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Red

Amber

Green

Score up to 50% - Little reportable progress to date

Score 50% to 80% - Discernable reportable progress to date

(2)

Sn:

Date

Description

EPRR Workplan version

1

01/05/2014

Update to MIPG work Completion %

V0.2

2

02/05/2014

Change to Task 1a to Inc BC in the Corporate EPRR policy &

additions to completion status

V0.3

3

14/05/2014

Completion of Draft EPRR / BC Documents and emailed to

EPRR Executive Lead

V0.4

4

22/05/2014

Addidition of tasks to EPPR plan and BC Framework

V0.5

5

02/06/2014

Adjustments to delivery Timescales - due to H&S Work

commitments of EPRR Lead

V0.6

6

11/06/2014

Updates to completed actions

V0.7

7

16/06/2014

Addition of LHRP Actions

V0.8

8

27/06/2014

Addition of ICR actions and addional exercise detail

V0.9

9

04/07/2014

Update with outcome of EMG Ratification process

V10

10

16/07/2014

Update outcome of CBRN Exercise initial meeting with

A&SFRS & Setup of access to EPRR Extranet

V11

11

23/07/2014

Upadate to spreadsheet fpor completed areas

V12

12

30/07/2014

Add new spreadsheet tab for 3-months from 01 August to

(3)

Page 3 Item 11 Appendix 3 WAHT Action plan

Sheet Updated CompletionTask Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C Task Completion Due By W/C

# EPRR Elements Date % 28/04/2014 05/05/2014 12/05/2014 19/05/2014 26/05/2014 02/06/2014 09/06/2014 16/06/2014 23/06/2014 30/06/2014 07/07/2014 14/07/2014 21/07/2014 28/07/2014 04/08/2014 1 EPRR Policy

1a Draft EPRR Policy Document for Approval 24/07/2014 100%

1b Submit to Dir Ops for EMG Approval at 03/07/2014 meeting 24/07/2014 100%

1c EMG requested small wording amendments' and return to EMG for final

ratification on the 24th July 14 24/07/2014 100%

2 Major Incident Plan

2a Review to ascertain compatibility with ICR SOP & BC Plan 24/07/2014 100%

2b Detail Changes required to Dir Ops 24/07/2014 100%

2c Remove ancillary plans and make standalone: e.g. Heatwave and CBRN 24/07/2014 100%

2d Assess Action Cards for relevance and viability 24/07/2014 60%

2e Redraft Action Cards as a Standalone Suite 24/07/2014 60%

3 Business Continuity Framework

3a Review Trust Corporate Business Continuity Framework to meet ISO-23301 and NHS Standard Contract-7; in light of NHS-LAT & CCG Comments

24/07/2014 100%

3b Submit to Dir Ops for EMG Approval at 03/07/2014 meeting 24/07/2014 100%

3c Review & reformat Trust Local Business Continuity Plan Format 24/07/2014 100%

3d EMG requested small wording amendments' and return to EMG for final

ratification on the 07th August 14 24/07/2014 100%

3e Develop Trust Business Continuity Plan Action Cards 24/07/2014 100%

4 Business Continuity Training

4a Draft Business Continuity Training Requirements 24/07/2014 100%

4b Obtain Off The Shelf Exercises from PHE 24/07/2014 100%

4c Draft Business Continuity Training Scheduled 24/07/2014 0%

4d Add Business Continuity TNA to EPRR TNA 24/07/2014 100%

5 Heatwave Planning 2014

5a Review 2013 Heatwave Plan and subsequent debrief actions 24/07/2014 100%

5b Redraft 2014 Heatwave plan to reflect debrief actions identified to improve

the 2013 plan 24/07/2014 100%

5c Estates and Facilities Assurance on Heatwave measures 24/07/2014 100%

5d On Call Manager / Director Action Cards on Heatwave response measures for

2014 24/07/2014 100%

5e Submit to Dir Ops for EMG Approval at 03/07/2014 meeting - complete amendmnts to On Call Action Card as requested by EMG 24/07/2014 100% 6 CBRN Planning Review

6a Review CBRN Plan in response to new CBRN - IOR requirements - ED CBRN

Clinical Lead 24/07/2014 0%

6b Review CBRN Equipment and Access Arrangements 24/07/2014 100%

6c Review CBRN Support Arrangements to ED by Estates 24/07/2014 100%

6d CBRN Clinical Training Lead - Review CBRN Training Arrangements in response

to new CBRN - IOR requirements 24/07/2014 0%

6e Review CBRN Respirex Suits replacement dates with CBRN Clinical lead 24/07/2014 100%

6f Review CBRN Respirex Training Suits - replacement batteries requirement and place order with CBRN Clinical lead 24/07/2014 100%

6g Initiate CBRN Exercise meeting with A&SFRS Monday 14th July, involve ED CBRN Trainers and ED Consultant for CBRN 24/07/2014 100%

6h Review Exercising Arrangements in light of ASFRS Meeting 14/07/2014 24/07/2014 20% 7 Mass Casualty Planning

7a Assess the Trusts documentation for Mass Casualties' in light of attendance at Mass Cass workshop Oct 14. 24/07/2014 0%

7b Join the LHRP Mass Cass group 24/07/2014 100%

7c Attend the LHRP Mass Cass Planning Meeting 11/07/2014 24/07/2014 100%

7d Invite ED & AEO as attendees to Mass Cass Workshop - tentative 01 Oct 14 24/07/2014 100%

Week

WAHT - EPRR Work Plan - Until 04 Aug 14

V.13

(4)

8 Incident Control Room (ICR) - Boardroom

8a Finalise ICR Manual to SOP Format 24/07/2014 100%

8b Issue SOP to ICR Resource Cupboard and on call folder 24/07/2014 100%

8c Update ICR Resource Cupboard - Signage and Files 24/07/2014 100%

8d Setup EPRR On Call Electronic Folder and arrange Access to all on Call Staff -

through Jo Robinson and IT 24/07/2014 100%

8e

Ensure Head of Comms has developed comms responses for use by ICT, has

communication templates available, has on call comms advice available. 24/07/2014 20%

8f Liaise with Telecoms manager to ensure access to TV (Sat Aerial and Sat Rx Required) installed in Boardroom 24/07/2014 100%

8g Ensure that access to extranet set up and detail added to the ICR - SOP 24/07/2014 100%

8g Liaise with IT Dept to ensure that the EPRR Laptop in Boardroom is set up for

duty managers and directors to access emails 24/07/2014 100%

9 EPRR MI & BC Training & Exercising to Meet CCA-2004 - Duty

9a Develop 3 Year EPRR Exercise Schedule 24/07/2014 0%

9b Submit to Dir Ops for EMG Approval 24/07/2014 0%

9c Publish 3 Year EPRR Exercise Schedule 24/07/2014 0%

9d Develop Table Top & Live Exercise Scenarios 24/07/2014 100%

9e Identify staff for exercise attendance 24/07/2014 0%

9f Obtain Off The Shelf Exercises from PHE 24/07/2014 100%

9g Ensure Trust DVD for EPRR information and awareness is added to the

Induction / Stat Man Trainig Schedule 24/07/2014 100%

9h

10 Emergency Planning & Business Continuity Group

10a Setup annual schedule of EPBC Meetings 24/07/2014 100%

10b Draft a list of MIPG Membership 24/07/2014 100%

10c Draft a standard MIPG Agenda 24/07/2014 100%

10d Review the MIPG - TOR 24/07/2014 100%

11 Local Health Resilience Partnership - LHRP

11a Obtain LHRP Tactical Group Meeting Dates 24/07/2014 100%

11b Diarise and attend LHRP Tactical group meetings 24/07/2014 100%

11c Diarise and attend LHRP - Tac Grp - CBRN Sub Group meetings 24/07/2014 100%

11d Diarise and attend LHRP - Tac Grp - Acute Trusts Sub Group meetings 24/07/2014 100%

11e Attend LHRP Train the Trainer Loggists Session on Loggists 24/07/2014 100%

11f Ensure National Exercise information is notified to the AEO Karen Croker at -

EPRR update meetings 24/07/2014 100%

12

12a 12b 12c

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Page 5 Item 11 Appendix 3 WAHT Action plan

Sheet Updated Task Completion End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing End of Week Commencing

# EPRR Elements Date % 11/08/2014 18/08/2014 25/08/2014 01/09/2014 08/09/2014 15/09/2014 22/09/2014 29/09/2014 06/10/2014 13/10/2014 20/10/2014 27/10/2014 03/11/2014

1 Major Incident Plan

1a Complete Major Incident Plan redraft 04/09/2014 60% Completion Due

1b Complete Action Cards update 04/09/2014 60% Completion Due

1c Major Incident Plan to EMG for Ratification 04/09/2014 0% Completion Due

2 Business Continuity Framework

2a

EMG requested amendments' to on call notification to reflect Trusts revised on Call arrangements; return to EMG for final ratification on the 14th August 14

04/09/2014 100% 12/08/2014Completed

2b

Communicate divisional Team BC Plan Templates to Divisional - Department Managers - with request for Assigned BC lead details and date the Team Plan is forwarded to the Assigned BC lead

04/09/2014 100% 26/08/2014Completed 3 Business Continuity Training

3a Draft Business Continuity Training Requirements 04/09/2014 100% 18/08/2014Completed

3b Draft Initial Business Continuity Training Scheduled with Jo Robinson 04/09/2014 100% Completed

12/08/2014

3c Draft Business Continuity Training Presentations 04/09/2014 100% 12/08/2014Completed

3d Add Business Continuity Training to EPRR - TNA document 04/09/2014 60% 06/08/2014Completed

3e Start BC Training 2-hour sessions (initially six) on 01st Sept 14 04/09/2014 60% Completion Due

3f Identify 1:1 training requirements from nominated BC Leads 04/09/2014 0% Completion Due

3g Identify further Training for BC - based upon non attendance at the

scheduled initial sessions. 04/09/2014 0% Completion Due

4 CBRN Planning Review

4a Redraft CBRN Plan in response to new CBRN - IOR requirements - with ED

CBRN Clinical Lead and trainers 04/09/2014 80% Completion Due

4b

Meet with ED matron and Clinical Leads to prepare for Trust External Audit of CBRN Capability on the 11th Sept 14 (using new CBRN core standards and equipment self assessment)

04/09/2014 100% Completed 29/08/14

4c Email CBRN Self Assessmnet to NHS Engalnd and SWAST by 04th Sept 14 04/09/2014 100% Completed 04/09/14

4d Review CBRN Training Arrangements in response to new CBRN - IOR

requirements with CBRN Clinical Training Lead and ED Matron 04/09/2014 40% Completion Due

4e Draft CBRN Exercise Briefing Document 1st draft with AFRS and ED CBRN

Leads 04/09/2014 20% Completion Due

5 Mass Casualty Planning (Note: Workshop Now Posponed)

5a Assess the Trusts documentation for Mass Casualties' in light of attendance at Mass Cass workshop first week of Oct 14. 04/09/2014 0% Workshop PosponedNHSE Mass Cass

5a Reassess mass casualty facilities - physical set up 04/09/2014 0% NHSE Mass Cass

Workshop Posponed

5a Re Assess Mass Casualties Plan drafted in 2013 by Nick Booth of Taunton 04/09/2014 100% 29/08/2014Completed

6 Incident Control Room (ICR) - Boardroom

6a

Ensure Head of Comms has developed comms responses for use by ICT, has

communication templates available, has on call comms advice available. 04/09/2014 20% Completion Due

6b Carry out ICR Walkthrough with Op Management Group - Karen Croker request - date to be set up by Jo Robinson 04/09/2014 20% Completion Due

V.0.2

WAHT - EPRR Work Plan - Until 03 November 2014

Week

(6)

7 EPRR MI & BC Training & Exercising to Meet CCA-2004 - Duty

7a Draft an initial 3 Year EPRR Exercise Schedule 04/09/2014 100% Completed

11/08/2014

7b Ensure Table Top & Live Exercise Scenarios are available 04/09/2014 100% Completed

11/08/2014

7b Complete review of ICR Training requirements 04/09/2014 100% 11/08/2014Completed

7c Identify staff for exercise attendance 04/09/2014 0% Completion Due

8 Emergency Planning & Business Continuity Group

8a Attend next meeting Thursday 16th October 14 @ 15:00 to 16:00 04/09/2014 0% Completion Due

8b Invite Kate Bradley (NHS Engalnd) and Debbie Campbell (NS-CCG) 04/09/2014 0% Completion Due

9 Local Health Resilience Partnership - LHRP

9a Attend next meeting LHRP meeting Wednesday 23rd @ 09:00 Castlewood 04/09/2014 0% Completion Due

10 Winter Weather / Severe Weather Plan - 2014

10a Liase with david craig and divisional managers 04/09/2014 0% Completion Due

10b Review and redraft winter weather / severe weather plan - for 2014 04/09/2014 0% Completion Due

11 Internal Audits from 2012 & 13 (Not processed by Trust at Time)

11a Complete' initial response' to request from Audit South West regarding 2

audits completed on the Trust in 2012 & 13 04/09/2014 100%

Completed 11/08/2014

11b Respond to additional requests raised by Audit South West 04/09/2014 100% Completed

11/08/2014

12 Trust EPRR Board Reports

12a Complete the first annual Trust EPRR Board report for the 04th Nov 14

Board Meeting - to be delivered by Karen Croker 04/09/2014 0% Completion Due

12b Forward to KC for approval and then CEO PA for submission to Board 04/09/2014 0% Completion Due

13 Review and Update the Trust Pandemic Flu Plan

13a Review and redraft the Trust Pandemic Flu Plan to align with LHRP PF Plan. 04/09/2014 0% Completion Due

13b Submit the Trust Pandemic Flu Plan to KC prior to submision to EMG for

(7)

Sn:

Date

Description

EPRR Workplan version

1

01/05/2014

Update to MIPG work Completion %

V0.2

2

02/05/2014

Change to Task 1a to Inc BC in the Corporate EPRR policy &

additions to completion status

V0.3

3

14/05/2014

Completion of Draft EPRR / BC Documents and emailed to

EPRR Executive Lead

V0.4

4

22/05/2014

Addidition of tasks to EPPR plan and BC Framework

V0.5

5

02/06/2014

Adjustments to delivery Timescales - due to H&S Work

commitments of EPRR Lead

V0.6

6

11/06/2014

Updates to completed actions

V0.7

7

16/06/2014

Addition of LHRP Actions

V0.8

8

27/06/2014

Addition of ICR actions and addional exercise detail

V0.9

9

04/07/2014

Update with outcome of EMG Ratification process

V10

10

16/07/2014

Update outcome of CBRN Exercise initial meeting with

A&SFRS & Setup of access to EPRR Extranet

V11

11

23/07/2014

Upadate to spreadsheet fpor completed areas

V12

12

30/07/2014

Add new spreadsheet tab for 3-months from 01 August to

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