economy outbreak plan operational local health · 2018-06-19 · tb skin test tb services at srft...

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Operational Local Health Economy Outbreak Plan(To be used in conjunction with Salford Emergency Health Economy Capabilities and Contact Document)

SalfordJanuary 2018

V.1 [REVIEW DATE: September 2018]

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Document Control

Document title: Operational Local Health Economy Outbreak Plan: Salford

Document status: Consultation Draft

Document version: Version 0.07

Document date: March 2018

Document author(s):(Name, Title)

Template: Karl Astbury, AGMA Civil Contingencies and Resilience Unit Business Partner

Document owner(s):(Name/organisation)

Template: Gm Local Health Resilience Partnership / Greater Manchester Resilience Forum Borough Plan: Salford Local Director of Public Health / CCG

Change History

Version Date Status Notes

0.01 20-02-17 Initial draft Following 1st Planning Group meeting

0.02 15-03-17 Following 2nd Planning Group meeting

0.03 05-04-17 Following Health Protection Confederation discussion

0.07 16/03.18 Final Salford completed document approved by HERG

Approval

Approving group/body: FOR TEMPLATE Approval dateGM Resilience Development Group dd-mmm-17

GM Directors of Public Health

GM LA Civil Contingencies Chief Officers Group

GM Health Protection Confederation

GM Local Health Resilience Partnership

Greater Manchester Resilience Forum

PHE North West

Approving group/body: FOR BOROUGH PLAN Approval dateLocal Health Protection Group March 2018

HERG (for awareness) HERG March 2018

Local DPH March 2018

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Foreword:

Maintaining and improving the health of our communities is at the heart of

public service delivery. Health Protection and ensuring an effective response

to outbreaks of disease is a crucial part of this. Whilst the response to

outbreaks isn’t new and whilst our local health economy routinely

demonstrates that it has effective arrangements in place it is important that we

review our arrangements, and that the organisations and people who need to

work together in partnership are aware of each other’s roles and

responsibilities for a range of scenarios.

This plan has been developed to ensure clarity on operational roles and

responsibilities for each responding organisation in the event of an outbreak. It

is intended to act as a companion to the GM Multi-agency Outbreak Plan,

providing operational detail helping responders quickly provide an effective

and coordinated approach to outbreaks of communicable disease. It is

important for each organisation, having signed off this plan, to support staff to

engage in appropriate exercising to embed the multi-agency response to an

outbreak and create familiarity over key tasks.

Signed

…………………….[Local DPH]

Signed

……………………[CCG]

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CONTENTS

Table of Contents

Foreword..................................................................................................................................................3Table of contents ...................................................................................................................................4

PART 1: AIM, SCOPE AND OBJECTIVES OF THE PLANAim of the Plan .......................................................................................................................................5Objectives of the Plan.............................................................................................................................5Scope / Context of the Plan....................................................................................................................5Complementary Guidance and Documentation .................................................................................5

PART 2: KEY ASPECTS OF OUTBREAK MANAGEMENT

Detections and Coordination .................................................................................................................6Investigations ..........................................................................................................................................7Control .....................................................................................................................................................8Communications .....................................................................................................................................9Funding Arrangements ........................................................................................................................10

PART 3: LOCAL OPERATIONAL ARRANGEMENTS FOR SPECIFIC TYPES OF OUTBREAKS REQUIRING AN OCT .............................................................................................................................11

PART 4: LOCAL OPERATIONAL ARRANGEMENTS FOR SPECIFIC TYPES OF OUTBREAKS NOT REQUIRING AN OCT ...........................................................................................................................................12

APPENDICES

ANNEX 1: Laboratory Testing Kit Stocks ..........................................................................................13ANNEX 2: Common Outbreak Settings ..............................................................................................14ANNEX 3: Common Pathogens ..........................................................................................................15ANNEX 4: Common Outbreak Scenarios and Challenges ...............................................................17ANNEX 5: Teleconference Details and Protocol ................................................................................19ANNEX 6: Key Contact List .................................................................................................................20

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PART 1: AIM, OBJECTIVES AND SCOPE OF THE PLAN

1.1Aim of the Plan

To set out the multi-agency operational arrangements for responding to outbreaks of human infectious diseases within the borough of Salford.

1.2Objectives of the Plan

To outline roles and responsibilities at a local operational level

To outline the key tasks / activities involved in responding to outbreaks

To give key considerations and outline some specific requirements needed for different outbreaks

1.3Scope / Context of the Plan

Outbreak and incidents of human infectious diseases which could impact Salford.

Outbreaks and incidents requiring an OCT : see part 2 and 3

Outbreaks and incident not requiring an OCT: see part 4

1.3 Complementary Guidance and Documentation

National: PHE Outbreak operational guidance / PHE pathogen-specific guidance

GM: GM Outbreak Plan (including Legionnaires Disease and High Consequence Infectious Disease (HCID) annexes) / Joint Flu SOP

Local: Salford Emergency Health Economy Capabilities and Contacts – this document should be used together with the Operational Local Health Economy Outbreak Plan

Salford Respiratory Outbreak management SOP Enteric Outbreak SOP

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/343723/12_8_2014_CD_Outbreak_Guidance_REandCT_2__2_.pdf

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PART 2: KEY ASPECTS OF OUTBREAK MANAGEMENT

2.1 Detection and Coordination

Outbreaks of disease are usually detected and alerted in the following ways:

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2.2 Investigations

Investigation Roles and Responsibilities: When using this document refer

Potential responder(s)Response activity In hours (9-5) Out oc hoursConsiderations, comments or

potential issuesPHE- Tel 0844225062 option 3

PHE On call duty officer – tel 0151 434 4819

If notifiable (except sexual health clinics)

SRFT IPCT Lead Linda Swanson Tel – 206 5036/5032

SRFT IPCT For Acute Trust incidents

EHO – Lead John Snow Tel 0161 925 1315


If foodborne outbreak / Legionella

Community IPC team (CIPCT) Lead Bev Wasp Tel 0161 793 3599


Questionnaires / Interviews

Community Nursing SRFT –see Key contacts Appendix 6

PHESRFT Senior Manager on call (SMOC) 206 7373

If in care home / school

Respiratory samples (e.g. swabbing)

Salford Care Home Practice (SCHP) Tel 0161 206 2648/ Home Nurse/ CIPC Team

SCHP/ Care Home nurse

Clinical sampling will be undertaken by Salford Care Home Practice (SCHP) or a nurse within the home, however the CIPCT may assist if there is capacity and clinical capability.

Investigation

(NB. Any setting where staff affected have access to Occupational Health, the investigation will be delivered through them)

Sampling

Faecal (GI outbreak) EHO Lead John Snow Tel 0161 925 1315


Food related

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Faecal (GI outbreak in a care home)

CIPC request and manage. Lead Bev Wasp Tel 0161 793 3599.

PHE or SCHP can request samples.Care Home

SCHP can request samples for unexplained diarrhoea or suspected outbreak before reporting the outbreak. Sample for suspected outbreak should only be sent once ILOG number obtained from MRI (PHE lab). Tel - (0161 2768854 Option 1)

Oral fluid (e.g. Hep A outbreak)

SCC -CIPCT – 793 3599 working with PHE.


. PHE sourced specimen kits from Colindale MRI Lab – Tel 276 8788

Urine testArranged by PHE PHE On call duty

officer – tel 0151 434 4819

PHE Lab to provide specimen pots –Tel 276 8788PRESCHOOL – Parents collect the samplePRIMARY – Parent collect SamplesHIGH – Self collectionCOLLEGE – Self CollectionADULTS – Self Collection (some may require a carer to do this)

Environmental (e.g. food / water)

EHO – Lead John Snow Tel 0161 925 1315/ HSE / Bureau Veritas 0161 446 4600 / PHE

EHOs / PHE SCC On Call Officers -Tel - 0161 793 3074PHE lab tel -

Where Environmental Health are the enforcing authority then EH should be able to undertake sampling but may need input from Andrew Fox (PHE). For certain premises or complex sampling e.g Legionella linked to cooling towers need to discuss with HSE and / or use Bureau Veritas.

Blood test


SRFT Senior Manager on call (SMOC) 206 7373

Premises to be identified eg hospital, community, primary care, home or other setting

TB skin test

TB Services at SRFT Lead Kay Lavery Tel – 0161 206 8305 pager 07718863382

PHE Tel 0344 225 0562Salford CCG on call bleep – 07659 584525

e.g Mantoux testing

Scabies (skin scrape or clinical assessment)

SCHP Tel – 0161 206 2648. NA If 2 or more residents symptomatic

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Mass blood tests (e.g. IGRA testing) for TB


Community Nursing Services will support TB service Tel 0161 212 4285

Mass X-Ray (incl. mobile x-ray)

Diagnostic Radiology Services Harley St London 0207 935 4072

NA

PHE have courier system for environmental sampling via York PHE Local lab transport system. MRI Lab Tel 276 8788

Postal delivery – Respiratory swabs

Flu swabbing packs are held by the local HP Team or can be posted out first class from MRI (PHE) Lab.

Transport to lab

Hand deliver – Stool sample. For enteric outbreak care homes to hand deliver to SRFT Microbiology lab. Must have ILOG number

Samples can be passed to SCHP, where possible talking them direct to the lab would be best practice so samples are processed promptly. Ensure all outbreak samples have an ILOG number attached. ILOG to be obtained from MRI (PHE) Lab.

Prior to an OCT being set up, PHE will liaise directly with relevant partners to recommend and coordinate investigations. Once an OCT is set up, the OCT will agree on coordination of investigations.The types of investigation involved usually include:

Epidemiological investigation: establishing links between cases/sources based on questioning of cases/NOK and information on settings. Microbiological investigations: where a sample is taken and sent for analysis to a laboratory. There are 2 types:

o Clinical sampling: from human tissue (blood, respiratory secretions, salivary, faeces etc)o Environmental sampling: e.g. water, work surfaces etc.

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2.3 Control Measures

Control: Roles and Responsibilities – Refer to Salford Emergency Health Economy Capabilities and Contacts document, part 3.

Potential responder(s)Response activity

In hours (9-5) Out of hoursConsiderations, comments or potential issues

Advice on infection, prevention & control measures

Salford HP Team tel -7933599. Salford EHOs tel - Tel 0161 925 1315

PHE- 0344 225 0562 SCC EHO - 0161 793 3074

The Local Health Protection Team should be contacted for advice and support with Infection, prevention and control. PHE will lead notifiable disease outbreaks

– Local EHO team in hours- Tel 925 1315.

PHE can be contacted out of hours for urgent advice. – Tel - 0344 225 0562

Control

Exclusion adviceSalford HP Team tel -7933599. EHOs tel - Tel 0161 925 1315

PHE- 0344 225 0562

Using national PHE documentation and local guidance.

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Access

Respiratory antiviral- CCG to approve.

Other drugs support -CCG reception 0161 212 4800 and ask to speak to a senior manager

CCG (OOH) - NWAS control centre on 0345 113 00 99 and ask for the Salford CCG director on call.

CCG have a supply of antivirals stored at SRFT Pharmacy Department they need to approve the release of the medication.

In hours - Claire Vaughan, Head of Medicine Optimisation 0161 212 4243 & / OR Harry Golby Assistant Director of Commissioning 0161 212 6161

Out of hours - CCG director on-call - page via 07659 584525

Note: - other than for respiratory outbreaks, for the treatment of other communicable diseases please see - Salford Emergency Health Economy Capabilities and Contacts Document attached.

Prescription

SCHP- Respiratory outbreak.

For others drugs - PGDs to be set up by SRFT Community nurse lead.

SCHP- Respiratory outbreak

RESPIRATORY OUTBREAK - In Season FP10. Out of season PSD. In and out of season, are managed via the same pathway, with just the mechanism for prescribing being different due to the restrictions of prescribing antivirals on FP10 prior to the authorisation letter from the Chief Medical Officer being issued. For more detail see attached respiratory SOP

Treatment and Prophylaxis

(including immunoglobin, vaccines, antivirals, antibiotics and anti-toxins)

Dispensary

Respiratory outbreak - SRFT Pharmacy –CCG stock.

Other drugs – pharmacy SRFT ?

In the incidence of anti-viral’s for flu -Prescribers to contact Salford Royal Foundation Trust pharmacy (OOH SRFT pharmacist on-call) to provide copy of prescription (FP10 for each resident or a patient specific direction if the CMO letter has not yet been issued) & arrange for medication to be dispensed.

Tel- SRFT inpatients pharmacy reception - 0161 206 5369

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Transport

Respiratory – to be collected from SRFT Pharmacy by Care Home.

Salford HP team can transport other samples. Tel 793 3599

Payment NA NA Purchase and storage arranged directly via the CCG

Communication with cases / parents (eg consent forms)

Salford HP TeamTel 793 3599

NA Local Health protection team will communicate with care home in hours. Out of hours it will be PHE.

Mass vaccination



SRFT All appropriate RN’s within Children/Adults (and other appropriate) Services under PGD

PGD to be sorted

Mass chemoprophylaxis



PDG would be required

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BCG immunisation



Managed by TB lead SRFT

Enforcement of control measures

Local Authority -EHO with PHE support and DPH – 793-3599

Local Authority – EHO Tel -793 3074 with PHE support and DPHSCC On Call Officer, tel – 793 3074

EHO - Dependant if its health care or food borne (Dependant on main activity at premises as can use food or Health & Safety powers)

Prior to an OCT being set up, PHE will liaise directly with relevant partners to recommend and coordinate control measures. Once an OCT is set up, the OCT will agree on coordination of control measures.

Control measures usually include:

o Identifying and controlling on-going sources. e.g. A cooling tower suspected of aerosolising Legionella, or a food premise with unsafe food preparation practice

o Preventing/limiting onwards spreado Reducing likelihood of severe illness in specific vulnerable groups: usually by prompt post-exposure prophylaxis (PEP)

Where compliance with recommendations around control measures is an issue, enforcement powers may be used. For the purposes of outbreaks and health protection incidents, the bulk of enforcement powers lie with LA. Further info here: Chartered Institute of Environmental Health Toolkit / DoH guidance on Health Protection regulations

The key partners usually involved depend on which control measures are recommended, but most commonly, they ae:

http://www.cieh.org/policy/health-protection-regulations-toolkit.html

http://www.cieh.org/policy/health-protection-regulations-toolkit.html

http://webarchive.nationalarchives.gov.uk/20130107105354/http:/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_114510

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EHOs: IPC advice for cases/contacts of GI illness + enforcement powers CIPCTs: IPC advice and monitoring for community settings GPs: prescribing of Rx and PEP School nurses: delivery of PEP (e.g. vaccination) in a school setting NHS community providers (e.g. DNs): delivery of PEP in community settings (excluding schools) e.g. traveller site,

university, care home…

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2.4 Communications

Communications: Roles and Responsibilities

Potential responder(s)Response activity In hours (9-5) Out of hours

Considerations, comments or

potential issuesSetting specific advice letters (eg businesses, care homes)

OCT – PHE, Salford Health Protection Team Salford EHO

Dependent on topic and setting. Will be clarified locally or by the Outbreak Control Group (OCG)

Update NHS 111 OCT

Helpline OCTScript and algorithm provided by PHE / LA

Communications

To public

Websites / social media

SCC – [email protected]. Public Relations - On call OfficerTel: 0161 793 3410 / Mobile: 07545420271 CCG reception 0161 212 4800 and ask to speak to a senior manager

(caller must insert numeric message ie their phone number)

PHE - North WestSRFT - ??


Ensuing all messages are linked and consistent

mailto:[email protected]

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Door to door

CVS – Gill Brunder office Manager 0161 7877795 ext 204

Lead for Neighbourhood Teams - David Seager, AD for Operational and Community Services. Neighbourhood Team Managers - Anne Godding – Eccles/Irlam and Cadishead – 0161 603 4291Vincent Nash – Little Hulton/Walkden, Worsley and Boothstown – 0161 779 8086Andrew Meadows – East Salford and Swinton – 0161 603 4293Marie Shields – Ordsall/Langworthy, Clarement/Weaste – 0161 603 4091

CCG reception 0161 212 4800 and ask to speak to a senior manager

For CCG out of hours box - CCG (OOH) - NWAS control centre on 0345 113 00 99 and ask for the Salford CCG director on call.

Only needed in a community tension type scenario (language and cultural barriers to consider)

Briefings / sit reps from OCT

Salford Health Protection Team via Director of Public Health tel 793 3599 PHETo

health partners Other

relevant groups

Salford Health Protection Team via Director of Public Health tel 793 3599 PHE

To the media Coordinated by PHE via OCT PHE via OCT

Include all partner agencies in discussion of key comms messages

To Elected Members / Committees e.g. Health and Wellbeing Boards

LA – City Mayor – office hours Tel 793 3421Deputy Major – office hours – Tel 793 2551

Out of Hours – SCC Officer On Call - Tel 793 3074

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Internal briefs Responsibility of each agency

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2.5 Funding Arrangements

Guiding principles:

o Protection of human health takes priority over funding challenges/financial discussions

o Where a local arrangement is in place re delivery of a certain aspect of the response (e.g. delivering an immunisation session in a school setting): partners must actively:

o Involve key decision makers form the relevant agency to formally approve the agreement (i.e. do not assume that the organisation will do it)

o Consider whether activity should be absorbed in existing contracts or whether additional funding is required and if so, which commissioner will sort this?

o Key commissioners in Salford health economy include:o CCG, which commissions: SRFT, GPs Community NHS providers via SRFT,

TB serviceso LA PH, which commission 0 to 19 Childrens Health Service, Sexual Health,

Drug and Alcohol, CIPC teams. ?????o GM Health and Social Care Partnership (GMHSCP), which commission

Pharmacy services, Dental services. ?????o LA Environmental Health, commission Bureau Veritas ??????o NHSE Commission SRFT Childrens Immunisation Team

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PART 3: LOCAL OPERATIONAL ARRANGEMENTS FOR SPECIFIC TYPES OF OUTBREAKS REQUIRING AN OCT

Salford Health Economy Capabilities and Contacts V12 09 08 17.doc

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PART 4: LOCAL OPERATIONAL ARRANGEMENTS FOR SPECIFIC TYPES OF OUTBREAKS NOT REQUIRING AN OCT

[Insert local protocols /SOPs /action cards for….

Suggested minimum: Management of outbreaks in Care homes:

o

Management of PVL +ve MR/SSA incidents]

PVL - Salford Staff Algorythm Oct 2013.docx

CDI algortham

toxin pos for staff use 2015.docxCDI toxin neg

algorithm for staff use 2015.docxMRSA

Algorithm.docx

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APPENDICES

Annex 1: Stocks of Laboratory Testing Kits, Medication, and Other Equipment

Type of Stock Where Located Quantity Arrangements for Access

e.g. swabs, tubes etc.Faecal swabs EHO room 9, SCC In Hours Tel 925

1315. Out of Hours – 793 3074

Sterile Honey Jars ( for taking food samples)

EHO room 9, SCC In Hours Tel 925 1315. Out of Hours – 793 3074

Respiratory Swabs CIPCT In hours Tel – 793 3599 Out of Hours MRI lab postal system.

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Annex 2: Potential Outbreak Settings or Sources

These are examples of community settings sometimes associated with outbreaks

Care homes: nursing, residential, intermediate, mixed etc Schools / Colleges Nurseries / Child minders / Play centres University / student accommodation Food outlets Petting farms Swimming pools / water activity parks Dental practices Community health care settings (GP practices, Integrated Care centres etc.) Prisons / Detention Centres Workplaces Ports / airports Hotels Leisure Centres Travellers Sites Private camp sites / holiday parks Community Hospitals Hostels Tattoo Parlours

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Annex 3: Common Pathogens

Below is a list of pathogens which can commonly cause outbreaks. This list is not exhaustive.

The full list of notifiable diseases is available here:

Influenza Norovirus Scabies Tuberculosis Clostridium difficile PVL positive MR(S)SA Invasive Group A Streptococcal infection E Coli O157 Hepatitis A Meningitis Pertussis Legionnaires Disease Measles

https://www.gov.uk/guidance/notifiable-diseases-and-causative-organisms-how-to-report#list-of-notifiable-diseases

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Annex 4: Common Outbreak Scenarios and Challenges

Below is a list of relatively common outbreak scenarios, the usual response recommended by an Outbreak Control Team, and the common challenges encountered by local health economies in implementing these. It is not possible to cover every scenario, nor be overly prescriptive and specific circumstances of some situations might lend themselves to different practical solutions.

Outbreak Scenario

Recommended response Usual partners providing the local response (provider + commissioner)

Common challenges for consideration

OOH response required?

Comments

Seasonal influenza outbreak in a care home

See Salford Respiratory Standard Outbreak Plan attached - Appendix 1

Salford HP Team Tel 793 3599 Supported by PHE

SOP attached

Salfords respiratory outbreak management SOP 2017_V3.xlsx

Influenza Prescribing Guide - Version 2 - Jan 2018.pdf

Outbreak of iGAS in a care home

Contact PHE (PHE lead).An Outbreak Control Team will be convened if two or morecases have been reported.

PHE Tel 0344 225 0562. Out of Hours number available.

Salford HP Team tel – 793 3599

Treatment prophylaxis of those residents not registered with SCHP

SCHP SCHP working hours –Monday to Friday 8am to 7pmSat and Sun – 9am to 11am

SOP - in development.

Hepatitis A case with suspected source in a primary school and Nurseries

-vaccination +/-HNIg for contacts: households / School (pupils/staff)-IPC measures for individual cases and contacts

Lead by PHE tel – 0344 225 0562 option 3

Salford HP Team – tel 793 3599

Providers – SRFT

-ensuring GPs vaccinate household contacts in a timely manner-delivering a mass vaccination session in a school (logistics, obtaining consent, language barriers – Support from CVS

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Outbreak Scenario




Comments

Community Nurses see Appendix 6

CCG reception 0161 212 4800 and ask to speak to a senior manager

Labs: PHE– Tel 276 8788

EHO Lead John Snow Tel 0161 925 1315

Sourcing the vaccination CCG.

vaccine supply, prescription/PGD, governance, recording uptake etc.)-catch-up arrangements for those who missed school session

Prescribing PDG signed off.


Two or more cases of meningococcal disease in a nursery, school, college or university setting

-delivery of mass prophylaxis for contacts: antibiotics +/- vaccine

Community Nursing SRFT –see Key contacts Appendix 6-CCG meds management – CCG reception 0161 212 4800 and ask to speak to a senior manager


Yes (09:00 -20:00 …not overnight)

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Outbreak Scenario




Comments

(sourcing of vaccine) - On call

bleep: 07659 584525 (caller must insert numeric message ie their phone number)

-Labs: PHE– Tel 276 8788

EHO Lead John Snow Tel 0161 925 1315

Screening and Imms Team. PHE NW GM HPT – Would chair outbreak team.

TB incident with a large number of contacts (e,g, boarding school setting)

-testing of a large number of contacts-treatment of latent infections where appropriate

-TB services, SRFT - Kay Lavery - 0161

206 8305Pager 07718863382

No NOTE: within TB response, consider issue of preparedness for residents not complying with Rx with complex

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Outbreak Scenario




Comments

social needs (e.g. no access to public resources)

GI outbreak linked to a food premise, swimming pool or petting farm

-rapid investigation of potential source in setting: reviewing records, inspection, +/- environmental sampling-faecal sampling for cases-setting-based control measures (e.g. food hygiene advice): recommendation/enforcement-case-based control measures (exclusion etc)

Salford HP team tel 212 4800

Food related - Salford EHOs-Tel 0161 925 1315

-Lab: local/PHE

-What is the process for obtaining faecal samples

Yes (09:00 -20:00 …not overnight)

Care Home have OOH guidance

Outbreak Management During Working Hours March 15 FINAL.docx

Electronic TEMPLATE Outbreak Pack.xlsx 3.xlsx

Outbreak Algorithm Out of Hours March 15 FINAL.docx

Large community outbreak of measles

Potentially:-information gathering from large number of cases-setting-specific (e.g. school) mass vaccination sessions-local vaccine catch-up campaign

-CICNs – Bev Wasp tel 793 3599-lab: PHE tel – 276 8788CCG reception 0161 212 4800 and ask to speak to a senior manager


SIT Screening and Imms Team PHE. PHE NW GM HPT

.-who would pay for local vaccine catch up campaign - To investigate


PHE On call for advice only

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Outbreak Scenario




Comments

Hard to reach populations:-Homeless-Traveller sitesExample outbreaks: measles, TB, iGAS

Investigations:Blood samples, skin swabs, respiratory samples.Control measures:IPC advice, medication (Rx/PEP)

-CICNs-Liaison teams-DNs/HVsNeighbourhood Managers-Anne Godding – Eccles/Irlam and Cadishead – 0161 603 4291Vincent Nash – Little Hulton/Walkden, Worsley and Boothstown – 0161 779 8086Andrew Meadows – East Salford and Swinton – 0161 603 4293Marie Shields – Ordsall/Langworthy, Clarement/Weaste – 0161 603 4091

-usually the issue is around poor access to NHS services: dedicated out-reach type response often needed(i.e. setting-based, from a trusted team where possible)

Not usually

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Annex 5: Teleconference Details and Protocol

Dial-in number: Chairperson Passcode:Participant Passcode:

For further information; https://www2.bt.com/static/i/media/pdf/meet_me_intro_ug.pdf

In order for a teleconference to run smoothly, participants must follow certain rules of etiquette while on the call.

Conference call etiquette- Chair Send handout materials/documents in advance if possible so attendees will have an

opportunity to review beforehand. Be on time, and stress the importance of being on time to other participants. Choose a location with little background noise. Determine who will take minutes for the meeting (this should not be the teleconference

chair). Select a phone with the handset attached. Mobile or and cordless phones often add

annoying static to the call. Draft and if possible agree an agenda prior to or at the beginning of the call. Compile a list of callers in advance if possible. At the start of the call go through the list of callers to establish who is present. Ask them

to introduce themselves and their agency. Emphasise to all callers that they MUST keep their phones on mute unless they wish to

speak. Encourage participants to state their name when speaking to ensure it is clear who is

contributing. Direct questions to a specific person instead of posing them to the audience at large

where appropriate. Speak clearly and pause frequently especially when delivering complicated material. Before ending the call ask all callers if they have any further input. At the end of the call, summarise the key actions and agree the next meeting date and

time.

Conference call etiquette – Participants The ‘mute’ button should be used at all times unless you are speaking to the conference

this avoids any back ground noise pollution Callers should treat a conference call like any other meeting. Choose a location with little background noise Select a phone with the handset attached. Mobile or and cordless phones often add

annoying static to the call. If you do have to use a mobile phone in a car, please park up and turn off the radio and

engine to reduce background noise when speaking. If calling individually try to avoid using speakerphone as this can lead to excess

background noise and may reduce the quality of your call. Be sure to keep your mobile phone turned off or at least a few feet away from the

telephone you are using as it can create a 'hum' when active. Make a list of any issues you need to raise and note where they can slot into the agenda. Introduce yourself when speaking. Take care not to rustle paper, type or make a noise that might disturb the call when your

line is open.

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Speak clearly and pause frequently when delivering complicated material.

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Annex 6: Key Contacts

In the event of an outbreak, the following contact details may be of assistance:

Organisation/title/department Name/commentPublic Health England Kristina Pool – Lead for Salford Phone(s) [email protected] - 0344 225 0562. Option 3 [email protected]

Salford City Council Name/commentDirector of Public Health David HernePhone(s) [email protected] 793 3518 www.salford.gov.uk

Salford City Council Name/commentConsultant in Public Health (Health Protection) Gunjit Bandesha

Phone(s) [email protected] 793 3518 www.salford.gov.uk

Salford City Council Name/commentEnvironmental Health John Snow

Phone(s) [email protected] [email protected]

0161-925 1315 / 0161 9251097 www.salford.gov.uk

Salford City Council Name/commentHealth Protection Team Bev Wasp - ManagerPhone(s) [email protected] 793 3599

Salford City CouncilAD for Operational and Community Service David Seager

Phone [email protected] Tel 0161 925 1115 Manager of neighbourhood teams

Organisation/title/department Community Nursing leads

SRFT

SRFT PA Tracy Astbury 206 8828 Maxine Pamphlett ADNS Occupational Health –

206 8027, 206 6218, 206 0582 Pat Butterworth ADNS - Adult Community 206

2529 Amanda Hobson Lead Nurse – Adults 206 2343

tel:0161%20793%203518

tel:0161%20793%203518

mailto:[email protected]

tel:9251115

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Michelle Bridson – Senior Manager – Adult Community Services 206 2345

Kim Scanlon – Care Homes Practice Manager 206 2296

Michelle Ward ADNS – Childrens Community 206 2218

Sandra Smith – Lead Nurse, Childrens Universal Services 206 2197

Agnes Leopold-James – Lead Nurse Childrens Targeted Services 206 2199

Jane Ramm – Senior Manager Childrens Services 206 8065

PA for above services: Carol Casey 206 2525

Organisation/title/department Name/commentCVS Gill Brunder Officer ManagerPhone(s) Email0161-787 7795

economy outbreak plan operational local health · 2018-06-19 · tb skin test tb services at srft...

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