Emergency Preparedness Resilience and Response (EPRR) and Business Continuity (BC) Policy

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Emergency Preparedness Resilience and Response (EPRR) and Business Continuity (BC) Policy September 2018-2021 Document Type Non Clinical Corporate Policy Unique Identifier To be set by Web and Systems Development Team Document Purpose To set out the Trusts position and commitment to Emergency Preparedness Resilience and Response and Business Continuity Systems Document Author Emergency Planning Manager Target Audience Trust and Public Responsible Group Quality and Safety Date Ratified 26.09.2018 Expiry Date 2021 Accountable Officer / Document owner Acting Chief Operating Officer Signature EPRR and Business Continuity Policy Page 1 of 31

Guideline / Policy on a Page Summary of Key Points Trust requirements and commitments to EPRR and BC Structure and Governance Process to EPRR Resourcing Work plan Core Standards Business Continuity strategy and Exercising plan Monitoring progress EPRR Structure EPRR and Business Continuity Policy Page 2 of 31

EPRR and Business Continuity Policy Document Type Non Clinical Corporate Policy Unique Identifier To be set by Web and Systems Development Team Document Purpose To set out the Trusts position and commitment to Emergency Preparedness Resilience and Response and Business Continuity Systems Document Author Emergency Planning Manager Target Audience Trust and Public Responsible Group Quality and Safety Date Ratified 26.09.2018 Expiry Date 2021 The validity of this policy is only assured when viewed via the Worcestershire Health and Care NHS Trust website (hacw.nhs.uk.). If this document is printed into hard copy or saved to another location, its validity must be checked against the unique identifier number on the internet version. The internet version is the definitive version. If you would like this document in other languages or formats (i.e. large print), please contact the Communications Team on 01905 681770 or by email to WHCNHS.Communications@nhs.net EPRR and Business Continuity Policy Page 3 of 31

Version History Version Circulation Date Job Title of Person/Name of Group circulated to Brief Summary of Change 1.0 July 18 EPRR Sub Committee Deputy Chief Operating Officer (Chair) Mel Roberts Emergency Planning Manager Richard Davis-Leech Service Delivery Unit representatives: Deputy SDU Lead for Adult Mental Health & Learning Disabilities Admin & Performance Manager Children, Young People & Families and Specialist Primary Care SDUs Head of Community Hospitals (South) Urgent Care Lead Sexual Health & Dental Services Business Manager Corporate Directorate representatives: Deputy Director of Strategy and Business Development Deputy Director of Nursing Communications Lead Risk and Security Manager Head of Information and Contracting Estates Officer Senior HR Manager Head of IT Medical Director Small amendments throughout Aug 18 Quality and Safety Committee Wording on page 9, inclusion of EPRR Sub Committee job titles page 4 EPRR and Business Continuity Policy Page 4 of 31

EPRR and Business Continuity Policy Page 5 of 31

Accessibility Interpreting and Translation services are provided for Worcestershire Health and Care NHS Trust including: Face to face interpreting; Instant telephone interpreting; Document translation; and British Sign Language interpreting. Please refer to the intranet page: http://nww.hacw.nhs.uk/a-z/services/interpreting-andtranslation-services/ for full details of the service, how to book and associated costs. and Development Worcestershire Health and Care NHS Trust recognise the importance of ensuring that its workforce has every opportunity to access relevant training. The Trust is committed to the provision of training and development opportunities that are in support of service needs and meet responsibilities for the provision of mandatory and statutory training. All staff employed by the Trust are required to attend the mandatory and statutory training that is relevant to their role and to ensure they meet their own continuous professional development. Co-production of Health and Care Statement of Intent The Trust expects that all healthcare professionals will provide clinical care in line with best practice. In offering and delivering that care, healthcare professionals are expected to respect the individual needs, views and wishes of the patients they care for, and recognise and work with the essential knowledge that patients bring. It is expected that they will work in partnership with patients, agreeing a plan of care that utilises the abilities and resources of patients and that builds upon these strengths. It is important that patients are offered information on the treatment options being proposed in a way that suits their individual needs, and that the health care professional acts as a facilitator to empower patients to make decisions and choices that are right for themselves. It is also important that the healthcare professional recognises and utilises the resources available through colleagues and other organisations that can support patient health. EPRR and Business Continuity Policy Page 6 of 31

Contents: Title Page Number Introduction 8 Purpose of Document 8 Scope 9 and Competencies 9 Responsibilities and Duties 9 Main Text 10 Monitoring and Implementation 14 References 15 Associated Documents 15 Appendices 15 Appendix 1 EPRR Governance Structure 16 Appendix 2 EPRR Plan 17 EPRR and Business Continuity Policy Page 7 of 31

1. Introduction NHS England defines Emergency Preparedness Resilience and Response as The NHS needs to plan for, and respond to, a wide range of incidents and emergencies that could affect health or patient care This programme of work is referred to in the health community as emergency preparedness resilience and response. In the NHS EPRR is designed to meet the statutory requirements placed upon responding organisations under the Civil Contingencies Act 2004 (CCA 2004). The CCA 2004 defines specific statutory duties for responding organisations depending on them being a Category 1 or Category 2 responder. The Trust although not named in the CCA 2004 is expected to act and plan as though it is a Category 1 responder and therefore has the maximum number of statutory duties placed upon it. These being: Assess risk of emergencies occurring and use this to inform contingency planning Put in place emergency plan Put in place Business Continuity Management arrangements Share information with other local responders to enhance co-ordination Cooperate with other local responders to enhance coordination Warn and Inform the public As EPRR is a statutory duty placed upon the Trust it is a key priority for the organisation and it is essential that the required resources and focus is given. This policy is a requirement under the NHS EPRR Core Standards as it clearly demonstrates how the Trust will manage its EPRR and Business Continuity (BC) responsibilities. 2. Purpose of document This policy will clearly define how the Trust will manage its responsibilities for EPRR and BC. It will define among other things: Resourcing requirements The Trust s commitment to EPRR, BC, training and exercising Annual work programme On call procedures Description of roles How continuous development / improvement will be achieved EPRR governance process EPRR and Business Continuity Policy Page 8 of 31

3. Definitions LHRP Local Health Resilience Partnership. The strategic Planning Group made up of Health Economy Accountable Emergency Officers with responsibility for EPRR. EPAG Emergency Planning Action Group. Tactical level group of Emergency Planning specialists from the same organisations who attend LHRP who work together to provide solutions to the strategic issues arising from LHRP. EPRR Sub Committee The purpose of the Emergency Preparedness Resilience and Response Sub Committee is for the Trust to facilitate emergency preparedness and business continuity within the Trust, providing assurance to the board through the Quality and Safety Committee that the Trust fulfils its statutory and contractual requirements in relation to EPRR. Quality and Safety Committee Formal committee charged with responsibility for signing off EPRR Plans and Procedures. In addition receives bi-annual report from EP manager on EPRR status. Trust Board Signs off formally the Trusts annual Core Standards declaration statement and receives annual report from EP Manager on EPRR progress. Core Standards Annual self-assessment against a set of questions and standards provided by NHS England, which all funded providers of NHS Care must complete. On completion a declaration of compliance is made and governance process carried out to agree or amend this declaration of compliance. 4. Scope This policy is for all Trust employees as it details the Trust s commitment to EPRR and BC. 5. /Competencies This policy sets out the specific roles that are required and identified by EPRR legislation, notably NHS England EPRR Framework 2015. The training and competencies attached to these roles are fully detailed in the EPRR and Exercising Plan which can be found in Appendix B of this policy document. These requirements have been developed utilising the National Occupational Standards for EPRR. This includes the frequency and type of training and exercising required. 6. Responsibilities and duties Trust Board Receive as appropriate, reports no less frequently than annually, regarding EPRR, including where appropriate, reports on exercises undertaken by the organisation, significant incidents (non-clinical) and; Ensure that adequate resources are made available to enable the organisation to meet the requirements of the core standards for EPRR. This budget and resource should be proportionate to the size and scope of the organisation EPRR and Business Continuity Policy Page 9 of 31

Receive and approve the declared self-assessment of compliance with the annual Core Standards process from the Trusts Accountable Emergency Officer. Non-Executive Director for EPRR A non-executive director or other appropriate board member will: Be appointed by the Board to endorse assurance to the Board that the organisation is meeting its obligations with respect to EPRR and the Civil Contingencies Act 2004. Provide a supporting role and seek assurance that the organisation has allocated appropriate resources to meet these requirements, including the support of properly trained and competent emergency planning officers and business continuity managers as appropriate Accountable Emergency Officer Assume overall responsibility for the Emergency Preparedness Resilience and Response and Business Continuity Management agendas. Assume responsibility to the Trust Board to ensure compliance with EPRR Core Standards Provide a strategic lead on EPRR matters including attendance at Local Health Resilience Partnership (LHRP) meetings Provide and present as a minimum bi-annual reports to Quality and Safety Committee and annually to Trust Board on the status of EPRR in the Trust, including the annual Core Standards assessment. Emergency Planning Manager Provide operational lead on EPRR and Business Continuity Management matters across all Trust Support the Accountable Emergency Officer in fulfilling their duties Ensure plans and polices are developed, trained, exercised and maintained against the relevant risks identified Ensure training needs are identified and appropriate training provided for all those with identified roles Ensure all EPRR plans and policies are taken through the appropriate governance structures to ensure sign off and ownership Liaise with staff at all levels as appropriate to assist with their understanding of EPRR requirements Represent the Trust at external meetings and exercises notably within the Local Resilience Forum Provide operational leadership with regard to EPRR matters in the event of a Business Continuity, Critical or Major Incident. On Call Arrangements The Trust ensures that it has the necessary on call arrangements in place covering Operational, Tactical and Strategic levels 24/7 365 days a year. EPRR and Business Continuity Policy Page 10 of 31

All those identified with roles to fulfil will make themselves available for the required training and exercising as defined in the Trust EPRR Plan. The on-call will manage: Operational out of hours issues Business Continuity issues affecting the Trusts ability to deliver services Major Incident Declarations/Notifications; Surge Management/Capacity Issues. Conference calls All Staff All Trust staff are required to have awareness of the Trusts Incident plan, Business Continuity plans and know how to access EPRR advice and guidance. All staff are required to read and understand any EPRR information that is issued via corporate communication teams and carry out any required actions. 7. Commitment to EPRR and Business Continuity Management The Trust is fully aware and meets its responsibilities for EPRR and Business Continuity. There is a fully embedded governance process for all matters of EPRR and this can be found in Appendix 1. The Trust has put the required resources in place in order for the statutory responsibilities to be fully met, which can be seen through the Trusts Core Standards assessments which have shown a trend of increasing compliance for the last 4 years. EPRR Plan In September 2017 the Trusts EPRR Plan was ratified via the governance process and formally signed off by the Quality and Safety Committee. This Plan identifies the required roles in order to fulfil the EPRR Duties and associated training requirements for those roles to be carried out. needs analyses were carried out and training aligned to the National Occupational Standards for Civil Contingencies. Within the plan it defines how the training will be delivered, the type of training that will be delivered and the frequency required. It is the responsibility of any staff member with an identified role in an incident affecting the Trust, to make themselves available, for any identified training and ensure they complete the appropriate training. The training will be aligned the required National Occupational Standards. Annual Work Programme The Emergency Planning Manager has developed an Annual Work Programme which identifies the schedule for reviewing and maintaining plans and policies. Where this can be fulfilled by the Emergency Planning manager it will be, where specific teams need to review their team plans e.g. Service and Team Business Continuity Plans, the Emergency Planning Manager will ensure this is carried out in the required timescales. EPRR and Business Continuity Policy Page 11 of 31

Business Continuity Incident A business continuity incident is an event or occurrence that disrupts, or might disrupt, an organisation s normal service delivery, below acceptable predefined levels, where special arrangements are required to be implemented until services can return to an acceptable level. (This could be a surge in demand requiring resources to be temporarily redeployed). Critical Incident A critical incident is any localised incident where the level of disruption results in the organisation temporarily or permanently losing its ability to deliver critical services, patients may have been harmed or the environment is not safe requiring special measures and support from other agencies, to restore normal operating functions. Major Incident A major incident is any occurrence that presents serious threat to the health of the community or causes such numbers or types of casualties, as to require special arrangements to be implemented. Business Continuity and Incident Plans Business Impact Analyses Services and teams have completed Business Impact Analysis templates which help identify the critical activities that they deliver in their service. As part of this process they have identified and documented the resources that are required in order to continue or recommence delivery of the identified activities during a time of service delivery impacts. These have been developed for all services the Trust delivers and it is the responsibility of all staff / team managers to be aware of these plans and to update and review them no less than yearly or when activities change. Business Continuity Plan An overarching Corporate Business Continuity plan has also been re-developed and version 2 was signed off by Quality and Safety committee in June 2018. This plan documents the suggested response arrangements for a Business Continuity Incident in and out of hours. Incident Plan The Trust has an incident plan in place which takes the audience through the different types of incidents that may occur. It provides suggested response arrangements, structures, key roles and responsibilities along with standard operating procedures for those who perform a key EPRR role. Other specific incident plans have also been developed to address risks that have been identified both internally and in a multi-agency context. Continuous development and Improvement The Trust will ensure it maintains continuous development and improvement by ensuring: EPRR and Business Continuity Policy Page 12 of 31

EPRR Risks Debriefs are held following any incident of significant scale and lessons identified and actions assigned and owned by the appropriate team in the Trust. Ensuring Participation in any multi agency debriefs that may be held following an incident and owning any lessons identified and actions to help ensure the incident doesn t occur again Participation in any exercise opportunities, both within the health economy and in a wider multi-agency context such as in the Local Resilience Forum to gain experience and learn different approaches. Ensure training is current, specific, targeted and relevant to the roles people are performing Attendance at health specific preparedness meetings is essential and given high priority to include, Local Health Resilience Partnership meetings and Emergency Planning Action Group Action plans are monitored for implementation and progress reported through the EPRR Sub-Committee on a quarterly basis and Quality and Safety Committee bi-annually. All identified risks associated with EPRR will be discussed at quarterly EPRR subcommittee meetings to verify if the risk should be placed on the EPRR Risk Register or not. Once the identified risk is on the risk register it will be reviewed on a quarterly basis and updated for areas that have improved to mitigate the risk further or where the risk level has increased. EPRR and Exercising All training associated with EPRR has been identified via a training needs analysis and is recorded in the Trust s EPRR Plan. This was formally approved by Quality and Safety Committee in September 2017. All training is aligned to the requirements of the National Occupational Standards (NOS) for Civil Contingencies. Attendance and attainment of training standards are recorded by the Emergency Planning Manager in the Records document and compliance levels are monitored and discussed where required at EPRR Sub Committee and further with the Accountable Officer. The training plan can be found in Appendix 2 Exercises will be carried out in line with the requirements of NHS England and the EPRR Framework 2015. This being Core Standards communications exercises/tests every 6 months Annual Table Top exercises 3 yearly Live exercise 3 yearly Command Post exercise The minimum requirements which commissioners and providers of NHS funded services must meet are set out in the current NHS England Core Standards for EPRR (Core EPRR and Business Continuity Policy Page 13 of 31

Standards). These standards are in accordance with the CCA 2004 and the NHS Act 2006 (as amended). The NHS Standard Contract Service Conditions require providers to comply with EPRR Guidance. Therefore commissioners must ensure providers are compliant with the requirements of the Core Standards as part of the annual national assurance process (see section 15). NHS England will ensure that commissioners are compliant with the requirements of the Core Standards as part of the annual CCG assurance framework. The Trust will ensure the results of its annual compliance are stated within its Annual Report. 8. Monitoring implementation All monitoring and implementation will be through the Trusts formal governance structures. This being through the EPRR Sub Committee, Quality and Safety Committee and through the annual report to the Trust s Board Area for monitoring How Who by Reported to Frequency Adherence of this policy to EPRR NHS England framework Monitor NHS England EPRR Emergency planning manager EPRR Sub Committee, Quality and Safety Committee As required and no less frequently than every three years Compliance of Trust with Core Standards for EPRR Written report to Quality and Safety Committee and Trust Board Emergency Planning Manager and Accountable Officer Quality and Safety Committee and Board Bi-annual to Q&S and Annually to Board Consultation/Production and Revision of EPRR and Business Continuity plans and Policies as required by EPRR Core Standards Plans and policies to be sent to appropriate internal and external consultees. EPRR Sub Committee with sign off and formal approval from Q&S. Emergency Planning Manager EPRR and Quality and Safety Committee Quarterly EPRR and Business Continuity Policy Page 14 of 31

9. References 2015 NHS England EPRR Framework 2018 NHS England EPRR Core Standards 10. Associated documentation Worcestershire Health and Care NHS Trust EPRR Plan Worcestershire Health and Care NHS Trust Incident Plan Worcestershire Health and Care NHS Trust Business Continuity Plan Matrix and packages 11. Appendices Appendix 1-Worcestershire Health and Care NHS Trust EPRR Governance Structure Appendix 2 EPRR plan EPRR and Business Continuity Policy Page 15 of 31

Appendix 1 EPRR Governance Structure EPRR and Business Continuity Policy Page 16 of 31

Appendix 2 EPRR Plan Worcestershire Health and Care NHS Trust Emergency Planning Resilience and Response Plan Version Number 1.0 Document Sign off Date 30.08.2017 Ratified By Quality and Safety Committee Author Richard Davis-Leech Emergency Planning Manager Accountable Emergency Officer / Document Owner Stephen Collman Chief Operating Officer Signature Intended Audience Review Date Related Documents All On Call and those with identified roles in an incident Annually from Date ratified initially then 3 yearly Incident Plan Business Continuity Plans Control Room Handbook Matrix Any other EPRR related documents Page 17 of 31

Amendments Plan Page Details of Amendment Date Author Version 0.1 New Draft Plan 07.07.2017 RDL 0.2 Updates to plan following feedback from 30.07.2017 RDL EPRR Sub Committee on 20.07.2017 1.0 Formally Ratified by Quality and Safety Committee 30.08.2017 Change of name to PLAN 01.09.2017 RDL Page 18 of 31

CONTENTS section Detail Page Number Amendment Record 2 Document Management and Version Control 4 1 INTRODUCTION 6 2 PURPOSE 6 3 ROLES AND RESPONSIBILITIES 7 4 MONITORING COMPLIANCE AGAINST THE PLAN 8 5 EDUCATION AND TRAINING 8 APPENDIX 1 APPENDIX 2 TRAINING REQIREMENTS FOR THE TRUST ON-CALL 9 NATIONAL OCCUPATIONAL STANDARDS 11 Page 19 of 31

DOCUMENT MANAGEMENT AND VERSION CONTROL DOCUMENT MANAGEMENT and VERSION CONTROL i. Prepared by Richard Davis-Leech, Emergency Planning Manager Worcestershire Health & Care NHS Trust Isaac Maddox House Shrub Hill Road Worcester WR4 9RW Tel: 01905 681657 Email: richard.davis-leech@nhs.net The Emergency Planning Manager will ensure that this plan is regularly updated and those that require have access to it. ii. Version control This document is the first version of the Worcestershire Health & Care NHS Trust (WHCT) EPRR plan. iii. Ownership and authorisation The Plan is owned by the Trust s Chief Operating Officer in his role as Accountable Emergency Officer. The Emergency Planning Manager has co-ordinated the production of this plan, under the authorisation of the Chief Operating Officer. The plan has been subjected to the Trusts governance structure for EPRR, with formal sign off at Quality and Safety Committee level. This plan helps ensure the Trust remains compliant under NHS England s Core Standards annual audit process. iv. Publication and distribution This plan will be available in the electronic on-call folder which can be accessed by all levels of On-Call Manager. M:\HACW\ServiceDelivery\OnCall v. Audience This plan is aimed at all those staff that performs a role to play in an incident for the Trust where specific training is required in addition to their standard training for their role. vi. Review This plan will initially be reviewed one year from the date of ratification (document effective date) for required changes. It will then be reviewed on a three year cycle from that review. Changes to the plan will be clearly annotated in the amendments table on page 2. Page 20 of 31

DOCUMENT MANAGEMENT AND VERSION CONTROL vii. Amendment Record The Amendment Record can be found on page 2. viii. Responsibilities of those with a role to play in the plan Those staff with a role to play in incident response for the Trust are required to: Familiarise themselves with the contents of this plan; Ensure they comply with the plan Make themselves available for training when required / offered viii. N/A Other Plans and Guidance ix. Testing and exercises This Plan does not require validation through exercise. Page 21 of 31

INTRODUCTION AND PURPOSE 1.0 Introduction is required to ensure those with key roles to play in any plans and in a response to an incident is aware of their roles and responsibilities. This means when they are required to attend any level of incident, where they have a role, they are able to deliver that role with confidence and assurance that they are doing so correctly and in a timely manner. This training plan is designed to help align the training requirements of those with a role to play in incident response with the National Occupational Standards for Civil Contingencies. Within the plan it defines how the training will be delivered, the type of training that will be delivered and the frequency of training those who have identified roles in the Trusts Incident response capabilities should be receiving. 2.0 Purpose NHS England each year sets out the minimum levels each NHS Funded organization must meet in regard to its Emergency Planning Resilience and Response (EPRR) responsibilities. These are issued in the format of the National Core Standards for EPRR which reinforce the emergency preparedness responsibilities of organisations outlined in the Civil Contingencies Act (CCA) 2004, and indicate what type of training is required as the minimum standard. It is important that the Trust meets and where possible exceeds these standards if we are to provide the required level of resilience and compliance with them. National Occupational Standards (NOS) have been developed for Civil Contingencies. These determine the competencies required that staff with a role to play in incident management and response must achieve. These include Operational, Tactical and Strategic level competencies. Some of the competencies need to be achieved by all levels of on-call of the Trust who would be involved in emergency response; others are dependent upon the role a staff member will play within EPRR. This plan combines these various documents to define the training required across the various levels in the Trust. Many of the NOS are specific to EPRR Practitioners, whereas the core standards mentioned above are for anyone in the Trust who could have a role to play in an incident. can be delivered in a variety of ways including: Locally delivered training (e.g. on line EPRR training or EPRR awareness sessions) within the Health Economy (e.g. Strategic or Tactical Level training) Multi Agency training (e.g. JESIP training or plan specific training) Participation at wider EPRR exercises (LRF, Regional or National level) Depending on the competence required will depend on the method and type of training that will be delivered and who will deliver it. Page 22 of 31

ROLES AND RESPONSIBILITIES 3.0 Roles and Responsibilities Although not specifically recognised in the Civil Contingencies Act (CCA) 2004 as a category of responder, the Health and Care Trust is expected to plan as though it is a Category 1 responder by NHS England. This means the full list of statutory duties for a category one responder applies to the Trust, these being: Assess Risk Develop Emergency Plans Have robust Business Continuity plans in place Cooperate with other Category 1 and 2 responders Warn and Inform (and advise) the public Share Information CCGs are expected to provide support to NHS England in relation to the coordination of their local health economy. This includes representing the local health economy at the Tactical Coordinating Group (TCG). The Chief Operating Officer (COO), identified as the Trust s Accountable Emergency Officer (AEO) will be responsible for maintaining a strategic overview of the implementation of this plan. The Emergency Planning Manager (EPM) will be responsible for operational implementation of the plan. It is the responsibility of any staff member with an identified role in an incident for the Trust, to make themselves available, for any identified training and ensure they complete the appropriate training. The training offered will be aligned to the required National Occupational Standards. Page 23 of 31

4.0 Monitoring Compliance Compliance against this plan will be monitored through the EPM reporting through the recognised EPRR governance structure (EPRR Sub-Committee - quarterly, Quality and Safety Committee bi annually, Board Annually) the progress of the implementation of this plan. The AEO will also receive reports on the progress of the implementation from the EPM. The AEO will be responsible for reporting progress to the board in the annual report whilst highlighting any concerns re noncompliance throughout the year to the Executive Management Team as required. The Trusts overall EPRR performance will be measured through the NHS England Core Standards for EPRR on an annual basis. The EPM will complete the core standards return and provide a detailed analysis to the AEO of areas compliance and non-compliance. The CCG s will also monitor the Trusts compliance levels throughout the year. The Local Health Resilience Partnership (LHRP) will ultimately sign off the Trusts compliance to NHS England. Staff will have 6 months from when their training expires to attend a training session and re-validate their training competence. 5.0 Requirements As training requirements differ depending on the specific role, competency and capability, training for the Trust has been determined and indicated on the tables over the next pages. Page 24 of 31

Requirements for Worcestershire Health and Care NHS Trust Course Strategic Leadership in a Crisis or equivalent Provider Local / Regional training via NHSE Cost to attendee / organisation Frequency Level 3 on Call Level 2 on Call Other Staff Duration Total Cost Minimal 3 Yearly 1 Full Day Minimal Capacity Management On Call Major Incident incl SOP s, Incident plan and pertinent documents Regional Capacity Management Team / Urgent Care Strategic Lead Free 2 Years 1-2 Hours Time of attendees and trainer Trust Free On joining on call Rota Level 1 2 Hours Time of attendees and trainer On Call refresher training Trust Free Annually Level 1 s 1 Hour Time of attendees and trainer Loggist training Trust Free 12-18 months refresher once trained Staff that registered an interest 2 Hours Time of attendees and trainer Business Continuity Awareness Trust Free Annually Level 1 on call 1-2 Hours Time of attendees and trainer Page 25 of 31

Requirements for Worcestershire Health and Care NHS Trust Course Provider Cost to attendee/ organisation Frequency Level 3 on Call Level 2 on Call Other nominated Staff Duration Total Cost Resilience Direct Trust Free As required Nominated Staff including PA s 1 Hour Time of attendees and trainer Communications Test Trust minimal Every 6 months Table Top Exercise Trust, Health Economy minimal The Trust has to carry out a table top exercise yearly; this will involve different elements and areas of the Trust and Levels of On Call. It will not involve all on call officers every time 1 hour Minimal costs associated with calls and SMS messages 1/2 Day Time of attendees and trainer Page 26 of 31

Live Exercise Trust, LRF, Health Economy Requirements for Worcestershire Health and Care NHS Trust Free The Trust has to carry out a live exercise every 3 Years, this will involve different elements and areas of the Trust and Levels of On Call. It will not involve all on call officers every time 1 Day Time of attendees and trainer Control Room Trust Free Yearly 1-2 hours Time of attendees and trainer Health Emergency Planning Diploma (HEP) (Award, Certificate, Diploma) National through Public Health England Time of EPRR Manager + Expenses Attendance every 3 months over 18 months EPRR Lead Attendance every 3 months over 18 months Time of attendees and Expenses N: B A training record will be kept of the training staff with a role to play in an incident attends. Staff will have access to this record and it will be their responsibility to ensure they attend training when it is offered. Staff will have 6 months grace between a training element expiring and having to attend future training. Page 27 of 31

Appendix 2 EPRR Plan Matching National Occupational Standards (NOS) for Civil Contingencies to Courses No. National Occupational Standard Delivered by AA1 Work in cooperation with other organisations Tactical (Silver) Emergency Management Strategic Leadership in a Crisis or Applies to: On-call staff and EPRR Lead equivalent Online Emergency Response in the NHS Senior Manager On Call Health Emergency Planning Programme (HEP) Award AA2 Share information with other organisations Tactical (Silver) Emergency Management Strategic Leadership in a Crisis or Applies to: On-call staff and EPRR Lead equivalent Online Emergency Response in the NHS Senior Manager On Call AA3 Manage information to support HEP Tactical Award (Silver) Emergency Management civil protection decision making Strategic Leadership in a Crisis or Applies to: On-call staff, EPRR Lead, equivalent Loggists and nominated staff who may Online Emergency Response in the NHS be allocated a role in the Incident Senior Manager On Call Control Centre HEP Award Loggist and Refresher Workshops Online Emergency Response in the NHS AB1 Anticipate and assess the risk training Introduction to Civil Protection of emergencies Online Emergency Response in the NHS Applies to: EPRR Lead HEP Award AC1 Develop, maintain and evaluate emergency plans and arrangements Applies to: EPRR Lead Introduction to Civil Protection Online Emergency Response in the NHS HEP Certificate Page 28 of 31

Requirements for Worcestershire Health and Care NHS Trust AD1 Develop, maintain and evaluate business continuity plans and arrangements Applies to: EPRR Lead and Heads of Department Introduction to Civil Protection Business Continuity training from EP College Online Emergency Response in the NHS Senior Manager On Call Business Continuity Online Business Continuity Management in the NHS HEP Diploma AD2 Promote business continuity management Applies to: EPRR Lead and all staff Business Continuity HEP Diploma Senior Manager on Call No. National Occupational Standard Delivered by AE1 Create exercises to practice or validate emergency or business continuity arrangements HEP Diploma AE2 Applies to: EPRR Lead Direct and facilitate exercises to practice or validate emergency or business continuity arrangements HEP Diploma Applies to: EPRR Lead AE3 Conduct debriefing after an emergency, exercise or other activity HEP Diploma Applies to: EPRR Lead AF1 Raise awareness of the risk, potential impact and arrangements in place for emergencies Business Continuity HEP Certificate Applies to: EPRR Lead and Heads of Department Page 29 of 31

Requirements for Worcestershire Health and Care NHS Trust AF2 AG1 AG2 AG3 AG4 Warn, inform and advise the community in the event of emergencies Applies to: On-Call Staff,EPRR Lead and communications Team Respond to emergencies at the strategic (gold) level Applies to: Exec On-call staff Respond to emergencies at the tactical (silver) level Applies to: Senior Managers On-call staff and EPRR Lead Respond to emergencies at the operational (bronze) level Applies to: Level One On-call staff Address the needs of individuals during the initial response to emergencies Applies to: On-call staff and EPRR Lead Media Awareness Online Emergency Response in the NHS HEP Award Strategic Leadership in a Crisis or equivalent Online Emergency Response in the NHS HEP Certificate Tactical (Silver) Emergency Management On Call Major Incident and refresher training Online Emergency Response in the NHS HEP Emergency Certificate Control Centre Operation On Call Major Incident and refresher training Online Emergency Response in the NHS HEP Introduction Certificate to Civil Protection On Call Major Incident Strategic Leadership in a Crisis or equivalent Recovering From Emergencies HEP Certificate AH1 Provide on-going support to meet the needs of individuals affected by emergencies Recovering From Emergencies On Call Major Incident HEP Certificate AH2 Applies to: On-call staff and EPRR Lead Manage community recovery from emergencies Applies to: On-call staff and EPRR Lead Introduction to Civil Protection Recovering from Emergencies Online Emergency Response in the NHS HEP Certificate Page 30 of 31

Appendix 2 EPRR Plan Page 31 of 31