Multiagency

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Multi-agency Influenza Pandemic Planning
Emergency Planning Society N. Ireland Branch
26th October 2006
Dr E Anne Wilson Consultant in Public Health
Medicine Lead in Emergency Planning EHSSB
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CONTENT
A. Multi-agency Planning what is all the fuss
about?
B. Multi-agency Planning what does it mean in
EHSSB?
C. Multi-agency Work Programme
D. What is Community Continuity in an emergency
situation?
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A. Multi-agency Planning What is all the fuss
about?
Remit for Multi-agency Planning
Pre-dates MA Pandemic Planning
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Public Health
Joint response to incidents is common

• Food Poisoning Outbreaks
• ( E.Coli )
• Environmental Health

• Control of infectious Diseases
• (Case of Meningitis in a school)
• Education

• Water Borne Outbreak
• (Cryptosporidium)
• Water Service

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• Greater complexities now exist

Why the fuss ?
Complexity 1 increasing numbers of agencies may
be involved in responding
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2. Complexities Within Responding Sectors
Health
Review of Public Administration
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3. More Complex Threats!
Infectious Diseases
Terrorist Attacks
White Powder Incidents
September 11th 2001 9-11
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Natural Disasters
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4. Complex Communities
Just in time

• Utilities

• Food production marketing

• Source of Food .

Rice India Meat
N.Ireland Sauce China Green Beans
Kenya Sweet Corn France
INTERDEPENDENCIES

• Strawberries Holland
• Ice cream MAUDS
• COFFEE Kenya

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weve managed before
Complex Communities
Doing what weve always done is NOT an
option
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New Public Expectations Call for Public
Inquiry
bad planning hampered the 7th July
bombings rescue operation
agencies did not work together to share
information
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B. Multi-agency Planning what does it mean in
EHSSB?

• Recognition by all that
• No One Agency Works Alone During A Response to an
  emergency
• Each Agency has a unique and valuable role

Basic Emergency Planning Principle The Key to
an effective MA response is Co-ordination
and The key to Co-ordination is Planning
Exercising together
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EHSSB Multi-agency Pandemic Planning
Remit

• ASSISTANCE
• health services will be looking for other
  government departments
• agencies to assist with the successful
  implementation of the health
• response

(N. Ireland Interim Implementation Plan for the
UK Influenza Pandemic Contingency Plan
Oct. 06)
Aim

• REDUCING SOCIAL DISRUPTION the civil
  contingencies response

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National / Regional CC Structures
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Local Multi-agency Planning
CEMG
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EHSSB Multi-agency Pandemic Group

• Membership

EHSSB PSNI DCs x 6 ELBds x2 DETI
NIE BT NIOIEC Water Service

• Ethos

• Implementation of higher level decisions

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C. EHSSB Multi-agency Work Programme

• Work Programme

• Planning individual agency pandemic issues as
  they write plans
• inter-agency pandemic issues
  e.g. fuel supply

• Operations Local MA arrangements during
  pandemic
• CONOPS (Concept of Operations)

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Work Programme Planning
1. Public Health
General PH advice (Infection Control) Impact
of proposed PH Measures on individual Agencies
2. Business Continuity

• Effectiveness of individual local business
  continuity plans

3. Community Continuity
  Interdependencies of individual BC plans
impact on other agencies
example from health to emphasise the point to
identifying the interdependencies and plan
to manage them
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Identify interdependencies and plan to manage
these
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Planning 1. Public Health

• General PH advice (Infection Control etc.)

Updates at Pandemic MA Mtgs (monthly)
requests to present to ind. organisations
(Viridian/NIOIEC/DETI)

• Impact of Public Health Measures on Agencies

(a) Antiviral delivery Security Public
Order (b) Travel restrictions Getting staff
to work (c) School closures Staff able to come
to work (d) Social distancing Public Order
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Planning 2. Business Continuity
All organisations are supported by three primary
assets

• people
• communications
• physical infrastructure

Pandemic BC Planning
Traditional BC Planning

• Business continuity plans being revisited by
  many agencies

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Planning 3. Community Continuity
Interdependencies!
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Planning 3. Community Continuity
Today, the mission of one institution can be
accomplished only be recognising that it lives
in an interdependent world with conflicts and
overlapping interests. Jacqueline Greenan
Wexler
Independent thinking alone is not suited to
interdependent reality! Stephen Covey
workshop using scenarios
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Workshop findings

• Organisations are at different stages of
  developing plans
• Even within sectors planning not always joined
  up
• Some obvious interdependencies across sectors
  fuel telecomms
• Different views on sequencing plans (do all
  plans get activated at same
• time escalation of plans do these need
  sequenced?)
• Public/ Private interdependencies complex
• Tweaking existing BC plans NOT enough Further
  Work needed

Big ethical questions individuals needs Vs
needs of wider community
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Work Programme Operations
Concept of Operations (CONOPS)

• Membership
• Remit
• Objectives
• Roles Responsibilities
• Method of working
• Means of communication (by Alert Level)
• Information sharing what how (SITREPS)
• Practicalities
• Interface with Regional Processes

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D. What is Community Continuity in an emergency
situation?

• Providing vital services
• Maintaining safety Wellbeing of the population
• Sustaining the economic/industrial base

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What is Community Continuity?
Homeland Security Presidential Directive 7 (HSPD
7)
Identified 17 Critical Infrastructure Sectors
vital to National Functioning
Health Food Water Public Order Public
Safety Fuel Telecommunications Banking
Finance Transport Postal Shipping

• Public Health Health Care
• Emergency Services
• Agriculture Food
• Drinking Water Water Treatment Systems
• Energy
• Banking Finance
• Transport systems
• Telecommunications
• Postal Shipping
• Defence Industrial Base
• Chemical
• National Museums Icons

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What are the interdependencies?
(a) As a group review each agencys plan in
relation to these functions
(b) As a group review each agencys plan in
relation to

• Activation of plans All at same time Vs In
  Sequence

• Escalation of plans Synchronise within and
  across sectors

• Reliance on business continuity outside N.
  Ireland

(c) As a group review agree how best to manage
the interdependencies
Concept of
Mutual Aid?
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In Conclusion
Why all the fuss about Pandemic Multi-agency
Planning?
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Our Plans must be joined up
Fit for Purpose!
1.
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2.
The present generation has not faced an emergency
of this nature
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3.
The publics expectations ..
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his mum said thank-you for keeping him
alive
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The effectiveness of our multi-agency response
during a pandemic is highly dependent on
As we plan are we managing these
expectations?
the publics response to the decisions we
make these in turn are dependent on the
community
having realistic expectations of life during
a pandemic
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QUESTIONS ?