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Shetland Joint Health Protection Plan 2019 – 2021

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Shetland Joint Health Protection Plan 2019 – 2021 Agenda Item 13 Meeting: Shetland NHS Board Date: 16 April 2019 Report Title: Joint Health Protection Plan 2019-2021 Reference Number: Board Paper 2019/20/09 Author / Job Title: Dr Susan Laidlaw, Consultant in Public Health Medicine (Executive Lead – Susan Webb, DPH for NHS Grampian and NHS Shetland) Decisions / Action required: The Board is asked to: (i) receive and approve the NHS Shetland Resilience and Business Continuity Strategy 2018-2021 (ii) continue to support health protection work within NHS Shetland High Level Summary: The Public Health etc (Scotland) Act 2008 requires NHS Boards to produce a Joint Health Protection Plan, which provides an overview of health protection (communicable disease and environmental health) priorities, provision and preparedness within the area. The first plan was produced in 2010, and this is the third version of the plan which has been updated by the Public Health Team along with colleagues in Shetland Islands Council, with whom there is a statutory duty of co-operation on health protection issues. The plan gathers information about existing health protection plans and resources, and reports on significant local activity. It also provides a useful resource for information on local arrangements for protecting against communicable disease and environmental health threats. Corporate Priorities and Strategic Aims: One of the Board’s Corporate objectives is ‘To improve and protect the health of the people of Shetland’ Key Issues: Since the last version of the plan, there has been a service redesign of the public health team and therefore some significant changes in staffing and the way services are delivered (particularly out of hours arrangements). Compared to the last plan, there is now an increased workload with regard to resilience, business continuity and emergency planning arrangements. (There is some overlap between this plan and the Resilience and Business Continuity strategy presented to the Board in 2018.) We have strengthened governance arrangements relating to health protection, with the introduction of a Health Protection Governance Group and systematic review of health protection incidents through this group. A summary of the main health protection incidents and issues since 2016 is included in the plan, along with learning and actions taken as a result of these incidents. It should be noted that there is the potential for changes to how health protection services are delivered in the future, depending on the outcome of the Public Health Review. Implications : Service Users, Deficiencies in health protection plan could affect any / all Patients and service users, patients and staff, and the wider community. Communities: Human Resources It is essential to maintain health protection expertise within the and Organisational Board, which requires ongoing training and continual Development: professional development needs to be met. The public health workforce is currently stable, following the redesign in 2016, but should there be loss of key staff then Equality, Diversity No specific implications and Human Rights: Partnership Working Partnership working is essential for planning and for responding to significant health protection incidents ; and also for training and exercising. There are good partnership arrangements in place particularly with the environmental health and resilience teams within Shetland Islands Council. We also have partnership working arrangements with other Boards in the North of Scotland and also with Health Protection Scotland as required. Legal: The Joint Health Protection Plan is a requirement of The Public Health etc (Scotland) Act 2008 Finance: There are financial implications for implementing this plan, particularly for training costs (which can be expensive) and releasing staff for training and exercising. Assets and Property: Environmental: Risk Management: There will be significant risks to the organisation if health protection planning is not robust. Policy and Delegated Authority: Previously Public Health Team considered by: SIC Environmental Health Team SIC Resilience Team “Exempt / private” N/A item SHETLAND HEALTH PROTECTION PLAN 2019-2021 SHETLAND JOINT HEALTH PROTECTION PLAN 2019 – 2021 Last version date: April 2019 Next Formal Review April 2021 Implementation Date April 2019 Author: Dr Susan Laidlaw, CPHM Patti Dinsdale Team Leader - Environmental Health Approval NHS Shetland Health Board Shetland Islands Council 1 SHETLAND HEALTH PROTECTION PLAN 2019-2021 The Shetland Joint Health Protection Plan is available at the following web address: www.shb.scot.nhs.uk A paper copy may be requested via: Department of Public Health NHS Shetland Upper Floor, Montfield Burgh Road, LERWICK Shetland ZE1 0LA Telephone: 01595 743340 E-mail: [email protected] 2 SHETLAND HEALTH PROTECTION PLAN 2019-2021 Acronyms and Abbreviations BCP Business Continuity Plan C(s)PHM Consultant(s) in Public Health Medicine CD Communicable Disease CIEH Chartered Institute of Environmental Health CoIC Control of Infection Committee COMAH Control of Major Accident Hazards CPD Continuing Professional Development DPH Director of Public Health EHO Environmental Health Officer FSS Food Standards Scotland H&S Health and Safety HAI Healthcare Associated Infection HEAT Health Improvement, Efficiency, Access and treatment (Government NHS performance management targets) HEI Healthcare Environment Inspectorate HIV Human Immunodeficiency Virus HPS Health Protection Scotland ICT Infection Control Team KSF Knowledge and Skills Framework MEP Major Emergency Plan MRSA Meticillin Resistant Staphylococcus Aureus MSSA Meticillin Sensitive Staphylococcus Aureus NHSSh NHS Shetland PDP Personal Development Plan PFPI Patient Focus, Public Involvement PICT Pandemic Influenza Control Team PPE Personal Protective Equipment REHIS Royal Environmental Health Institute of Scotland SIC Shetland Islands Council SOPs Standard Operating Procedures TB Tuberculosis 3 SHETLAND HEALTH PROTECTION PLAN 2019-2021 Contents 1 Overview of the populations served by NHS Shetland and Shetland Islands Council and of the health protection services provided ................................ 6 1.1 Demography and geography of the population ......................................... 6 1.2 Overview of the health protection services provided ................................. 8 2 Health protection planning infrastructure ....................................................... 9 2.1 Key health protection guidance and plans (Communicable Disease & Environmental Health) .............................................................................. 9 3 Health protection national and local priorities .............................................. 14 3.1 National health protection priorities being addressed at local level ......... 14 3.2 Local health protection priorities ............................................................. 17 3.3 Health protection risks specific to Shetland............................................. 19 3.4 Significant public health incidents and outbreaks during 2016-2018 ....... 20 4 Health protection: resources and operational arrangements ...................... 21 4.1 Resources available to provide health protection services (CD & EH) .... 21 4.2 IT and Communication Technology available to facilitate health protection work ........................................................................................................ 23 4.3 Organisational arrangements in place to facilitate collaborative working between NHSShetland, Shetland Islands Council and other health protection agencies. ................................................................................ 25 4.4 Arrangements to respond out of hours .................................................... 26 4.5 Arrangements for reviewing health protection guidance ......................... 26 4.6 Corporate arrangements for ensuring the maintenance of knowledge, skills and competencies for staff who have health protection duties ....... 27 5 Health protection services: capacity and resilience ..................................... 27 5.1 Assessment of the capacity and resilience of health protection services 27 5.2 Key findings ............................................................................................ 28 5.3 Actions taken and planned ...................................................................... 28 5.4 Plans for further assessment of capacity and resilience ......................... 28 5.5 Mutual aid arrangements ........................................................................ 29 6 Health protection: public involvement and feedback ................................... 29 6.1 Public involvement in the planning and delivery of health protection services ................................................................................................... 29 Appendix 1 Members of the Shetland Control of Infection Committee 4 SHETLAND HEALTH PROTECTION PLAN 2019-2021 Foreword The Public Health etc. (Scotland) Act 2008 http://www.scotland.gov.uk/Topics/Health/Policy/Public-Health-Act required NHS Boards, in consultation with Local Authorities, to produce a Joint Health Protection Plan which provides 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 is published by the Scottish Government.1 This is the third Shetland Joint Health Protection Plan and covers the
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