GLOSSARY. Access Overload Control (for mobile cellular radio telephones). ACCOLC

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1 ACCOLC Ambulance control Ambulance Control Point (ACP) Ambulance Control Management Officer Ambulance Incident Commander (AIC) Ambulance Liaison Officer (ALO) Bronze control Cascade system Casualty Enquiry Bureau Casualty label CBRN Command Access Overload Control (for mobile cellular radio telephones). The permanent office which receives all demands for the Ambulance Service in a specified geographical area, co-ordinates and allocates them to stations or vehicles. An emergency mobile control vehicle (identified by a green flashing light) providing an on-site communication facility which may be at a distance from the incident scene and provides a focal point for NHS / medical resources attending the incident. Ideally, the point should be in close proximity to the police and fire service control point vehicles (subject to radio interference constraints). A senior control officer based at Ambulance Control, not directly involved with the controlling of Ambulance Service resources, but rather having a listening brief. The role provides a valuable overview to the Ambulance Incident Commander. Ambulance officer with overall responsibility for the work of the Ambulance Service at the scene of a Major Incident. Works in close liaison with the Medical Incident Officer (MIO) to ensure effective use of the medical and ambulance resources at the scene. At the receiving hospital, the ambulance officer responsible for the provision of mobile radio communications between the hospital and the Ambulance Service. Also responsible for liaison and supervision of ambulance activity at the receiving hospital. Operational command (at RUH, located in PA office, South building) System whereby one person or organisation calls out others who, in turn, initiate other call-outs as necessary. Allocated team and area to provide information to relatives Colour-coded label used by Ambulance Service and medical teams to identify the priority of a casualty. Chemical, Biological, Radiation, Nuclear The authority for an agency to direct the actions of its own resources (both personnel and equipment).

2 Community health care services / Trusts Community services Coordination Control Control room Cordon (inner) Cordon (outer) CSSD Declared Alert Activate Plan ED Emergency services EPCU Environmental Health Officer (EHO) Evacuation (or rest) centre FoF Health care services provided by the community, within or close to people s homes. / The NHS Trusts which provide those services. The range of services, including local authority social services, provided in the community. The harmonious integration of the expertise of all the agencies involved with the object of effectively and efficiently bringing the incident to a successful conclusion. The authority to direct strategic and tactical operations in order to complete assigned function and includes the ability to direct the activities of other agencies engaged in the completion of that function. The control of the assigned function also carries with it a responsibility for the health and safety of those involved. Centre for the control of the movements and activities of each emergency service s personnel and equipment. Liaises with the other services control rooms. Surrounds the immediate scene and provides security for it. Seals off the controlled area to which unauthorised persons are not allowed access. See Controlled area. Central Sterile Supplies Department. A Major Incident alert issued by the prime ambulance service to activated the Major Incident plan and expect to receive casualties. The number, priority and estimated time of arrival may not be available at the time of receiving the alert Emergency Department. Previously known as A+E, or Casualty. The police, fire, ambulance and coastguard services. The Department of Health s Emergency Planning Co-ordination Unit. A professional officer responsible for assisting people to attain environmental conditions which are conducive to good health. Most EHOs work for local authorities and are concerned with administration, inspection, education and law enforcement. Building designated by local authority for temporary accommodation of people evacuated from their homes. See also Survivor Reception Centre. Follow-on Forces. ii

3 Forward Control Point Friends and relatives reception centre First Responder Gold command GTPS HEPA Hospital Operational control team Hospital Control Room IEM ITU Major Incident Major Incident procedures Medical Incident Commander (MIC) A selected area, near or at the scene, where the Incident Commander / Forward Incident Officer can direct the operation with mobile communications. The Forward Control will also act as a focal point for NHS / medical resources at the initial point of patient contact on the scene. There may be a requirement for more than one Forward Control. Secure area set aside for use and interview of friends and relatives arriving at the scene. The duty clinical site manager provides an immediate response. Completes actions stated on action card based in the Operational Control room (PA office). Strategic command (see Section 7). Government Telephone Protection Scheme. Health Emergency Planning Adviser. Team managing the whole hospital s response to a Major Incident. The centre set up at a receiving hospital to manage the in-hospital response; to collate, for internal use, data concerning casualties received (their condition, bed states, theatres available); and to provide information to the Police Documentation Team, as appropriate. Based in Patient Access Office. Also known as Bronze control Integrated emergency management. Intensive Therapy Unit Any emergency that requires the implementation of special arrangements by one or more of the emergency services, the NHS or the local authority. For the NHS, a Major Incident is any occurrence which presents a serious threat to the health of the community, disruption to the service, or causes (or is likely to cause) such numbers or types of casualties as to require special arrangements to be implemented by hospitals, ambulance services or health authorities. Pre-planned and exercised procedures which are activated once a Major Incident has been declared. Medical officer with overall responsibility (in close liaison with the Ambulance Incident Commander) for the management of medical resources at the scene of a Major Incident. (S)He should not be a member of a Mobile Medical Team. iii

4 MCI Mobile Medical Team (MMT) MSSU Mutual aid arrangements NBS NHS Direct NPIS NRPB Operational command Operational Coordinator OPD PA Office Police Casualty Bureau Primary Care Group (PCG) Police Documentation Team (hospital) RAYNET Receiving hospital Mass Casualty Incident. The may involve a large number of people within or outside the boundary of operation. The response will be coordinated nationally through Gold controls Nominated hospital personnel, mobilised at the request of the Ambulance Service, who provide on-site treatment. Medical Short Stay Unit. Cross-boundary arrangements under which emergency services, local authorities and other organisations request extra staff and/or equipment for use in a disaster. National Blood Service 24-hour health telephone helpline staffed by nurses. National Poisons Information Service. National Radiological Protection Board. Bronze command (see Section 7). Senior Manager trained to manage the incident based in Operational Control Room (PA office). Outpatients Department Patient Access Office. The Operational (Bronze) command and coordination centre. A bureau established by the police to maintain a list of casualties resulting from a Major Incident, including casualties dealt with at the site without referral to hospital and to answer all initial enquiries and co-ordinate media bulletins. Group of GPs and community nurses (established by a Health Authority and, typically, covering an area with a population of about 100,000), working closely together to improve the health of local people through commissioning of services and through better coordination of primary and community health care services. Team of police officers responsible for completing police casualty record cards in hospitals. Radio Amateurs Emergency Network. The hospital(s) selected by the Ambulance Service, from those identified by Health Authorities to act as listed hospitals, to receive casualties in the event of any particular Major Incident. iv

5 Standby Alert A Major Incident alert issued by the ambulance service to provide advanced notice Silver command Tactical command (see Section 7) Supporting hospital A listed hospital nominated to support the receiving hospital in dealing with casualties from a Major Incident. Tactical command Silver command (see Section 7) TC (Silver) Tactical Coordinator Temporary mortuary Triage Voluntary Aid Societies (VAS) Utilities Tactical Control Room. Based in Directors office meeting room Role completed by the Duty Manager (usually On call director) acting as Silver Control. Joined by a the Director of Nursing/ Senior Nurse, Medical Director and Director of Facilities to plan the medium to long term response. Building accessible from a disaster area and adapted for temporary use as a mortuary in which post mortem examinations can take place. Process of assessment and allocation of priorities by medical or ambulance staff at the site or Casualty Clearing Station prior to the evacuation of the injured. Triage may be repeated at intervals and on arrival at the receiving hospital. St. John Ambulance, St. Andrew s Ambulance and the British Red Cross Society. Also The Friends of the RUH. Companies providing essential services, e.g. gas, water, electricity, telephones. v