Democratic Services Section Chief Executive’s Department Belfast City Council City Hall Belfast BT1 5GS 17th September, 2015 MEETING OF STRATEGIC POLICY AND RESOURCES COMMITTEE Dear Alderman/Councillor, The above-named Committee will meet in the Lavery Room - City Hall on Friday, 18th September, 2015 at 10.00 am, for the transaction of the business noted below. You are requested to attend. Yours faithfully, SUZANNE WYLIE Chief Executive AGENDA: 1. Routine Matters (a) Apologies (b) Minutes (c) Declarations of Interest 2. Restricted Items (a) Belfast Waterfront Conference and Exhibition Centre and Ulster Hall -Steps towards implementation (Pages 1 - 10) (b) City Centre Investment Fund (CCIF) Framework (Pages 11 - 20) 3. Matters referred back from Council/Notices of Motion (a) Notice of Motion Provision of Defibrillators (Pages 21 - 30) (b) Notice of Motion Staff Volunteering Policy (Pages 31 - 32) - 2 - (c) Notice of Motion - A Living Wage (Pages 33 - 34) (d) Notice of Motion - Special Olympics (Pages 35 - 36) (e) Notice of Motion - Procurement Strategy (Pages 37 - 38) (f) Notice of Motion - Transgender Equality (Pages 39 - 40) (g) Asylum Refugee Forum (Pages 41 - 48) 4. Governance (a) Times of Future Meetings (Pages 49 - 50) 5. Belfast Agenda (a) City Positioning (Pages 51 - 54) (b) Progress Report and Leading the City delegation to MIPIM 2016 (Pages 55 - 58) (c) City Centre Development Team (Pages 59 - 64) (d) Transfer of DSD Urban Regeneration and Community Development Powers (Pages 65 - 74) 6. Physical Programme and Asset Management (a) Capital Programme Update (Pages 75 - 78) (b) Area Working Update (Pages 79 - 82) (c) Girdwood Hub - Update report (Pages 83 - 88) (d) City Hall Update (Pages 89 - 96) 7. Finance, Procurement and Performance (a) Contracts for award (Pages 97 - 100) (b) Fleet Management Unit Overspend (Pages 101 - 104) 8. Equality and Good Relations (a) Equality Action Plan 2015-16 - Feedback from Consultation on and Audit of Inequalities - Pre-Consultation (Pages 105 - 116) (b) Minutes of the Meeting of the Good Relations Partnership (Pages 117 - 138) (c) Minutes of the Meeting of the Diversity Working Group (Pages 139 - 144) 9. Operational Issues (a) Minutes of Meeting of Budget and Transformation Panel (Pages 145 - 148) - 3 - (b) Report from the Audit and Risk Panel (Pages 149 - 160) (c) Requests for the use of the City Hall and the provision of Hospitality (Pages 161 - 166) (d) Internal Stress Audit (Pages 167 - 174) (e) Response to NIHE Corporate Plan (Pages 175 - 216) (f) Belfast Streets Ahead Phase 3 (Pages 217 - 228) (g) IFA Request to Create Fanzone re Belfast Big Screen (Pages 229 - 232) STRATEGIC POLICY & RESOURCES COMMITTEE Subject: Provision of Defibrillators Date: Friday 18th September 2015 Reporting Officer: Ronan Cregan, Director of Finance and Resources and Deputy Chief Executive Contact Officer: Tara Higgins, Acting Corporate Health and Safety Manager Andrew Harrison, Head of Audit, Governance and Risk Services (AGRS) √ Is this report restricted? Yes No √ Is the decision eligible for Call-in? Yes No 1.0 Purpose of Report or Summary of main Issues 1.1 At the full Council meeting in July 2015 Councillor Garrett moved a notice of motion regarding the Provision of Defibrillators. The matter was then referred to the Strategic Policy and Resources Committee for consideration. A copy of the motion is attached at Appendix 1. 1.2 The purpose of this report is to assist Members in considering this notice of motion by providing: contextual information regarding the current Council policy and provision of Defibrillators (see 3.1) the key considerations relating to additional deployment of AEDs and principles / criteria to be considered in relation to extending the deployment of defibrillators (see 3.2) indicative cost information regarding extending provision of defibrillators (see 3.3). 2.0 Recommendations 2.1 That the Strategic Policy and Resources Committee notes this report and that they approve The Corporate Health & Safety Unit undertaking an assessment of all Belfast City Council premises to determine what sites AED’s should be provided. 3.0 Main report 3.1 Context 3.1.1 An AED is a portable electronic device that automatically diagnoses life-threatening sudden cardiac arrest (SCA) in a patient and is able to treat them through defibrillation. There are a number of different providers and types of AED but essentially they all do the same thing: Analyse the victim’s heart rhythm Determine if a shock is required Provide voice and/or visual prompts to assist the rescuer. 3.1.2 AEDs are designed to be used by laypersons that have preferably been trained in their use. However an AED can be used safely and effectively without previous training. Therefore, the use of an AED need not be restricted to trained users, training should be encouraged to help improve the time to shock delivery and correct pad placement. 3.1.3 There is currently no statutory duty for Belfast City Council to provide AEDs. The Council does, however, deploy AEDs at a number of locations. The Council currently has AEDs located at eleven sites, detailed in Appendix 2. These sites were selected on the basis that they that have both a significant number of staff and high public throughput. In terms of staff who have been trained on their use, approximately sixty seven staff who have completed AED training since 2012. In addition there are10 AEDs located at GLL operated Leisure Centres. We have confirmed with GLL that they are currently maintaining checks on these AEDs and ensuring that AED operators are trained in their use. 3.1.4 The Council has a Code of Practice on the Deployment and use of Automated External Defibrillators. The Code provides instruction on the use of AEDs and provides clear procedures for ensuring that sufficient numbers of staff are trained to operate the AED units and those units are suitably maintained. 3.1.5 The Council AEDs are only to be used to treat employees and visitors on Council sites who have: experienced sudden cardiac arrest & who are unresponsive & are not breathing normally. 3.1.6 While use of Council AEDs is intended only for Council employees who hold current certification in both the use of AEDs and Cardiopulmonary resuscitation (CPR) there should be no prohibitions, in the absence of a trained operator, on any person willing to use the AED in an emergency (this is in accordance with Resuscitation Council (UK) guidelines). 3.1.7 The Council’s Code of Practice outlines responsibilities of the CHSU and each site’s AED Co-ordinator who has the following responsibilities: The maintenance of an up to date record of all certified AED Responders based at their location Ensuring an AED Responder is on duty at all times Having read and understood the Heartstart FRx Owner’s Manual Managing the checking and maintenance of the AED, equipment and supplies Maintaining records of weekly, monthly and post use system checks Organising training programmes and 6 monthly refresher AED training Forwarding incident information to the Corporate Health and Safety Unit and co- ordinating post-incident debriefing sessions for any employees involved & details procedures for use of AEDs. 3.1.8 An AED was deployed on one occasion in the past two years at a Council Leisure Centre but no shock was required. 3.2 Key Considerations and Principles for Deployment of AEDs 3.2.1 There are a number of considerations to be borne in mind regarding the possibility of installing AEDs at additional locations, including: the likelihood of the AED being deployed, which is related to the size and utilisation of the location the cost of providing AEDs and associated maintenance costs the cost and time to provide training to staff on the use of AEDs and potentially CPR training (which may also need be deployed to treat the same incident The operational process in place to ensure appointment of AED co-ordinators at each site to manage the AED’s in line with the Council Code of Practice The practicality of ensuring that there are trained staff available at all times to operate the AED. Some premises such as football / bowling pavilions are not always manned by BCC employees. In these cases provision of PADs (Public Access Defibrillators) may be a more suitable solution although careful consideration is needed in relation to their deployment. 3.2.2 The Resuscitation Council (UK) and British Heart Foundation have provided guidance on assessing the need for AEDs. The key procedure is the calculation of a numerical score based on two factors: 1. the likelihood of cardiac arrest occurring and 2. the impact. While the impact will always be high (since cardiac arrest, unless treated is uniformly fatal), likelihood will tend to vary depending on: The number of people passing through a particular site (footfall) The age of those present (as cardiac arrest is commoner with increasing age) The nature of the location. For example, the risk is higher where large numbers of the public are present. 3.2.3 Using The Resuscitation Council (UK) and British Heart Foundation guidelines it is proposed that The Corporate Health & Safety Unit would undertake an assessment of all Belfast City Council premises to determine what sites/ locations AED’s should be provided. 3.3 Equality or Good Relations Implications 3.3.1 As this paper is only being provided for information at this stage and is not being presented as a policy, there are currently no equality or good relations implications. 3.4 Financial Implications 3.4.1 Cost to purchase and maintain AEDs Council officers have sought, without entering into any financial commitment, quotes for the supply of 30 AED’s of two different specifications including battery, pads and wall mounted cabinet - one quote provided indicated a cost of £36,000 and the other £48,600, meaning an indicative unit cost per device of between £1,200 and £1,620 per unit.