Management of Public Health Incidents: Guidance on the Roles and Responsibilities of NHS led Incident Management Teams - October 2011
Management of Public Health Incidents: Guidance on the Roles and Responsibilities of NHS led Incident Management Teams - October 2011
ANNEX L
Full Incident Management Team Report Proposed Standardised Dataset *A suitable method will be developed for reporting this proposed dataset. It is expected that when completed, it will be attached to a suitable narrative on the incident. The dataset and methods of reporting will be piloted and suitably revised. There will then be a final consultation on the reporting method. It is intended that the narratives and completed datasets will be held by the Health Protection Network to facilitate on-going work to help prevent similar incidents and improving practice in incident management. |
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Incident Management | |
Incident Management Team (IMT) lead | Name and job title, Board |
Agencies represented on IMT: | |
Date of first IMT meeting: | |
Date of last IMT meeting: | |
Number of IMT meetings held: | |
Guidance used by IMT: | |
Please record any other points on IMT: | |
Incident Detection and Initial response | |
Date of first notification of case(s) | |
Date incident detected | |
Description of how the incident was detected | |
Description of the initial risk assessment response and communications: | |
Please note any other points on incident detection and initial response | |
Type of Incident | |
Causative Agent* | |
Main presenting illness | |
Main Primary Exposure(s)** | Food Water Air General Environment (i.e. when a hazard, usually chemical or radioactive, is widely dispersed e.g. in soil, water, in living matter and it is difficult to discern a specific exposure pathway Person to person (type e.g. sexual, respiratory, contact) Zoonotic Other (please describe) |
Source(s) of exposure*** | |
Duration of incident | From: To: |
Please note any other points on the type of incident | |
* Causative Agent refers to the hazard (biological, chemical or radiological) which has been absorbed into and/or entered the cases and is the prime cause of their illness. ** Exposure is used to describe the pathway through which a person/ group/population has come into contact with the hazard which is the supposed cause of disease or health state of interest. The main types of exposures are: food, water, air, person to person, zoonotic and general environmental. Exposure can be primary i.e. the original exposure leading to the hazard entering into or being absorbed by the index case or secondary i.e. consequential further exposures which are related to but may be different to the original *** Source of exposure relates to where the exposure has originated from. |
Investigation | |||
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Epidemiological Investigation | |||
Type(s) of Epidemiological investigation | |||
Final Case Definitions | Confirmed Probable Possible | ||
Number of Cases by definition and sex | |||
Number of cases by definition and age | |||
Clinical status | Admitted: | ITU: | Deaths: |
First and last date of onset by definition Epidemic curve appended? : | Yes/No | ||
Areas of incident occurrence: Mapping of cases appended? : | Yes/No | ||
Primary Exposures investigated | Food Water Air General Environment Person to person (type) Zoonotic Other (please describe) | ||
Source(s) of exposures | |||
Secondary Exposures investigated | |||
Other risk factors for illness | |||
Underlying medical conditions | |||
Further epidemiological investigations Report appended? | Yes/No | ||
Key findings: | |||
Main Conclusions | |||
Please note any further points on the epidemiological investigation | |||
Human Laboratory Investigation | |||
Diagnostic Laboratories involved | |||
Reference Laboratory involved | |||
Sampling and testing strategy Report appended | Yes/No | ||
Causative agent: | |||
Strain/genotype of micro-organism: | |||
Dates of first and last positive results in confirmed cases by laboratory | |||
Further microbiological investigations Report appended | Yes/No | ||
Key findings: | |||
Main Conclusions | |||
Please note any further points on the laboratory investigation | |||
Environmental Investigation | |||
Agency leading investigation | |||
Other agencies | |||
Laboratories involved | |||
Investigation Strategy (including sampling & testing) Report appended | Yes/No | ||
Main exposures | |||
Source and vehicle of exposure(s) | |||
Further environmental investigations Report appended | Yes/No | ||
Key findings: | |||
Main Conclusions | |||
Please note any further points on the environmental investigation | |||
Overall Summary from Investigation | |||
Key findings: | |||
Main Conclusions | |||
Control measures | |||
Objectives | |||
Prevention of primary exposure | |||
Exposure | Measure | Onset and duration | Agency responsible |
Prevention of secondary and further exposure(s) | |||
Exposure | Measure | Onset and duration | Agency responsible |
Prevention of ill health in those exposed | |||
Exposure | Measure | Onset and duration | Agency responsible |
Treatment and care of cases | |||
Services | Measure | Onset and duration | Agency responsible |
Primary Care | |||
Secondary care | |||
Other | |||
Criteria for cessation of main control measures | |||
Summary | |||
Enforcement & compliance issues | |||
Evaluation of impact and achievement of objectives | |||
Main Conclusions | |||
Communications | |||
Strategy | |||
Objectives | |||
Audience(s)s | |||
Key content: Assessed Risk to Health | |||
Key content: Advice on risk reduction | |||
Main spokesperson(s) | |||
Method of assessing impact | |||
Communications made: service | |||
Public Health (Scotland) | |||
Public Health (UK & Europe) | |||
Scottish Government | |||
General Practice | |||
NHS 24 | |||
Out of hours & A&E | |||
Local authorities | |||
Secondary care | |||
Others | |||
Communications made; public | |||
Cases and Contacts | |||
Affected communities | |||
Local Media | |||
National Media | |||
Helpline | |||
Publicity and specific health information | |||
Others | |||
Summary | |||
Evaluation of impact and achievement of objectives | |||
Main Conclusions | |||
Antecedents of Outbreak | |||
What occurred to precipitate the outbreak? | |||
Were there any system failures which contributed to this? | |||
Where there any organisational or cultural issues contributing to these? | |||
What is the likelihood of a similar event occurring? | |||
What needs to be done to prevent this? | |||
Learning from Experience | |||
Organisational Arrangements | What worked well? : | ||
What could be improved? : | |||
Investigation | What worked well? : | ||
What could be improved? : | |||
Control measures | What worked well? : | ||
What could be improved? : | |||
Communications | What worked well? : | ||
What could be improved? : | |||
Please identify any updates to guidance that should be considered as a result of the incident: | |||
Please identify any research that should be considered as a result of the incident: | |||
Please identify any Workforce / Education / Development priorities to arise as a result of the incident: |
Recommended Actions Arising from the Incident Recommended Actions should be set out as objectives using the 'SMART approach i.e.': Specific, measurable, achievable, realistic, timed:
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Action No. | Description of action | Action owner | Complete by date |
Report Approval
For completion by the Chair of the Incident Management Team | |
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Name: | Designation: |
Signature: | Date: |
Email: | Tel. : |
Contact
Email: Janet Sneddon
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