SURGE LEVEL 3 - BLACK Action Who 1 Arrange conference call with Gold, EOC RCC (Strategic Commander to chair and Silver, RCC, Senior Clinician, TACAD authorise actions below) [call must be recorded via EOC line, time and extension noted] Teleconference 03303360670, Participant PIN: 706170 2 Review Level 2 (Red) actions Strategic Commander 3 Consider on site Gold Cell (confirm RCC with Resilience Manager on Call attendees) 4 Call in additional staff to EOC and EOC and Operational Tactical operations 5 Call in additional clinical support to each Strategic Commander EOC (see Appendix 2 for guidance on role) 6 Consider increasing ECAT ring back time EOC Tactical of C2 to 40 minutes, C3 to 180 minutes, C4 to 240 minutes 7 Consider moving all appropriate Category EOC Tactical 2-4 calls into ECAT (see script in Appendix 1) agree advisory delay time for category. 8 Clinical review of back up requests (e.g. EOC Tactical potential transport options) 9 All HCPs referrals to be clinician reviewed EOC Tactical (preferably hot transfer from call handler) 10 Consider implementing Not Send’ to Strategic Commander “Do Category 3 and 4 (see script in Appendix 1) with exclusion criteria (Appendix 3) 11 Consider implementing Not Send’ to Strategic Commander “Do Category 3 and 4 (see script in Appendix 1) without exclusion criteria (Appendix 3) 12 Implement Category 2, 3 and 4 script for EOC Tactical call handlers given potential delays (see Appendix 1) agree advisory delay time for category. 13 Urgent Script (high demand and delay EOC Tactical script) agree advisory time – 14 Review welfare of unassigned events and Strategic Commander consider a need to modify process with non-clinicians undertaken initial welfare 15 Consider removal of breakpoints to Strategic Commander improve immediate resource availability 16 Consider suspension of end of shift Strategic Commander process 17 Prepare to invoke EEAST Major Incident Strategic Commander Plan 18 Send system wide notification of RCC Surge Black Status (pre agreed script/distribution list) 19 Record actions in appropriate log RCC 20 Inform DEOs and Clinical Coordinators / RCC Senior EOC Clinicians
SURGE LEVEL 3 - BLACK Action Who 1 Arrange conference call with Gold, EOC Silver, RCC, Senior Clinician, TACAD [call must be recorded via EOC line, time and extension noted] Teleconference 03303360670, Participant PIN: 706170 RCC (Strategic Commander to chair and authorise actions below) 2 Review Level 2 (Red) actions Strategic Commander 3 Consider on site Gold Cell (confirm attendees) RCC with Resilience Manager on Call 4 Call in additional staff to EOC and operations EOC and Operational Tactical 5 Call in additional clinical support to each EOC (see Appendix 2 for guidance on role) Strategic Commander 6 Consider increasing ECAT ring back time of C2 to 40 minutes, C3 to 180 minutes, C4 to 240 minutes EOC Tactical 7 Consider moving all appropriate Category 2-4 calls into ECAT (see script in Appendix 1) agree advisory delay time for category. EOC Tactical 8 Clinical review of back up requests (e.g. potential transport options) EOC Tactical 9 All HCPs referrals to be clinician reviewed (preferably hot transfer from call handler) EOC Tactical 10 Consider implementing “Do Not Send’ to Category 3 and 4 (see script in Appendix 1) with exclusion criteria (Appendix 3) Strategic Commander 11 Consider implementing “Do Not Send’ to Category 3 and 4 (see script in Appendix 1) without exclusion criteria (Appendix 3) Strategic Commander 12 Implement Category 2, 3 and 4 script for call handlers given potential delays (see Appendix 1) agree advisory delay time for category. EOC Tactical 13 Urgent Script (high demand and delay script) – agree advisory time EOC Tactical 14 Review welfare of unassigned events and consider a need to modify process with non-clinicians undertaken initial welfare Strategic Commander 15 Consider removal of breakpoints to improve immediate resource availability Strategic Commander 16 Consider suspension of end of shift process Strategic Commander 17 Prepare to invoke EEAST Major Incident Plan Strategic Commander 18 Send system wide notification of Surge Black Status (pre agreed script/distribution list) RCC 19 Record actions in appropriate log RCC 20 Inform DEOs and Clinical Coordinators / Senior EOC Clinicians RCC
EN%20Herts%20CCG%20Surge%20Escalation%20and%20Capacity%20Plan%20V21.docx