The Nhs 'pandemic Flu : Uk Influenza Pandemic Contingency Plan Stock Photo, Picture And Royalty Free Image. The impact of pandemic influenza on community careThe community care response to pandemic influenza28. I have been closely following the emerging swine flu virus which is being transmitted from human to human in Mexico and Southern California.
Analysis of the virus by the USA’s Centers for Disease control has shown the current virus contains sequences from swine flu, avian flu, and human flu. Three influenza pandemics occurred in the 20th century and killed tens of millions of people *. In my view the element to watch out for in news coverage over the week or so is clarification on this point of if recombination between human and animal viruses has occurred; if it has then based on previous pandemics, that is something to worry about. The WHO, CDC and others use a system of six levels of alert relating to the potential of a pandemic. Clearly events in Mexico and California will result in the WHO looking at if an increase in the likelihood of a pandemic has occurred.
The Government will consider the relaxation of medicines and NHS regulations where necessary to ensure ease and speed of access. The Ministerial Committee on Civil Contingencies (CCC) will meet as required to agree early policy decisions and to oversee completion of planning.
It is notable that unlike other countries the UK does not plan to step up health surveillance of people returning from affected areas. No experts on pandemics or virology or other area of the life sciences on the UK’s National Security Forum despite a pandemic being identified as a leading threat in the national security strategy. No doubt we will regardless be introduced over the next few days to figures such as Professor Lindsey Davies, National Director of Pandemic Influenza Preparedness along with local and national Health Protection Agency spokespeople. Various UK agencies will be considering whether to activate the next stages of their pandemic flu plans; democratically elected leaders will be being briefed and asked to make decisions on what action to take and when.
An influenza pandemic will be very expensive, to the NHS as well as Local and National Government and the country more broadly. As I am writing this Sky News is reporting a member of British Airways cabin crew is in hospital in Northwick Park, London with flu like symptoms which emerged on a flight from Mexico City. Northwick Park Hospital said a BA worker who arrived from Mexico City and fell ill does not have swine flu.
In the event of an influenza pandemic, community care services will be under particular strain.
Shayne Ward Emergency Planning Officer NHS Lincolnshire Presentation Overview Pandemic Flu – dispelling the myths! Community care supports people who are likely to suffer disproportionately from the impact of the pandemic in its early phase. Just as the second world war resulted in a massive technological jump, our life-sciences are now in a position where a meeting a challenge like this pandemic might push them forward.
Causes for concern that a virus which may have pandemic potential has emerged include high rates of human-human transmission and recombination of animal and human flu viruses. The disparate nature of community care services means that planning for an outbreak of pandemic influenza may arguably be more difficult in this sector than in many other sectors. Vaccines Offer protection against a ‘specific’ strain Up to 4-6 months to develop specific vaccine Longer to manufacturer in sufficient quantities Pre-pandemic vaccines – may offer Health Care Workers some protection but will not be exact ‘fit’ of pandemic strain (not applicable isn’t a strain of H5N1!) Antivirals Is a counter-measure rather than protection Reduces length of infection Reduces severity and therefore secondary infections Antibiotics For counteracting secondary bacterial infections e.g. Following an assessment of symptoms, the GP will contact their Regional Flu Response Centre for advice and support about swabbing and for access to an antiviral in line with the HPA algorithm for suspected swine flu cases. It is impossible to predict the precise impact that pandemic influenza will have on the UK population, much less its impact on community care.
Given the highly uncertain nature of a pandemic, we cannot know in advance the scale of the disruption it will cause and whom it will most affect. The impact of a pandemic will not be uniform over the wave or across regions; it may take the form of a rising tide, depending on the attack profile.
Local planners should follow the eight key principles outlined in The ethical framework for the response to pandemic influenza when developing their responses to those challenges.

Additional pressure on acute hospital beds created by the pandemic will likely result in all but the most critical clinical cases being cared for outside the hospital settingensuring that the necessary lines of communication exist to disseminate national, regional and local messages on pandemic planning.
Directors of Social Work have a particularly crucial role in coordinating the planning and response of community care.
They should begin by holding a scoping exercise, involving other council departments and stakeholders, to ensure that their plans will include all actual and potential service users.
It will be essential for the Directors of Social Work to liaise with the Directors responsible for children services (if different) to ensure an appropriately joined-up approach to planning for the needs of adults and children. We are particularly concerned that individuals or groups who are already disadvantaged or at particular risk should be fully considered and planned for. In addition to planning for these groups, Directors of Social Work will need to give thought to how some of these groups will need to be protected from negative public opinion or stigmatisation if they are perceived as posing a particular threat to public health.
We have offered some checklists for Directors of Social Work and others to consider when planning.
These are not definitive, but we hope that they go some way to assist planners in thinking about the scope of their responsibilities.
In carrying out your planning please refer to the checklists at the back of this document on pages 40-47.Key planning considerations37.
Local authorities will be responsible for preparing the community care response to pandemic influenza locally, in the context of their wider responsibilities for performing functions under the Civil Contingencies Act 2004. If the risk is such that joint planning would be appropriate they must consider if that is the case and, if so, plan together under the regulations (Regulation 16)). In preparing for pandemic influenza they must co-operate with other local responders and take into account the activities of the voluntary sector. Advance planning is essential to establish and rehearse contingency arrangements to enable normal business to continue as far as possible. The Civil Contingencies Act duty to warn and inform the public applies to the impacts of pandemic flu.41. Local authorities should work with local providers to ensure they have robust business continuity plans in place. Having strong relationships with local providers is key to managing an influenza pandemic.Carers42.
This should include advice on where carers can go to for help if they feel unable to cope anymore due to increased demands arising from an influenza pandemic.People using community care services43.
This may include relying more heavily on families and informal carers if normal care arrangements are disrupted by the onset of pandemic influenza. Eligibility criteria for care during a pandemic should be transparent and applied in a consistent and equitable way that reserves capacity for those in the greatest need. The ethical framework for the response to pandemic influenza will be important here.Key organisational and individual roles and responsibilities in community care44. Planning for and responding to the challenges faced by community care services during an influenza pandemic will require a combined, coordinated effort using experience and expertise at all levels across a wide range of organisations in the statutory, voluntary, independent and private sectors. To ensure an effective response, local authorities and their partner organisations need to understand their roles and responsibilities and be able to plan accordingly and jointly where necessary.
This section describes the roles and responsibilities of the main participants in planning for community care during an influenza pandemic.Wider local authority47. They are directly responsible for the provision of a wide range of the functions that will be essential when responding to the health and wider impacts of an influenza pandemic.
Local authorities have a responsibility for planning and preparing to maintain community care and housing services in a pandemic scenario.48. Individuals who have responsibility for community care functions within local authorities will need to work closely with their emergency planners to ensure the integration of their planning and that of the SCG and its partners. In the event of an outbreak of pandemic influenza, it is essential that community care is adequately represented in local authority planning and that adequate business continuity management arrangements are in place to enable community care functions to continue in the event of an emergency.49. GPs and NHS Mortuaries) and can be supported by local businesses, such as funeral directors and privately owned cemeteries and crematoria.
Directors of Social Work will have ultimate responsibility for planning and coordinating the community care response for adults at a local level.

They will keep the Directors responsible for children's services (if different) informed and involved, and will ensure that decisions and plans operate for optimum benefit across both services. Planning the community care response should take full account of the impact of such events as school and early years group childcare facility closures.
Directors of Social Work will play a key role in cascading messages from the centre and ensuring that all community care providers within their authorities are aware of and involved in local contingency plans.52. As part of their overall strategic coordination of plans, Directors of Social Work will need to ensure that local contingency plans don't make unfounded and unrealistic assumptions that other areas will have spare capacity to assist them in providing services during the pandemic period.53. Directors of Social Work should be in regular dialogue with their emergency planners and other colleagues (e.g.
As most influenza sufferers will need to be cared for in a community setting (rather than in a hospital setting), developing integrated health and community care planning to allow for this is particularly important in order to reduce the burden on community care services. The Scottish Government has directed all NHS Boards to designate an Influenza Pandemic Coordinator, and it would be advisable for local authorities to approach contingency planning for community care in the same way by appointing a designated officer for contingency planning in community care. The designated community care officer should work alongside their own local authority emergency planners, NHS organisations and independent community care providers to fully integrate community care planning with health and other local-level contingency planning.55. Directors of Social Work will be responsible for communicating the alert stages of a pandemic and the key messages to community care providers in their localities (see Figure 2). Directors of Social Work (if different) are encouraged to refer to this guidance in order to be aware of the role of the Directors responsible for education and children's services will be performing during a pandemic. Directors responsible for children's services and the Directors of Social Work (if different) should agree between them what roles each Director will perform during a pandemic in order to avoid any overlap or issues being missed.57. It may be helpful for community care providers to be able to access a central source of information about pandemic preparedness in their local area, e.g.
Directors of Social Work may wish to consider how their local authority can best ensure that their local providers have access to useful and up-to date information to aid them in their planning and preparedness, e.g. Local authorities will also need to consider how they convey messages locally, particularly during pandemic alert Phase 6. NHS Boards are responsible for developing, maintaining and testing robust, resilient and integrated local response plans within national guidelines and in conjunction with partner agencies. Each NHS Board has a pandemic influenza plan which has been submitted and reviewed by the Scottish Government and operational level planning is progressing in all areas. As part of their contingency planning NHS Boards, working with Community Health Partnerships ( CHPs), also have a responsibility to consider the impact of pandemic outbreak on the primary care sector as most of the assessment, treatment, care and support will be outside hospital settings.61.
In the event of a pandemic, NHS Boards, assisted by CHPs and other agencies, will co-ordinate the health response in their area, provide advice and information, working within the current national guidelines and responding in a coherent, effective, co-ordinated and ethically appropriate way. The voluntary and community sector may be able to help support the response to pandemic influenza at a local level. Voluntary sector support should be coordinated via designated officer for contingency planning in community care (see paragraph 54).66. Community care organisations will also need to understand that voluntary organisations themselves are likely to be under pressure and limited in their capacity to provide additional help and services during the pandemic period. There are limited numbers of volunteers available and the pandemic will affect them too, not only in terms of the number of volunteers who may actually catch the virus but also in their willingness to become involved due to the fear of catching it. Community care providers will need to ensure that they plan for how they will maintain their services and ensure that people relying on them are not left unsupported during a pandemic.
As far as is possible, they should plan in consultation with service users and carers and other key local organisations. Well-prepared and informed communities and their leaders can play a major role in supporting the response to and recovery from an influenza pandemic.

Us gov website


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