EPRR Patient care and support services

William Wetherell made this Freedom of Information request to Countess of Chester Hospital NHS Foundation Trust as part of a batch sent to 125 authorities Automatic anti-spam measures are in place for this older request. Please let us know if a further response is expected or if you are having trouble responding.

The request was successful.

William Wetherell

Dear Countess of Chester Hospital NHS Foundation Trust,

I am conducting a study of the emergency preparedness of NHS Acute Trusts in England. I am using the emergency and disaster management module of the Hospital Safety Index checklist of the World Health Organisation. The study is part of an MSc in Crisis & Disaster Management at the University of Portsmouth.

Following a recent Information Commissioner’s decision, given here:

https://ico.org.uk/media/action-weve-tak...

I am writing regarding my final request for information about the Trust’s EPRR as part of my study. I would prefer to obtain this information under the provisions of the Freedom of Information Act 2000 in order to ensure that all the information is cleared by the Trust to be made publicly available. However, if you wish I am happy to discuss my request directly. My e-mail address is [email address] .

Please note that this is a different request from my previous requests: “EPRR Coordination of emergency and disaster management activities”, “EPRR Planning”, “EPRR Communication and information management”, “EPRR Human Resources” and “EPRR Logistics”. Please also note I am making this request more than 60 working days after my request “EPRR Logistics”.

My final request is given below:

I am writing to request the following information. This information relates to the NHS England Emergency Preparedness, Resilience and Response Framework in general and section 10, “Cycle of preparedness”, in particular.

Please note that much of the information requested is only records of the existence of current procedures, training, resources and tests, and not the contents of the procedures, training, resources and tests themselves.

For clarity, to minimise the cost of my request and to prevent the disclosure of any sensitive information, I have enumerated the information I am requesting and specified how it could be provided.

If you do not hold some of this information then I ask you to confirm explicitly that you do not hold it.

Given the potentially sensitive nature of this information, I ask you to redact any exempt information instead of refusing disclosure. This would be in accordance with guidance on best practice from the Information Commissioner’s Office.

Patient care and support services

Continuity of essential clinical support services

1. Any record of whether procedures exist to ensure operational continuity of essential clinical support or ancillary services (e.g. laboratory, radiology, pharmacy) during emergencies and disasters. (Can be answered yes / no.)

2. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)

3. Any record of whether resources to implement the above procedures can be mobilized at all times. (Can be answered yes / no.)

Expansion of usable space for mass casualty incidents

4. Any record of whether procedures and resources exist to expand space and provide access to extra beds in mass casualty incidents. (Can be answered yes / no.)

5. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)

6. The date(s) of the most recent test(s) of the above procedures. (Can be answered with a date or dates.)

Triage for major emergencies and disasters

7. Any record of whether space has been designated and procedures exist to carry out triage during emergencies and disasters. (Can be answered yes / no.)

8. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)

9. The date(s) of the most recent test(s) of the above procedures. (Can be answered with a date or dates.)

Triage tags for mass casualty incidents

10. Any record the existence of triage tags for mass casualty incidents. (Can be answered yes / no.)

System for referral, transfer and reception of patients

11. Any record of whether procedures exist for the reception, referral and transfer of patients to and from other health facilities within and outside the geographical area where the hospital is located during emergencies and disasters. (Can be answered yes / no.)

12. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)

13. The date(s) of the most recent test(s) of the above procedures. (Can be answered with a date or dates.)

Infection surveillance, prevention and control procedures

14. Any record of whether procedures exist for infection prevention and control during emergencies and disasters. (Can be answered yes / no.)

15. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)

16. Any record of whether resources are available for implementation of the above procedures. (Can be answered yes / no.)

Psychosocial services

17. Any record of whether procedures exist for provision of psychosocial support, assessment and treatment services to patients, families and staff during emergencies and disasters. (Can be answered yes / no.)

18. Any record of whether staff have been trained in the above procedures. (Can be answered yes / no.)

19. Any record of whether resources are available for implementation of the above procedures. (Can be answered yes / no.)

Thank you for all your assistance with this study.

Yours faithfully

William Wetherell

FOI, Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

Thank you for your recent Freedom of Information request. Freedom of information only applies to corporate information; this e-mail confirms receipt of your request for this type of information only.

Under the terms of the Freedom of Information Act we will expect to respond to this request in 20 working days. However we are now investigating the nature of the search and the quantity of information requested. If there is a cost involved in collecting the information then we will suspend the period for response until such time as we receive your payment. We will advise you of any such costs.

In accordance with section 12 of the Freedom of Information Act 2000 where multiple requests for information are received from one person or by different persons who appear to be acting in together in a single campaign the estimated cost of complying with any of the requests is to be taken to be the estimated total cost of complying with all of them. To this effect your requests for information will be dealt with under the single reference number above.

There are also a number of exemptions which the Act permits with respect to releasing information. The information will be assessed for these exemptions prior to us releasing the information to you. We will advise you if we are unable to provide the information requested.

Please note that a significant amount of information is also available via our Publication Scheme which can be accessed via the Trust’s website www.coch.nhs.uk and one of its benefits is that it makes information easily accessible and without charge.

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William Wetherell

Dear Countess of Chester Hospital NHS Foundation Trust

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of Countess of Chester Hospital NHS Foundation Trust's handling of my FOI request 'EPRR Patient care and support services'. The Trust has not provided the information I requested within 20 working days.

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/e...

Yours faithfully

William Wetherell

FOI, Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

Good morning,

This FOI is currently awaiting executive approval. I am hoping to get it sent across to you be the close of play tomorrow.

Kind regards
Hannah

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FOI, Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

1 Attachment

Good morning,

Please find attached the response to your recent freedom of information request

Kind regards
Hannah

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William Wetherell

Dear Countess of Chester Hospital NHS Foundation Trust

Reference Number: 7080

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of Countess of Chester Hospital NHS Foundation Trust's handling of my FOI request 'EPRR Patient care and support services'. The Trust has refused to provide the information on grounds of cost.

The information the Trust has refused to provide is:

6. The date(s) of the most recent test(s) of the procedures to expand space and provide access to extra beds in mass casualty incidents. (Can be answered with a date or dates.)

9. The date(s) of the most recent test(s) of the procedures to carry out triage during emergencies and disasters. (Can be answered with a date or dates.)

13. The date(s) of the most recent test(s) of the procedures for the reception, referral and transfer of patients to and from other health facilities within and outside the geographical area where the hospital is located during emergencies and disasters. (Can be answered with a date or dates.)

My reasons for requesting an internal review are as follows:

1. This information should be readily available to the Trust as part of the NHS EPRR annual assurance process and so my request should not exceed the cost limit.

In particular, the Civil Contingencies Act (Contingency Planning) Regulations 2005 require that “Every plan maintained by a general Category 1 responder under section 2(1)(c) or (d) must include provision for the carrying out of exercises for the purpose of ensuring that the plan is effective” (s. 25). The NHS England Emergency Preparedness, Resilience and Response (EPRR) Framework (2022, pp. 31-32) states that if an organisation activates its plan or Incident Command Centre then this replaces the need to run a live or command post exercise (CPX) respectively “providing lessons are identified and logged and an action plan developed."

Please note that I am not seeking copies of particular records, only to establish whether the Trust possesses such records.

2. To date, 79 of the 124 NHS Acute Trusts in England have replied to my request. It is difficult to summarise these replies concisely, but evidence of them is given here:

https://www.whatdotheyknow.com/list/all?...

It is therefore very unlikely that Countess of Chester Hospital NHS Foundation Trust cannot provide this information within the cost limit.

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/e...

Yours faithfully

William Wetherell

William Wetherell

Dear Countess of Chester Hospital NHS Foundation Trust

Reference Number: 7080

I am writing to ask when I a likely to receive a reply to my request for an internal review please?

Yours faithfully

William Wetherell

FOI, Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

Good morning Mr Wetherell,

Just to keep you updated I have chased this for you today. I have requested that they provide me with a date of when the expect to reply by.

I will let you know once I have a response.

Kind regards
Hannah

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William Wetherell

Dear Countess of Chester Hospital NHS Foundation Trust

Reference Number: 7080

I am writing to ask when I a likely to receive a reply to my request of 20th April for an internal review please?

Yours faithfully

William Wetherell

FOI, Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

1 Attachment

Dear Mr Wetherell

I write further to your request for an internal review into the response you received to FOI7080.

I would like to apologise for the delay in undertaking this review.

I have undertaken a review of your response and advised that the information must be provided. This has been a manual task and has taken some time however this did not take the full 18 hours.

Please see attached a full response to your FOI request.

I have spoken with the FOI co-ordinator who had been managing your FOI request and asked them to undertake some refresher training and that follow the appropriate processes when an internal review has been requested.

Please do not hesitate to contact me if you have any further queries.

Kind regards
Claire

Trust Data Protection Officer
Countess of Chester Hospital NHS Foundation Trust
Tel: 01244365816

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William Wetherell

Dear Countess of Chester Hospital NHS Foundation Trust

Reference Number: 7080

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request a further internal review of Countess of Chester Hospital NHS Foundation Trust's handling of my FOI request 'EPRR Patient care and support services'. The Trust has not provided some of the information I requested.

9. The date(s) of the most recent test(s) of the procedures to carry out triage during emergencies and disasters. (Can be answered with a date or dates.)

The Trust has provided dates in the future.

Yours faithfully

William Wetherell

FOI, Enquiries (COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST), Countess of Chester Hospital NHS Foundation Trust

1 Attachment

Good afternoon,

Please see the attached response to your recent FOI request.
My apologies, as the previous version sent had a typing error and dates has been given with the incorrect year- these have now been corrected.

Kind regards,
Freedom of information officer

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William Wetherell

Dear Freedom of Information Officer

Reference Number: 7080

Thank you for this.

Yours faithfully

William Wetherell