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Hospital Lockdown Guidance

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Hospital Lockdown Guidance Hospital Lockdown: A Framework for NHSScotland Strategic Guidance for NHSScotland June 2010 Hospital Lockdown: A Framework for NHSScotland Strategic Guidance for NHSScotland Contents Page 1. Introduction..........................................................................................5 2. Best Practice and relevant Legislation and Regulation ...................7 2.1 Best Practice............................................................................7 2.8 Relevant legislation and regulation ..........................................8 3. Lockdown Definition ..........................................................................9 3.1 Definition of site/building lockdown...........................................9 3.4 Partial lockdown .......................................................................9 3.5 Portable lockdown ..................................................................10 3.6 Progressive/incremental lockdown .........................................10 3.8 Full lockdown..........................................................................11 4. Developing a lockdown profile.........................................................12 4.3 Needs Analysis ......................................................................13 4.4 Critical asset profile................................................................14 4.9 Risk Management ..................................................................14 4.10 Threat and hazard assessment..............................................14 4.13 Lockdown threat and hazard checklist ...................................15 4.17 Vulnerability assessment of people, property and assets ......16 4.19 Physical considerations..........................................................17 4.21 Site profile ..............................................................................17 4.22 Building profile........................................................................18 4.29 Security profile .......................................................................19 4.33 Lockdown manpower requirements .......................................21 4.35 Lockdown risk profile..............................................................21 4.38 Additional resource ................................................................22 4.40 Conclusion .............................................................................22 5. Preparing a lockdown plan...............................................................23 5.2 Command and control............................................................24 5.4 Staff roles and responsibilities................................................24 5.8 Stakeholder management ......................................................25 5.20 Stage 1 – Lockdown activation...............................................28 Version 1: June 2010 page 2 of 57 Health Facilities Scotland, a Division of NHS National Services Scotland Hospital Lockdown: A Framework for NHSScotland Strategic Guidance for NHSScotland 5.21 Stage 2 – Lockdown deployment ...........................................29 5.23 Stage 3 – Lockdown maintenance .........................................30 5.25 Stage 4 – Lockdown stand-down ...........................................30 5.26 Supporting physical security measures..................................31 6. Response – utilising a lockdown in an major incident ..................34 6.8 Authority to call a lockdown....................................................36 6.10 Time of a lockdown ................................................................36 6.11 Internal communications ........................................................36 6.12 External communications with stakeholders ..........................37 6.13 Safety and control zone .........................................................37 6.14 Security ..................................................................................37 6.15 Cordons .................................................................................37 6.16 Traffic management ...............................................................38 6.17 Human resources...................................................................38 6.19 Media handling.......................................................................38 6.21 Crowd management and control ............................................38 6.24 Business continuity during lockdown......................................39 6.27 Evacuation .............................................................................39 7. Recovery ............................................................................................40 Appendices: Toolkit – a Practical Guide for Security Managers ...............41 Appendix 1: Tables..............................................................................42 Appendix 2: Checklists ........................................................................49 References.......................................................................................................56 Version 1: June 2010 Page 3 of 57 Health Facilities Scotland, a Division of NHS National Services Scotland Hospital Lockdown: A Framework for NHSScotland Strategic Guidance for NHSScotland Disclaimer The contents of this document are provided by way of general guidance only at the time of its publication. Any party making any use thereof or placing any reliance thereon shall do so only upon exercise of that party’s own judgement as to the adequacy of the contents in the particular circumstances of its use and application. No warranty is given as to the accuracy, relevance or completeness of the contents of this document and Health Facilities Scotland shall have no responsibility for any errors in or omissions there from, or any use made of, or reliance placed upon, any of the contents of this document. Version 1: June 2010 page 4 of 57 Health Facilities Scotland, a Division of NHS National Services Scotland Hospital Lockdown: A Framework for NHSScotland Strategic Guidance for NHSScotland 1. Introduction 1.1 This document provides guidance on the planning and execution of a lockdown of a healthcare site or building within NHSScotland and it complements best practice advice laid out elsewhere in other guidance and framework publications. It is published by Health Facilities Scotland (HFS) in partnership with the Scottish Government and is one of a series that provides guidance on security and counter terrorism measures for NHSScotland. The publication has been developed from the document ‘Lockdown Guidance,’ issued by NHS Security Management and the Department of Health in February 2009. 1.2 This document has been developed to provide guidance for those within NHSScotland that may be involved in either the planning and/or implementation of a lockdown. Although much of the document provides those responsible for security with principles that can be used to ensure relevant security arrangements are properly considered during the preparation of a lockdown, the document also contains useful guidance that can be used by other NHS professionals who may be involved in lockdown planning/implementation e.g. NHS management, emergency planning officers, estates managers, communications officers etc. 1.3 The information provided in this document is intended to reflect best practice. It is recognised that the size of healthcare sites and the level of manpower resources available vary greatly across NHSScotland. Organisations are recommended to use the guidance provided to develop lockdown plans appropriate to the size, location, and circumstances of the particular site to which it is being applied. 1.4 The guidance in this document does not alter the responsibilities of NHSScotland Boards, who are accountable to the Scottish Government Health Directorate (SGHD) for the overall assessment of health needs of all people within their geographic areas and for arranging for those needs to be met. An emergency does not alter the statutory purposes of NHSScotland Boards which remains the securing of improved health for people within their area and the prevention, diagnosis, and treatment of illness. 1.5 The document covers the following topics: the aims of the guidance; the existing guidance and legislation that support the use of a lockdown; clarification and definition of a lockdown; the development of a lockdown profile; best practice associated with lockdown preparation; the key issues to be considered at the initiation of a lockdown; the lockdown recovery phase. Version 1: June 2010 Page 5 of 57 Health Facilities Scotland, a Division of NHS National Services Scotland Hospital Lockdown: A Framework for NHSScotland Strategic Guidance for NHSScotland 1.6 The document’s Appendices contain a toolkit to aid the planning and implementation of a lockdown. The toolkit is a practical resource which Security Managers/those with responsibility for security can use to ensure all relevant issues are considered during lockdown of a facility 1.7 Healthcare facilities can be vulnerable to a wide range of threats and hazards. Such threats and hazards include but are not limited to a terrorist incident, an altercation in an Emergency Department, and a suspected infant abduction. The lockdown of a site or building which restricts access or egress may be a proportionate response to safeguard staff, patients, visitors, and assets. This guidance contains principles that can be used to lockdown all or part of a site or building in response
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