NHS Greater Glasgow & Clyde 2014 Commonwealth Games Hospital Manual

NHS Greater Glasgow & Clyde
2014 Commonwealth Games
Hospital Manual
July 2014
Version 1.0
(Web Version)
Document Control
Version 1.0 July 2014
1
Not Protectively Marked
Title:
NHS Greater Glasgow & Clyde -2014 Commonwealth Games
Hospital Manual
Version
Date
Purpose/Change
Authorised
1.0 (Web
Version)
14h July 2014
Document
owner(s):
Civil Contingencies Planning Unit, Public Health Protection
Amendments:
Authorised by:
Anne Harkness, Director ECMS
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Contents
1.
Background ........................................................................................ Page 4
2.
Entitlement ......................................................................................... Page 4
3.
Training Camps ................................................................................... Page 5
4.
Athletes and Games Family Accommodation ...................................... Page 5
5.
Process for AGF requiring hospital care .............................................. Page 5
6.
Identifying and Authenticating members of the AGF ........................... Page 6
7.
Accredited member: Self-referral or ambulance .................................. Page 6
8.
Team Doctors ...................................................................................... Page 6
9.
Interpreting Services............................................................................ Page 7
10. Discharge/Transfer process ................................................................ Page 7
11. Consent ............................................................................................... Page 7
12. Information Governance ...................................................................... Page 7
13. Reporting ............................................................................................. Page 7
14. Security ............................................................................................... Page 8
15. VIP ..................................................................................................... Page 8
16. Doping ................................................................................................. Page 8
17. Communication and Media .................................................................. Page 8
18. Major Incident ...................................................................................... Page 8
19. Mental Health ...................................................................................... Page 9
20. Other visitors to Glasgow .................................................................... Page 9
Appendix 1 - Transfer of Athlete or AGF member to NHS GGC Hospital................Page 11
Appendix 2 - G2014 Games Accreditation Example ..............................................Page 12
Appendix 3 - G2014 Identity and Accreditation Categories .....................................Page 13
Appendix 4 – NHSGGC GLO Notification Form......................................................Page 15
Appendix 5 - NHS GGC Immediate and Final Discharge Letter Templates ............Page 16
Appendix 5a - Completing an IDL/letter Patient’s GP is Unknown on TrakCare......Page 19
Appendix 6 - Consent to share information G2014 to provide .................................Page20
Appendix 7 – NHSGGC High Profile Patient Plan - GRI .........................................Page 21
Appendix 8 – Mental Health Pathway and contact numbers ..................................Page 25
Appendix 9 – Further Information ...........................................................................Page 26
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1)
Background
The Glasgow 2014 Commonwealth Games will take place between 23rd July
2014 and 3rd August 2014. It will be the largest multi-sport event ever held in
Scotland with 17 sports including 5 integrated para-sporting events. The
Games will operate in three site clusters in the city – East End, the West End
and the South Side. The Commonwealth Games Athletes’ Village will be in
the East End.
East End – Celtic Park, Athletes’ Village, Emirate Arena and Sir Chris Hoy
Velodrome, Tollcross International Swimming Centre and Glasgow Green
Hockey Centre.
South Side – Ibrox Stadium, Cathkin Braes Mountain Bike Trails, Hampden
Park
West End – Kelvingrove Lawn Bowls Centre, SECC Precinct, Scotstoun
Sports Campus
Three competition venues at satellite locations outside Glasgow will be used:
•
•
•
Barry Buddon Shooting Centre near Carnoustie
Royal Commonwealth Pool in Edinburgh
Strathclyde Country Park.
There are three road races that will be unticketed with public spectator access
along the route. These are:
•
•
•
2)
Marathon – Sunday 27th July
Cycle Time Trials Road Race – Thursday 31st July
Cycle Road Race – Sunday 3rd August
Entitlement
The Scottish Government has issued a Chief Executive’s letter outlining the
entitlement that has been agreed for the Accredited Games Family (AGF)
between Monday 7th July 2014 and Friday 7th August 2014 (inclusive) as set
out in CEL 08 (2014) THE COMMONWEALTH GAMES 2014 - PROVISION
OF NECESSARY TREATMENT FOR THE ACCREDITED
COMMONWEALTH GAMES FAMILY
The AGF is defined as including athletes and their supporting teams, technical
officials, certain members of the press and broadcasters, the Commonwealth
Games Federation, security etc.
In summary, the AGF will be entitled to treatment for any condition which
occurred after arrival in the UK, including pre-existing conditions which acutely
exacerbate whilst here, but not for pre-planned, elective treatment or routine
monitoring of chronic conditions. While the intention is that the majority of
healthcare required by the athletes and other accredited Game Family will be
provided via the polyclinic at the athlete’s village, NHS Greater Glasgow and
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Clyde will have a role to play in the provision of medical care in emergency
situations and certain non-acute specialist services as agreed.
The
designated hospital for referrals, unless otherwise indicated by the condition
or treatment required, is Glasgow Royal Infirmary.
If a member of the games family requires urgent treatment e.g. stroke, cardiac
arrest for which an ambulance care pathway already exists the existing
pathway is to be followed. This could result in a G2014 patient being treated
in a hospital other than the GRI.
The AGF are entitled to be seen within 24 hours of a referral for a planned
appointment/investigation – subject to usual working patterns
3)
Training Camps
As well as the AGF competing and attending events in Glasgow at least one
team from Zambia will have a training camp for approximately 20 individuals,
at t Strathclyde University/Glasgow School of Sport from the 7 – 13 July 2014.
Additional training camps will be held in other health board areas. As some
training camp facilities are still being negotiated with Sport Scotland there is a
possibility that other camps in NHSGGC will be confirmed at a later stage.
4)
Athletes and Games Family Accommodation
The athletes will be housed in the custom built Athletes Village in the East
End, close to the Emirates Arena. The Polyclinic is also situated in the
Athletes Village.
The majority of Accredited Games Family will be staying at the Hilton Hotel,
William Street Glasgow. In addition, Technical Officials will be resident at
four other city centre locations:
•
•
•
•
Jury’s Inn, Jamaica Street
Holiday Inn Express, Theatreland
Strathclyde University halls of Residence
Queen Margaret Halls of Residence, Glasgow University
The accredited media personnel have accommodation at the Crowne Plaza
close to the media centre at the BBC Scotland Plaza.
5)
Process for AGF requiring hospital care
In order to cause the minimum disruption to normal services whilst ensuring
the safety and security of members of the GF, a process will be in place
during the above-mentioned period as follows:
If an athlete or other accredited GF member requires referral to hospital, the
G2014 Medical Clinical Manager (NHS Referrals) will liaise with Anne
Harkness, NHSGGC Games Liaison Officer (GLO) The GLO will facilitate
appropriate referral and arrange attendance or admission to the correct
service, inform the relevant NHS staff members and ensure protocols are
followed for informing others as necessary. See Appendix 1 – Transfer of
Athlete or AGF member to NHS GGC Hospital
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In the event of an athlete or other AGF member being admitted to hospital
between the hours of 20:00 - 08.00 the GLO (or nominated deputy) should
inform Scottish Government NHS Resilience on-call via the out of hours
Emergency contact pager.
6)
Identifying and Authenticating members of the
AGF
To assure confidentiality and security, accredited members of the GF will be in
possession of Games Accreditation that includes a recent photograph and
their unique accreditation code (Appendices 2 and 3 Games Accrediation
Example and G2014 Identity and Accreditation Categories).
It is the responsibility of NHS Healthcare providers to establish whether or not
overseas visitors are entitled to receive free NHS healthcare, or if charges
should be applied. In doing so, they can ask to see reasonable proof of
identity. Many of the large teams may have a number of non-accredited
support staff who are not entitled to free care under the bid commitments.
Guidance is available at
http://www.scotland.gov.uk/Topics/Health/OverseasVisitors
When identifying a member of the Games Family you should:
– Confirm their Games Family accreditation category
– Ask for their accreditation and confirm their eligibility
If the Games Family member does not have their accreditation contact the
GLO who will contact, the G2014 Medical Clinical Manager (NHS Referrals).
7)
Accredited member: Self-referral or ambulance
In the event of a member of the Accredited Games Family presenting at A&E
without the hospital having been contacted in advance, please undertake the
following procedure:
•
•
•
8)
If an emergency, treat the patient first
Follow the process for recognising a Games Family member and
determining their entitlement to care
Inform the GLO of their presentation (Appendix 1) as soon as possible
providing details required in Appendix 4 - NHS GGC GLO Notification
Form
Team Doctors
All referrals will be made by the G2014 Medical Clinical Manager (NHS
Referrals) from the Polyclinic, not a team doctor. If a patient consents, the
team doctor will be able to attend the assessment.
If a patient consents, their discharge details can also be shared with the team
doctor.
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9)
Interpreting Services
The Commonwealth Games is an English speaking games and therefore
there should be limited need for interpreting services. However, in the event
that services are required, the assessment of the patient should begin as
normal using existing interpretation services and normal protocols.
http://www.staffnet.ggc.scot.nhs.uk/Info%20Centre/InterpretingServices/Page
s/InterpretingServices.aspx
(Language Line’s Direct Number 0800 028 0073).
10)
Discharge/Transfer process
When a member of GF who has been admitted is ready for discharge or
transfer, contact should be made with the GLO who will make all
arrangements for discharge in consultation with the G2014 Medical Clinical
Manager (NHS Referrals).
The G2014 medical clinical manager is
responsible for organising transport back to their residence.
Appendix 5 details the Immediate and Final Discharge Letters (IDL and FDL)
that are used in NHS GGC. The IDL will be given to the AGF patient and
where appropriate cc’d to the Polyclinic medical staff, following the process in
Appendix 5a.
11) Consent
Clinical information will not be shared with G2014 or Team Doctors routinely.
Team doctors attending with patients have no rights of consent and will only
help in the consultation process with the permission of the patient. The
admitting medical team takes primacy in all care of any patient admitted to
their hospital. If a patient wishes to share information with their team medics,
or anyone else, the consent to share information form attached at Appendix 6
should be completed.
12)
Information Governance
To ensure patients receive seamless healthcare as they move between the
NHS and G2014 there is a need to facilitate easy and appropriate access to
patient information. It is therefore essential that healthcare professionals are
able to communicate and share information in order to provide the best
possible care for patients. A Service Level Agreement between NHS GG&C
and G2014 in in place and we have given our commitment to provide care in
accordance with all applicable laws, including data protection legislation.
Information sharing decisions will be made by the responsible clinician at
G2014 and the responsible clinician at Glasgow Royal Infirmary or other
NHSGGC facility. Access to the information must be restricted so that it is
shared on a need to know basis.
13) Reporting
The GLO will be frequently liaising with G2014 and will report on any AGF
members who have been admitted to hospital on a daily basis. A form is
provided for this in Appendix 4. This should be completed for every patient
attending the hospital from the GF.
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14) Security
All staff should ensure that they carry their NHS identification with them at all
times. As some athletes may attract significant attention the GLO will ensure
that where security staff are present, they are made aware of the athlete
attending.
15) VIP
G2014 will advise the GLO if any patient is to be treated as a VIP. In addition
to AGF there are likely to be other non-AGF VIPs who might require hospital
treatment. These VIPs may be accompanied by Police Protection Officers.
The protocol associated with treatment of VIPS at GRI is attached at
Appendix 7. Other hospitals have similar protocols
16) Doping
Many medicines that are prescribed to treat injury or illness for athletes may
result in an Adverse Analytical Finding (a positive test). As a result an athlete
could receive an Anti-Doping Rule Violation leading to a sanction and lengthy
ban from their sport as defined by the World Anti-Doping Code. These
medicines (“prohibited substances”) are listed on the Prohibited List
(http://www.wada-ama.org/) issued on an annual basis by World Anti-Doping
Agency. If there is a medical requirement for a prescription, the treating
physician may be asked to sign a Therapeutic Use Exemption (TUE) form
which may allow the athlete to take a prohibited substance for medical
reasons. It is the athlete’s responsibility to alert clinical staff about any drug
restrictions in their sport but hospital staff must be aware of the need for care
in this area.
In a medical emergency or if the patient is unconscious, clinical staff should
take whatever measures are needed to care for the patient as the health of
the athlete takes priority. In this case the athlete may apply for a TUE
retroactively.
The following link provides further information on prohibited substances from
the Global Drug Reference Online http://www.globaldro.com/uk-en/. If using
Global DRO please note that athletes competing in the Commonwealth
Games are considered ‘In-Competition’ from the 13 July 2014 to 3 August.
Advice will be available from the Glasgow 2014 Medical Clinical Manager
(NHS Referrals).
17) Communication and Media
All Commonwealth Games related enquiries will be managed by the Games
Media Messaging Group (GMMG). No information will be released to the
media by NHS GGC. It is essential that ALL enquires about athletes, AGF or
other VIPS, are referred to the Corporate Communications Team on 0141 201
4429 (24 hour number) who will liaise with the GMMG.
18) Major Incident
During a declared major incident the Accredited Games Family members
(including athletes) will be treated in the same pathway as all other casualties.
However, if AGF members are suspected to have been involved in the
incident efforts should be made to identify if any AGF have arrived at all
receiving hospitals and their details passed to the GLO.
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19) Military Personnel
There will be military personnel in Glasgow performing safety and security
duties during the Commonwealth Games. If a member of the military is
admitted to an NHS GGC hospital, under either emergency or planned
conditions, the MOD SMO must be informed of the admission. Military
personnel are treated the same was as all other patients, however the
information generated during their stay – discharge, case notes etc are
subject to specific processes.
20) Mental Health
Any request for an urgent Mental Health assessment for an Accredited
Games Family member, will be through the GLO.
The responding mental health services to cover 24/7 for the AGF will be the
North East Area Crisis Team and the OOH Mental Health Team.
If the Crisis/OOH team need to admit the AGF member to a Mental Health
Hospital they will follow the agreed pathway (Appendix 8) and admit to
Struan Ward, MacKinnon House, Stobhill Hospital where an identified
Consultant Psychiatrist will assume medical responsibility for the individual’s
care.
21) Other Visitors to Glasgow
The 2014 Commonwealth Games in Glasgow will result in an increased
number of overseas and other UK visitors in Greater Glasgow and Clyde
Health Board area over the summer.
UK visitors are entitled to the same treatment as any UK resident. Appendix
5a details the process to complete an IDL or letter where the patient’s GP is
unknown on TrakCare
Firstly all visitors regardless of status and country of origin are entitled to
treatment in an emergency.
There are two types of overseas visitors to the Commonwealth Games,
members of the Accredited Games Family (detailed above), and those simply
visiting, some of whom will be from the Commonwealth.
It is the responsibility of NHS Healthcare providers to establish whether
or not overseas visitors are entitled to receive free NHS healthcare, or if
charges should be applied. In doing so, they can ask to see reasonable
proof of identity.
All other visitors will have their eligibility assessed in terms of the Visitors from
Overseas Guidance. They may come to the UK as early as July 6th.
There are two main factors in determining eligibility for NHS treatment; the
country the visitor comes from, and a small number of other factors.
Country of ordinary residence
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The country that the overseas visitor comes from is a major factor in
determining their entitlement. The term used in the guidance is their “Country
of Ordinary Residence”. Broadly, there are two groups of countries that are
entitled to treatment, there are some additional requirements for eligibility, and
some restrictions based on nationality. Any visitor who is not from one of
these countries will not be eligible on the grounds of nationality.
There are two main groups of countries whose residents are entitled, under
certain conditions, and with certain restrictions to NHS Treatment.
EEA Countries
Nationals of ALL EEA countries and Switzerland are entitled to any necessary
NHS treatment while visiting the UK, for a visit of up to 90 days, on the same
basis as residents, upon production of an EHIC. This covers everything,
including existing conditions so long as the patient’s visit to the UK is not
expressly for the purpose of receiving treatment. For Oxygen Therapy or
Renal Treatment contact must be made prior to treatment. All members of a
family from the EEA would be expected to have their own EHIC; there is no
provision for dependents in the guidance.
The EEA countries are:
Austria
Belgium
Bulgaria
Cyprus
Denmark
Greece
Estonia
Hungary
Finland
Iceland
Latvia
The
Netherlands
Slovakia
Liechtenstein
Norway
Lithuania
Poland
France
Republic of
Ireland
Luxembourg
Portugal
Slovenia
Spain
Sweden
Czech
Republic
Germany
Italy
Malta
Romania
UK Reciprocal Health Agreements
Residents of countries on the lists below are entitled to treatment on the NHS
for conditions that have arisen since they arrived in the UK.
Anguilla, Australia, Barbados, British Virgin Islands, Channel Islands, Falkland
Islands, Isle of Man, Montserrat, New Zealand, Russian Federation, St
Helena, Turks and Caicos Islands,
Former Soviet Union States,
• Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kirgizstan,
Moldova, Tajikistan, Turkmenistan, Uzbekistan and Ukraine.
Former Yugoslavia,
• Serbia and Montenegro and successor states Bosnia, Macedonia and
Croatia.
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Appendix1 – Transfer of Athlete or AGF member to NHS GGC Hospital
Athlete/AGF member requires
transfer to
hospital/diagnostics/outpatients
PLANNED
EMERGENCY (BLUE LIGHT)
G2014 Medical Clinical
Manager (NHS Referrals)
informs NHSGGC GLO of
patient and reason for referral
NHSGGC GLO liaises with
NHS service and G2014
Medical Clinical Manager
(NHS Referrals) to arrange
treatment and care
G2014 Medical Clinical
Manager (NHS Referrals)
organises Patient transfer to
agreed hospital/clinic
Patient taken from
Venue, Polyclinic/Athlete’s
Village/GF Hotel to:
• ED at GRI
• Nearest ED
• Other definitive care
centre
G2014 Medical Clinical
Manager (NHS Referrals)
OR ED team at receiving
hospital informs NHSGGC
GLO of in-coming patient
Assessment and appropriate treatment
and care delivered by NHS team(s).
Transfer between specialities arranged
on basis of clinical need.
NHS speciality to complete GLO Notification
form and email to Anne Harkness (GLO)
NHSGG GLO liaises with G2014 Medical Clinical
Manager (NHS Referrals) on patient status and care
plan
Discharge/Transfer arranged via NHSGGC GLO and
G2014 Medical Clinical Manager (NHS Referrals)
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Appendix 2 - G2014 Games Accreditation Example
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Appendix 3- G2014 Identity and Accreditation Categories
COMPETITION VENUE CODES
CODE
BBS
CAV
CBM
GNH
GRC
HPP
ISR
KLB
RPD
SCP
SSC
SXG
SXW
SXZ
TIS
DESCRIPTION
BARRY BUDDON SHOOTING
EMIRATES ARENA VELODROME
CATHKIN BRAES MTN BIKE
GLASGOW NATIONAL HOCKEY
GLASGOW GREEN PRECINCT
HAMPDEN PARK PRECINCT
IBROX STADIUM
KELVINGROVE LAWN BOWLS
ROYAL COMMONWEALTH POOL
STRATHCLYDE COUNTRY PARK
SCOTSTOUN SPORTS CAMPUS
THE SSE HYDRO
CLYDE AUDITORIUM
SECC COMPETITION HALLS
TOLLCROSS SWIMMING
NON-COMPETITION VENUE CODES
CODE
CDM
CGV
CPO
DDV
GHQ
IBC
MPC
SVB
TRV
DESCRIPTION
SECC COMMON DOMAIN (INCL. HOTEL)
COMMONWEALTH GAMES VILL
CELTIC PARK
DIVING VILLAGE
GAMES HEADQUARTERS
INT BROADCAST CENTRE
MAIN PRESS CENTRE
SATELLITE SHOOTING VIL
TRAINING VENUES
CLUSTER VENUE CODES
REV
SXC
INF
ROAD EVENTS (CBM/GRC/SCP)
SECC PRECINCT (SXG/SXW/SXW - DOES NOT INCLUDE IBC/MPC)
ALL COMPETITION AND TRAINING VENUES
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ZONE KEY
ZONE
BLUE
CODE
NAME
Field of Play /
Athlete
Preparation Areas
RED
Operational Areas
Yellow
ZONE OWNER SPACE, OFFICES & SERVICES
- Warm-up and training areas
Sport
- Athlete change rooms, lockers rooms
- Athlete equipment and service areas
- Athlete medical service
- Doping control station
- Athlete lounge
- Sport information desk
- Field of play, competition areas
- Mixed zone (Athletes area)
- Timing & Scoring (on Field of play)
Venue
- Competition management
Management
- IF offices, Technical Delegate’s office
- Officials change rooms
- Jury and Draw rooms
- Results room
- Timing & Scoring
- Technology rooms
- Print distribution
- Security areas
- Sport production
- Victory ceremonies
- Venue communication centre
- Workforce areas
- Venue operations centre
- Generic offices and storage
- Logistics compounds and warehouses
- Catering, cleaning and waste areas
N/A
1
1
2
2
General
Circulation Areas
Games Family
Hospitality Areas
Press Areas
3
3
Broadcast Areas
Broadcast
R
R
Residential Zone
of the Athlete's
Village
Management
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Protocol
Press
Operations
- Guests lounge
- Guests stands
- Venue media centre
- Press and photo work rooms
- Media conference or interview room
- Photo positions
- Press stands
- Mixed zone (Press area)
- Press lounge
- Games News Service
- Broadcast compound
- Camera positions and platforms
- Commentary positions
- Observer seats
- Mixed zone (Broadcast area)
- Retail Village
- Athlete's accomodation & services
14
Appendix 4 – NHS GGC GLO Notification Form
•
•
•
G2014 Medical Manager to complete sections 1-9, if planned admission
Receiving unit to compete if an emergency admission
Department treating the patient to complete sections 10-12
Email completed forms to Anne Harkness (GLO) at:
•
anne.harkness@ggc.scot.nhs.uk
To be Completed for Accredited Member of the Games Family
1.
2.
3.
4.
Hospital name:
Date:
Time:
Contact at the Hospital (include
email and telephone details)
5.
6.
7.
Accreditation Category
Accreditation number or
registration number
Name:
8.
Nationality:
9. Gender:
10. Diagnosis, treatment and outcome (not more than 500 words)
11. Media Interest (not more than 500 words)
12. Any other relevant comments:
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Appendix 5 – NHS GGC Immediate and Final Discharge Letter Templates
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Appendix 5a – Completing an IDL or letter where the Patient’s GP is
Unknown on TrakCare
As the Commonwealth Games approach we are anticipating a higher number
of visitors to Glasgow who may attend or be admitted to hospital and not have
a GP listed in TrakCare.
Please note the following advice when completing letters that are
usually sent to the GP:
IDL or EDL where GP is unknown on TrakCare
1. Complete the letter to the unknown GP
2. Authorise the letter to print, this will send it to the print queue
which will then generate the hyperlink
3. Click the hyperlink to open the letter
4. Print the letter and give it to the patient / post to the patient, as
required.
5. The patient can take the letter to their GP if they have one.
Other letters where GP is unknown on TrakCare
1. Use the Clinical Letter – Other template
2. Enter the address of the GP / Physician or if GP / physician
address not known enter name / address of the patient (you
need to put something in the field)
3. Complete the letter
4. Letter will auto-print and can be put in an envelope and given to
the patient, or posted to the patient, as required.
5. The patient can take the letter to their GP if they have one.
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Appendix 6 - Consent to share information G2014 to provide
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Appendix 7 – NHSGGC High Profile Patient Plan – GRI
High Profile Patient Plan
Glasgow Royal Infirmary
February 2014
Application
Patients with high or potentially high security risk
Patients with high public and media profile
May be used as a basis for responding to incidents involving terrorism
Pre-hospital diversion
If the patient has tertiary care requirements e.g. head injury, burns, paediatrics
or requires decontamination an attempt should be made to have the
ambulance service transfer them from scene directly to a definitive care
centre.
Implementation
The decision to implement lies with Emergency Medical/Specialist Consultant,
Emergency Medical/Specialist Department Nurse in charge or the duty site/
bed manager.
Actions
The telephone switchboard should be requested to contact those on the “High
profile patient” contact list and ask them to report to the Emergency
Department.
Brief Emergency Department staff.
Designate an appropriate area within the Emergency Department for patient
assessment and management. Ordinarily this will be the Resuscitation Room.
Use porters/security team to exclude public and press from the department,
up to 3 porters/security team depending on activity.
Principles of management should be to limit patient movement and staff
contacts in the hospital by bringing consultant specialists to the patient. Use
near patient investigations and consultant assessments where possible.
If the patient requires admission, the designated admission bed would be
within a single room in the appropriate specialised care ward.
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Department closure
The reception of a high profile patient may constitute a Level 2 emergency or Level 3
incident:
Level 2 Major Emergency - A major emergency is defined as a situation,
either arising or threatened, which requires the special mobilisation and/or
redeployment of staff or other resources with consequent interruption to
routine activities.
Major emergencies are any events which may cause significant disruption in
the delivery of health care to patients.
Level 3 Major Incident - This is a widely accepted term used by the
emergency services to describe any emergency that requires (and triggers)
the implementation of special arrangements by one or more of the emergency
services, the NHS or the local authority. For the NHS, Major incidents are
events involving the reception of significant numbers of casualties or limited
numbers of casualties whose injuries place special demands on the NHS.
If the Emergency Department or other areas of the hospital require closure
please use the Business Continuity Plan.
Media
As per hospital major incident plan.
Plan
Background
Patients with high public and media profiles or security risks may attend
Glasgow Royal Infirmary.
This plan advises hospital staff regarding the
management of such patients with the aims of optimising privacy, safety and
security and facilitating effective co-operation with the police and the media.
Where possible the plan attempts to minimise disruption to the normal working
of the hospitals. In the event of terrorism this plan may form the basis of
response but will be augmented following discussions with Police Scotland.
Application
This plan applies to all patients who are actual or potential significant security
risks such as senior politicians, dignitaries and prisoners. The plan also
applies to patients who are likely to attract significant media presence in and
around the hospital. This may include victims associated with high profile
criminal activity.
Implementation
The plan can be implemented by the emergency medicine/specialist consultant on
duty, the nurse in charge of the emergency medical/specialist department or the
site/bed manager on duty. The plan can be implemented on the arrival of the patient
or prior to this if the hospital receives prior notification of the imminent arrival of a
high profile patient from the emergency services or other sources.
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The plan is implemented by telephoning switchboard and requesting that the
“High profile patient telephone list” be activated.
Patient diversion
If the patient is likely to require investigations or interventions not available at
Glasgow Royal Infirmary and the patient has not yet arrived at the hospital
then attempts should be made to have the ambulance service transport the
patient from the scene directly to a site of definitive care, unless the patient
has a life threatening condition which requires stabilisation prior to transfer to
another hospital for definitive treatment. Facilitating a single hospital
attendance rather than two with a secondary inter-hospital transfer minimises
risk and disruption to the operations of NHS Greater Glasgow and Clyde and
of the Scottish Ambulance Service and risk to the patient.
Switchboard: High profile patient telephone list
When requested to do so by the emergency medical/specialist consultant, or
charge nurse, or the duty site manager would ask switchboard to telephone
the following people and convey this message: “The hospital’s high profile
patient plan has been activated, please report to the emergency/specialist
receiving department.







Emergency medical/specialist department nurse in charge
Emergency medicine/specialist consultant – 1st on
Site/bed manager on duty
Senior manager on call to be contacted and updated.
Portering/Security Manager
Porter in charge of department
Press officer on duty for the health board.
Nurse in charge of emergency medical/specialist department
Designate area appropriate for patient assessment and management:
Brief Emergency Medical/Specialist Department staff on situation.
Advise on:
 Information received
 Need for discretion
 Minimal staff contact with patient
 Potential or actual need to close department
 Area where patient will be managed in the department
 Potential risks
Departmental porters/security staff will base themselves strategically in order
to maintain security of the area to prevent inappropriate access within the
Emergency Department and to limit access to those with appropriate
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identification until relieved by the police or further instructed by Senior
Management.
Principles of management should be to limit patient movement and staff
contacts in the hospital. The patient should be assessed and treated by the
emergency medicine/specialist consultant and consultants from the in-hospital
specialities, in the Emergency Department. Use near patient investigations
where possible.
Emergency Medicine/Specialist consultant
Working with a middle grade member of staff you will lead on patient
assessment and management.
Principles of management should be to limit patient movement and staff
contacts in the hospital by bringing consultant specialists to the patient in the
Emergency Department. Use near patient investigations where possible.
A second Emergency Medical/Specialist Consultant should lead on police
liaison and managing the rest of the department.
Distribution of high profile patient plan
Emergency medical/specialist department consultants and senior nurses
Site manger folder
Switchboard
On call senior managers
Clinical service mangers
Lead nurses
Intensive care unit – lead consultant and lead nurse
Medical Director
Civil Contingencies Planning Unit, NHS GG&C
Media services
An incident debriefing sessions will be held for all relevant staff as soon as
possible following the end of the treatment cycle for the High Profile/VIP
Patient
April 2012
RC2124
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Appendix 8 – Mental Health Pathway and contact numbers
Admission Pathway for Urgent Mental Health Assessment
Mental Health assessment requested
from G2014 Games Medical Manager
GLO contacts appropriate MH team and
assessment is organised
Monday –Friday
20:00-09:00
Saturday –Sunday
47:00-09:00
Contact Out of Hours
Monday –Friday
09.00-20:00
Saturday –Sunday
09:00- 17:00
Contact NE Crisis Team
Crisis Assessment
Completed
Admission Required?
No
Crisis/OOH Input
Liaise with NHSGGC
GLO
Yes
In hours – Crisis. Contact NE
Bed Manager/RMO
Out of Hours – mental health
service. Contact nurse page
holder MacKinnon house/Duty
Doctor
Facilities bed in Struan Ward
Crisis – contact
relevant authorities
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Appendix 9 –Further Information
Websites
G2014
www.glasgow2014.com
Get Ready Glasgow
www.getreadyglasgow.com
NHSGGC portal
http://www.nhsggc.org.uk/content/default.asp?page=home_cwg2014
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