Ayrshire and Arran Joint Health Protection Plan 2012-2014.Pdf
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2012 -2014 1 Foreword The Public Health etc. (Scotland) Act 20081 requires NHS Boards, in conjunction with Local Authorities, to produce a Joint Health Protection Plan (JHPP) providing an overview of health protection (communicable disease and environmental health) priorities, provision and preparedness for the NHS board area. Guidance on the content of joint health protection plans has been published by the Scottish Government.2 This second plan has been produced by the Joint Health Protection Planning Group (JHPPG) comprising representatives from NHS Ayrshire & Arran, the three Ayrshire local authorities (Environmental Health Services) and the Ayrshire Civil Contingencies Team. This plan covers the period from 1 April 2012 to 31 March 2014. It will be reviewed regularly by the group throughout its duration to ensure the contents remain relevant and appropriate. Further plans will be published every two years. The JHPP is a public document available on the websites of NHS Ayrshire & Arran and the three Local Authorities3 and on request from the Executive Director of Public Health or the Heads of Environmental Health at each of the local authorities4. 1 http://www.opsi.gov.uk/legislation/scotland/acts2008/pdf/asp_20080005_en.pdf 2 www.sehd.scot.nhs.uk/cmo/CMO(2007)02.pdf 3 www.nhsaaa.net; www.east-ayrshire.gov.uk; www.north-ayrshire.gov.uk; www.south-ayrshire.gov.uk 4Executive Director of Public Health, NHS Ayrshire & Arran, Afton House, Ailsa Hospital, Dalmellington Road, Ayr KA6 6AB Regulatory Services Manager, East Ayrshire Council, Environmental Health and Trading Standards, Civic Centre South, 16 John Dickie Street, Kilmarnock KA1 1HW Senior Environmental Health and Trading Standards Manager, Legal and Protective Services, North Ayrshire Council, Cunninghame House, Irvine KA12 8EE Trading Standards and Environmental Health Manager, South Ayrshire Council, Burns House, 16 Burns Statue Square, Ayr KA7 1UT 2 Signatories NHS Ayrshire & Arran Name: Carol Davidson Designation: Executive Director of Public Health Signature: ............................................... ………. East Ayrshire Council Name: Paul Todd Designation: Regulatory Services Manager Signature: ............................................... ………. North Ayrshire Council Name: Kevin McMunn Designation: Senior Environmental Health and Trading Standards Manager Signature: …………………………………………. South Ayrshire Council Name: Brian Lawrie Designation: Trading Standards and Environmental Health Manager Signature: …………………………………………. 3 Ayrshire and Arran Joint Health Protection Plan: 2012 - 2014 Version No: Version 2.0 Prepared by Dr James McHardy, Consultant in Public Health Medicine, NHS Ayrshire & Arran; Mr Kevin McMunn, North Ayrshire Council; Mr Paul Todd, East Ayrshire Council; Mr Brian Lawrie, South Ayrshire Council; Mrs Lorette Dunlop, Civil Protection Manager, NHS Ayrshire & Arran; Mr David Whyte, Ayrshire Civil Contingencies Team Effective from 01/04/2012 Review Date 31/03/2014 Lead reviewer Dr Carol Davidson (Executive Director of Public Health) Dissemination Arrangements Health & Performance Governance Committee (March 2012) NHS Board (March 2012) Committees of East, North and South Ayrshire Councils (March – April 2012) Amendment record Review date Comments Date of next review 4 Abbreviations ACCT Ayrshire Civil Contingencies Team CHEMET Chemical Meteorology CMO Chief Medical Officer COMAH Control of Major Accident Hazards CPH Consultant in Public Health CPHM Consultant in Public Health Medicine CPHM Consultant in Public Health Medicine (CD/EH) (Communicable Disease and Environmental Health) DWQR Drinking Water Quality Regulator EAC East Ayrshire Council EHO Environmental Health Officer EPH Environmental Public Health GP General Practitioner GSS Glasgow Scientific Services HAI Healthcare Associated Infection HPS Health Protection Scotland ISO International Organization for Standardisation JHPP Joint Health Protection Plan JHPPG Joint Health Protection Planning Group MACR Major Accident Control Regulations MIP Major Incident Plan MIST Major Incident Support Team NAC North Ayrshire Council PAG Problem Assessment Group REPPIR Radiation Emergency Preparedness and Public Information Regulations SAC South Ayrshire Council SECG Strathclyde Emergencies Coordination Group SEISS Scottish Environmental Incident Surveillance System STAC Scientific and Technical Advisory Cell SW Scottish Water 5 Contents Page number 1 Overview of Ayrshire and Arran 7 1.1 Demography and geography of the population 7 1.2 Minority ethnic population 9 1.3 Socio-economics of Ayrshire and Arran 10 2 Health protection planning infrastructure 11 2.1 Remit of agencies 11 NHS Ayrshire & Arran 11 North, South and East Ayrshire Councils 11 2.2 Multi-agency planning infrastructure 12 2.3 Civil contingency plans 12 3 Priorities for health protection, including emerging issues 13 3.1 National Priorities 13 3.2 Local Priorities 13 4 Civil protection risks 22 4.1 Ayrshire risk registers 22 4.2 Off site contingency plans 22 5 Significant events (1 January 2010 - 31 December 2011) 24 5.1 Communicable disease incidents 24 5.2 Environmental events 24 6 Health protection: resources and operational arrangements 25 6.1 Resources 25 6.2 Organisational arrangements to facilitate collaborative working 25 6.3 Arrangements to respond in office hours and out-of-hours 26 6.4 Arrangements for reviewing Health Protection Standard 27 Operating Procedures (SOPs) and guidance 6.5 Corporate arrangements for the maintenance of knowledge, 28 skills and competencies of staff with health protection duties 7 Health protection services: capacity and resilience 29 7.1 Assessment 29 7.2 Mutual aid arrangements 29 8 Public involvement in the planning and delivery of health 30 protection services 9 Summary and actions 31 Annex A Contingency plans for incidents within Ayrshire and Arran 32 Annex B Communicable disease incidents 36 Annex C Environmental events 40 Annex D Health protection: staffing levels 42 Annex E Information and communications technology resources 44 available in NHS Ayrshire & Arran and the three Local Authorities Annex F Policy guidance, template guidance and Standing 46 Operating Procedures (SOPs) 6 1 Overview of Ayrshire and Arran 1.1 Demography and geography of the population Ayrshire and Arran is located in the south west of Scotland and is bordered by Inverclyde and East Renfrewshire to the north, by Lanarkshire to the east and Dumfries and Galloway to the south. Ayrshire and Arran covers an area of 3,377 square kilometres, from Skelmorlie in the north, Ballantrae in the south and Muirkirk in the east. The area covers a mix of rural and urban development, with an overall population density of 109 people per square km (/km2), which is slightly below the national 7 average. There are three Local Authority areas and one Health Board area in Ayrshire and Arran. The population density varies across the three co-terminous local authority areas in Ayrshire and Arran, and is 95 people/km2 in East Ayrshire, 153 people/km2 in North Ayrshire and 91 people/km2 in South Ayrshire respectively. Around 80% of the population of Ayrshire and Arran live in community settlements of over 500 people. The 2010 mid-year population estimate for Ayrshire and Arran is of a total population of 368,770 people5. This is divided into: 120,240 in East Ayrshire, 135,180 in North Ayrshire and 111,440 in South Ayrshire. The size of the population in Ayrshire and Arran is very slowly decreasing. Compared to the population in the year 2000, there has been a reduction of 0.5% (1,910 people), which was the second highest loss of population in Scotland. There was a net loss of 300 people from Ayrshire and Arran in 2010 compared to 2009. Between 2009 and 2012, 692 people from overseas migrated into Ayrshire and Arran, with 1,068 people from overseas migrating out of the county at the same time, resulting in a net loss of overseas migrants. Whilst East and South Ayrshire have seen small net gains in migrants from within Scotland and the rest of the UK, North Ayrshire has seen a net loss of Scottish internal migrants. The 2008 mid-year population estimates for the three key settlements within Ayrshire and Arran are6: Local Authority Area Settlement / Town Estimated Population South Ayrshire Settlement of Ayr & Prestwick 60,880 people East Ayrshire Kilmarnock 44,390 people North Ayrshire Irvine 36,430 people 5http://www.gro-scotland.gov.uk/files2/stats/population-estimates/mid-2010/mid-year-pop-est-2010.pdf 6http://www.gro-scotland.gov.uk/statistics/theme/population/estimates/special-area/settlements- localities/mid-2008/settlements-tables.html 8 The next two largest settlements in South Ayrshire are Troon (14,500) and Girvan (6,890). In East Ayrshire, the second and third largest settlements are Cumnock (8,990) and Galston (7,710). In North Ayrshire, Ardrossan and Saltcoats comprise the settlement of Ardrossan with a population of 31,570, followed by Kilwinning (16,380) and then by Largs (11,420). Nearly nine out of every ten workers who live in Ayrshire and Arran also work in the area. Ayrshire and Arran has good road, rail and ferry links as well as an international airport. 1.2 Minority ethnic population Information collected in the 2011 Census about ethnic groups in the population will not be available until the second half of 2012. The General Register Office for Scotland also estimates the mid-year population resident in council areas in Scotland by nationality and country of birth. However, these data are not available for any of the local