Appendix 11: The Operational Dynamic Risk Assessment template Public Health Advice from Outbreak/Incident Control Team ONCE COMPLETED PLEASE EMAIL NOMS HEADQUARTERS with the subject line HMP [NAME OF ‘OUTBREAK AT ESTABLISHMENT]’ NOMS NATIONAL OPERATIONS UNIT: nationaloperations: NOMS POPULATION MANGEMENT UNIT: COPY TO: Required information for risk assessment - please complete as Additional Notes: much as possible but do not delay sending report while awaiting further information eg laboratory results Date of meeting of OCT/ICT dd/mm/yyyy: Time of first meeting (00:00) Nature of incident: Gastrointestinal disease [] Specify causative agent if known (eg norovirus, influenza A/B, TB etc.) Respiratory disease [] Chemical incident [] Other [] Date of onset of incident or dd/mm/yyyy date of first case Number of people affected Prisoners: Has an active case-finding programme been recommended? Y/N Suspected [ ] Does case finding include staff? Y/N Confirmed [ ] Are any staff on sick leave currently? Y/N If Yes, how many: [ ] Staff: Have any cases been transferred for care to hospital? Y/N Suspected [ ] If Yes, how many: [ ] Any other information: Confirmed [ ]
Appendix 11: The Operational Dynamic Risk Assessment template Public Health Advice from Outbreak/Incident Control Team ONCE COMPLETED PLEASE EMAIL NOMS HEADQUARTERS with the subject line ‘OUTBREAK AT HMP [NAME OF ESTABLISHMENT]’ NOMS NATIONAL OPERATIONS UNIT: nationaloperations: NOMS POPULATION MANGEMENT UNIT: COPY TO: Required information for risk assessment - please complete as much as possible but do not delay sending report while awaiting further information eg laboratory results Additional Notes: Date of meeting of OCT/ICT dd/mm/yyyy: Time of first meeting (00:00) Nature of incident: Gastrointestinal disease [] Respiratory disease [] Chemical incident [] Other [] Specify causative agent if known (eg norovirus, influenza A/B, TB etc.) Date of onset of incident or date of first case dd/mm/yyyy Number of people affected Prisoners: Suspected [ ] Confirmed [ ] Staff: Suspected [ ] Confirmed [ ] Has an active case-finding programme been recommended? Y/N Does case finding include staff? Y/N Are any staff on sick leave currently? Y/N If Yes, how many: [ ] Have any cases been transferred for care to hospital? Y/N If Yes, how many: [ ] Any other information:
Prison_outbreak_plan_for_England.docx