT Response Capabilities

• Local Response Teams
• Incident Liaison Officers
• Specialist skills & knowledge
• Health Protection / Infection Control
• Scientific Technical Advice Cell
• Mutual Aid
• Loggists

Summary

• Large number of NHS providers

- not all CCA responders

• YAS has specialist assets

• Include YAS & PCT
• Remember to communicate early

and often

Questions