ON THE DAY - EMERGENCY PLAN Monday 2 April 2012

ASSUMING ACCESS TO THORNTON / PREMISES IS DENIED

STAFF Admin Lead s: Julie Winterbottom & Ann Riley Clinical Leads: Dr Matthew Fay & Dr Ruth Stockwell

Who Action plan confirmed Action plan still to confirm Thornton Medical Centre:

Dr Matt Fay and JW 7.30am - Confirm no access and instigate emergency plan Access maybe gained but there could be loss of some equipment. Items to be borrowed Inform Christine Temperley if not already on site and purchased as soon as possible

Christine Temperley Instigate legal / Police action as relevant to re-gain access Exactly what actions can be implemented and therefore length of time taken to regain Team Hudle Get together in practice car park to communicate access Emergency Action Plan

PCT staff (Cat Thatcher and 8.30am to distribute leaflets and direct patients. Leaflet others) gives Westcliffe emergency phone number.

Mike Edmundson 8am – coordinate PCT support

Thornton admin staff 8.30am start to arrive for work and await instruction. If access still denied: • Some distribute leaflets and start directing patients • Some move to Westcliffe to man phones • Some moved to alternative clinical sites to support clinical staff

8.30am start to arrive for work and await instruction. If Thornton clinical staff access still denied: • Some staff stay on site to help triage patients to relevant alternative sites Page 1

• Move to alternative clinical sites Unclear on what basis to move which clinical • Some may need to be mobilized to visit patients at staff to what site. See estates and equipment home plans

Keeping baby clinic and HCA blood clinic important – do not want to re-book these appts

Denholme Medical Centre

Dr Ruth Stockwell 7.30am – confirm no access to medical centre

PCT Staff (Helen Hawren) (Same as above plan for Thornton)

ALTERNATIVE PREMISES Lead : Mike Edmundson / John Watson

Where Action plan confirmed Action plan still to confirm Westcliffe Medical Centre Main base to re-house admin team – mtg room upstairs with access to phones and x 3 PCs S1with available

Room to re-house some clinics - possibly 4 consulting rooms available

Thornton Library PCT have secured.

Julie, Ruth and Matt will have with them that morning: X 2 couch X 1 defib ? X Denolme Mechanics John Watson to talk to council Monday Institute morning

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Thornton in-house Use of consulting room available. Pharmacy has pharmacy (Boots) separate entrance to actual medical centre

Mike meeting pharmacy staff 0830 monday

Denholme Pharmacy Possibility to use it consulting room – no contact made to them as yet

Wilsden Medical Centre Contact still to be made with Dr Sykes

CLINICAL CARE Leads: Dr Fay & Dr Stockwell - PHONES - CLINICAL TRIAGE - PRESCRIBING - LCD & NHS DIRECT SUPPORT

Wh at Action plan confirmed Action plan still to confirm Emergency number at Back office direct line number being advertised on patient Uncertain how to manage patient thereafter Westcliffe leaflets and website. Westcliffe staff to man until and not block phone lines. Phone system will Thornton/Denholme staff can get there. Desk allocated be tested with yet unknown issues to arise. upstairs Debbie Shaw at Westcliffe will take lead on this and liaise with clinicians, admin and Message to be put on this line acknowledging it is phone supplier to resolve any problems. Thornton emergency line and ask patients to ring back when normal service has resumed which may be later that day or tomorrow if they can wait. If they need clinical advice today they should hold and it will be answered as soon as possible.

Westcliffe /Thornton staff to create oncall rota on S1 to book patient into who need Doctor call back and triage

Staff confirm call is for clinical advice today and book call back appt with Doctor on S1. Checking patient phone number for Doctor to ring on and say will aim for within 1hr call back.

Main reception can see clinics on S1 so know to expect Page 3

any Thornton patients where Doctor has booked apt. Patient will be marked as arrived.

Thornton admin staff to liaise with transport coordinator for Uncertain how to coordinate transport those patients needing transport to get to alternative site requests

If clinically safe to do so patient has telephone consultation. If need appt will be offered one at Westcliffe Uncertain how to coordinate staff for home Clinical triage where Thornton/Denholme staff will be based. Or offered visits as may be many. Working on the home visit or alternative site. principle all other site will have access to S1 in some form and therefore can create and Prioritise urgent conditions and those patients who are book patients vi Westcliffe base. Then potentially vulnerable or at risk. Book others an appt for empower each site/team to organize own later in the week when hopefully full service has resumed. service ie plan home visits geographically We will seek to more clinical sessions on later to help etc. catch up and get back on top.

Prescribing Julie, Ruth and Matt will have brought with them that morning some prescription pads to give to clinicians for patients they see

For those patients dealt with by phone only their script will A list of pharmacies and their fax numbers be faxed to a pharmacy of their choice where they are able need to made available to all to collect the items from.

For those scripts that need to be delivered these will be passed to Thornton’s in-house pharmacy and Westcliffe’s in-house pharmacy.

A note will be made on the patient record in the new journal to show which pharmacy the script was sent

LCD & NHS Direct Mike to contact over the weekend to seek their support and extra vigilance for any Page 4

Thornton/Denholme patient calls

EQUIPMENT AND CONUMABLES Lead: - IT - EMEGENCY DRUGS - BASIC ITEMS

Wh at Action plan confirmed Action plan still to confirm

10 Westcliffe staff with 4 Admin 6 Doctors RAO2 forms complete and ready Debbie Shaw at Westcliffe is RA Agent access to for PCT to action on Monday morning when APMS and can activate more smartcards rights if Thornton/Denholme S1 contract live needed from Monday

Laptops x 2 Mike has these with 3G access to use at a non NHS PCT Helpdesk to activate remote access site

Printer x 1 For one of the laptops (Mike has)

Martin Powis at the PCT looking for more IT solutions

Routine Emergency drugs Dr Dawson at Westcliffe looking at this if can not get from Thornton

Basic items for a clinic set Dr Stockwell has produced a list of items. These will up be put in Ruth, Matt, Julie cars on Sunday and with them when they arrive on site early Monday

Aware need to resource baby clinic and HCA bloods

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Baby vaccs Julie to collect from Westcliffe before going to Thornton site on Monday morning

TRANSPORT Lead: Helen Thornton / Mike Edmundson

What Action plan confirmed Action plan still to confirm Shuttle bus from Thornton to PCT organised on standby form 10.30am Looking to change to 8.30am Westcliffe

Taxi PCT organised Taxi company on stand-by – available from 0800hrs all day. Metcare in – useful for Denholme patients?

Taxi Wrose Taxi contract in place with Westcliffe – to take patients back to Thornton/Denholme area Minibus PCT organised Minibus (with wheelchair access if req’d – advance notice required) – we will provisionally book this and it is available from 1030-1430 daily.

Main Contacts

Name Contact Details Role

John R Watson Douglas Mill Senior Estates Manager organizing access Tel: 01274 23 7447 to other sites ie library at Thornton, Exemption 40(2) Mechanics Institute in Denholme etc

Ann Riley Exemption 40(2) Practice Manager Thornton & Denholme

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Julie Winterbottom Exemption 40(2) Business Manager Westcliffe

Dr Matthew Fay Exemption 40(2) Emergency Plan lead - clinical (GP Partner from Westcliffe)

Dr Ruth Stockwell Exemption 40(2) Emergency Plan lead - clinical (GP Partner from Westcliffe)

Mike Edmundson Mike Edmondson Emergency Planning lead – PCT support Head of Primary Care (Planning & Strategy) Tel: 01274 237330 Exemption 40(2)

Cat Thatcher Tel ? Deputy Director of Primary Care NHS , and Leeds [email protected]

Helen Thornton Tel ?? PCT Transport services [email protected]

Dr Chrisitne Temperely Exemption 40(2) Co-owner of the buildings

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