Kevin Mullins

1
Introduction Welcome

• Kevin Mullins
• 2012 Commissioning Lead, NHS London
• 9.35am 10.10am

2
1. Purpose of the Day

• Recap of the last workshop
• Progress to date
• Needs assessment
• Planning Assumptions
• Timelines
• Regional Update
• Sexual Health
• Health Protection
• Focus on resilience

3
Recap Linking the Olympics and Paralympics
Health Programme and NHS London 2012 Olympic
Programme

• The Department of Health has set up the Olympics
  and Paralympics Health Programme (OPHP) with the
  aim of ensuring that the planning and the
  delivery relating to the health implications for
  the Olympic and Paralympic Games are as effective
  and efficient as possible.
• The OPHP aims to engage with all 10 SHAs in
  England.
• NHS Scotland, Wales and Northern Ireland will be
  engaged on an informed basis.
• NHS London has commissioned the 2012 Olympic
  Programme with similar objectives but focusing on
  London.

NHS London 2012 Olympic Programme
Department of Health OPHP
OPHP Programme David Harper (SRO) / Lindsey
Davies (Programme Director)
NHS London 2012 Olympic Programme Simon Tanner
(SRO)/Hilary Ross (Programme Director)
Health Services Workstream James Fisher
Health Resilience Workstream Simon Dyer
Health Legacy Workstream Paul Jeff
Health Services Workstream Derek Miller
Health Resilience Workstream Andy Wapling
Health Legacy Workstream Wendy Clay
Health Needs Assessment
Health Needs Assessment

• Both programmes have been set up to help define
  and deliver the services, projects and resources
  that need to be in place to ensure we fulfil our
  London 2012 bid commitments up to and beyond the
  Olympic and Paralympic Games.

Given the common objectives and potential
synergies that can be achieved, the DH and NHS
London have jointly commissioned the Health Needs
Assessment.
4
A recap for those who did not attend the last
workshop

• The NHS London 2012 Olympic Programme is closely
  linked to the OPHP Programme.

OPHP Governance
NHS London 2012 Olympic Programme Board
NHS LONDON 2012 OLYMPIC PROGRAMME
EXECUTIVE CHAIR SIMON TANNER PCT LEAD MELANIE
WALKER
HEALTH SERVICES AND RESILIENCE STEERING
GROUP CHAIR MELANIE WALKER
PUBLIC HEALTH GROUP (To be confirmed)
LONDON LEGACY DELIVERY GROUP CHAIR SIMON TANNER
STAKEHOLDER FORUM
5
A recap for those who did not attend the last
workshop Overview of the Service and Resilience
workstreams

• Objectives
• To work with the NHS and other Stakeholders such
  as the Health Protection Agency (HPA) to support
  LOCOG in delivering high calibre clinical
  services to the Olympic and Paralympic Family and
  visitors to the Games, for which LOCOG is taking
  the lead,
• To support and assure that the NHS can respond
  adequately to health requirements during Games
  time and meet any health requirements not covered
  by LOCOGs planning,
• Ensure that the NHS is able to deal with the
  Health Service needs of visitors and local
  population ahead of and during the games,
• Manage an effective and efficient health service
  through business as usual, and
• Ensure that the lessons learnt from the Olympics
  and Paralympics are captured and used to inform
  future National and International events.

• Objectives
• To work with the NHS and other Stakeholders such
  as the Health Protection Agency (HPA) to support
  the Health Service in providing high calibre and
  responsive emergency health services to the
  Olympic and Paralympic Family and visitors to the
  Games,
• To support and assure that the NHS and emergency
  health services can respond adequately to health
  emergency requirements during Games time,
• Ensure that the NHS is able to deal with the
  Health Emergency needs of visitors ahead of and
  during the games,
• Effectively integrate the DH / NHS emergency
  plans with those of the Home Office and other
  relevant emergency services,
• Successfully coordinate with the HPA to ensure
  the provision of services needed to respond to
  potential health threats, and
• Ensure that the lessons learnt from the Olympics
  and Paralympics are captured and used to inform
  future National and International events.

6
NHS London Updated Governance Structure
7
A recap for those who did not attend the last
workshop What does all this mean for you?

• We need to engage and interact with all
  stakeholders who are involved in planning for the
  Games both within and outside DH / NHS including
  DCMS, LOCOG, ODA, TfL etc.
• If there are circumstances where the delivery of
  a service is jeopardised due to a lack of funding
  and the requirements meet specified criteria set
  by the OPHP, there may be an option to apply for
  limited funding.
• The Needs Assessment will be developed to help
  Regions and the PCTs to better understand the
  funding requirements that will need to be
  considered to ensure Health Services and
  Resilience provision is efficient, effective and
  economic.
• Therefore it is important that we work together
  to develop the Needs Assessment and agreeing the
  approach, assumptions and data set in order that
  the outputs of the Needs Assessment reflect your
  view of the impact of the Games on your service
  area or region.

The workshop today is the next step of our
continued engagement with you to develop the
Needs Assessment.
8
A recap for those who did not attend the last
workshop Why do we need the Health Needs
Assessment? is it an elephant or a mouse?
Key
B
A
We need to understand the incremental demand and
whether the NHS system has the capability to meet
these demands
Business As Usual Baseline demand for health
services in 2012 including non-Games resilience
demand
9
A recap for those who did not attend the last
workshop What did we do at the breakout session
and prioritisation exercise?
The purpose of the breakout session was to
prioritise the service areas and to discuss

• Whether you considered there are additional
  service areas needing to be included in the Needs
  Assessment,
• Discussed each service area and any specific
  issues which may arise,
• Discussed your view of the potential gap between
  supply and demand for each service area due to
  the Games,
• Discussed your view of the time required to
  mobilise the service and resource, and
• Discussed the implications of not meeting the
  supply and demand gap for the service area.
• Through the discussion, we populated the
  following matrix

There were comments that there should be another
dimension to this matrix which covers the risk
and consequences of not meeting the gap. It may
be helpful to develop the simple prioritisation
matrix into a more explicitly risk-based
approach, for example using some suitable risk
register. This could be used to capture

• the estimated likelihood and size of gaps in
  provision
• the effectiveness of existing mitigation measures
• the consequence of a continued gap
• the lead time or further action, and
• interdependencies between actions.

What have we done since then?
10
How have we taken this forward?
Weve clustered our work along four groups
Urgent (unscheduled) care
Public Health
Sexual Health and Drugs and Alcohol Related
Services
Sports and exercise medics
11
What have we done since the last workshop?

• A summary document from the March 13 Workshop has
  been circulated to all attendees,
• Mobilised the DH Olympic and Paralympic Health
  Programme team,
• Increased central analytical resources,
• Developed an updated programme plan for the Needs
  Assessment,
• Developed a view on Resilience,
• Continued our engagement with ODA, HPA, LOCOG,
  DCMS, NHS other stakeholders
• Commenced our stakeholder engagement with visits
  to the regions,
• Continued work on ambulances and paramedics and
  sexual health.
• Initiated work on acute services and unscheduled
  care
• Explored options for the delivery of the SEM
  requirements for the games legacy

12
Feedback on the summary report and outputs from
the last workshop

• A summary report of the March 13 workshop has
  been circulated for review.
• We would like to discuss the key themes and
  questions arising from the workshop in addition
  to any further questions and comments you may
  have.

Will there be guidelines from the DH on how to
balance additional commitments due to the Games
with existing targets?
What type of in-venue incidents will be dealt
with by LOCOG and under what circumstances will
the NHS need to support them?
Weather and temperature at the time of the games
will affect the demand for AE related services
Need to define the baseline more fully
Will there be an approval procedure for the
release of volunteers?
Risks of alcohol and drug consumption will be
prevalent in cultural events and out of venue
events, parties etc.
Sexual health services is likely to already be an
issue given the high numbers of construction
workers building the venues
Lets discuss what you expect from the DH to
support your planning for the Games
13
Key themes and questions arising from the workshop
PCT Strategic Operational Planning

• 1. Need to define the baseline more fully

• Impact of the games on local economy ie service
  demand additional activity requirements v.
  compromised supply through loss of capacity
  caused by volunteering etc
• Assurance that identified impact based on robust
  assumptions and can be contained with no
  detriment to core services and performance
  targets
• If un-containable, confirm the available options
  for consideration and merits of each
• Identify exceptional bids for one-off funding and
  clarify how being progressed in light of the
  emerging DH guidance
• Confirm plans if no funding available - risk
  assessed

14
Key themes and questions arising from the workshop

• Yes planning assumptions to be issued by end of
  July likely (?) to be in the Operating
  Framework for 2012/13 .

• 2. Will there be guidelines from the DH on how to
  balance additional commitments due to the Games
  with existing targets?

15
Key themes and questions arising from the workshop

• Clarification emerging through current
  operational table top testing will be rolled
  out over the next few months to end of the
  summer.

• 3. What type of in-venue incidents will be dealt
  with by LOCOG and under what circumstances will
  the NHS need to support them?

16
Key themes and questions arising from the workshop

• Well ask Michael Fish.and will be part of the
  resilience testing arrangements in order to
  assure emergency preparedness.

• 4. Weather and temperature at the time of the
  games will affect the demand for AE related
  services

17
Key themes and questions arising from the workshop

• Framework likely to be developed aligned across
  all public services but recruitment at LOCOGs
  discretion release at employers

• 5. Will there be an approval procedure for the
  release of volunteers?

18
Key themes and questions arising from the workshop

• Public health issue and NTA other stakeholder
  engagement processes being initiated..

• 6. Risks of alcohol and drug consumption will be
  prevalent in cultural events and out of venue
  events, parties etc.

19
Key themes and questions arising from the workshop

• Hong Tan to update at the session later today.

• 7. Sexual health services is likely to already be
  an issue given the high numbers of construction
  workers building the venues