EPRR Patient care and support services
Dear Oxford University Hospitals 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
[This is an automated acknowledgement of your request]
Thank you for contacting the Oxford University Hospitals NHS Foundation
Trust.
Your reference is F23-8787. Please keep a note of this reference if you
want to contact us about your request.
If you have submitted a request under either the Freedom of Information
Act 2000 or the Environmental Information Regulations 2004, your request
will be considered.
You should receive our response within the statutory time limit of 20
working days. Therefore, the deadline for providing a response to your
request is the 18/04/2023.
Your request may already be answered by our responses to previous requests
on our publication scheme. Our publication scheme can be found on this
webpage - [1]https://oxford.disclosure-log.co.uk/.
If you are looking for Trust expenditure information, this is available on
this webpage - [2]https://www.ouh.nhs.uk/about/foi/what-we....
This will list all expenditure payments of £25,000 or more by month.
For information about how the Trust processes personal data, or if you
want to make a request for personal data (including medical records),
please refer to our privacy notice - [3]http://www.ouh.nhs.uk/privacy/.
Kind regards
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
References
Visible links
1. https://oxford.disclosure-log.co.uk/
2. https://www.ouh.nhs.uk/about/foi/what-we...
3. http://www.ouh.nhs.uk/privacy/
Dear William Wetherell
The Oxford University Hospitals NHS Foundation Trust is writing to respond
to your request, F23-8787, sent 17/03/2023.
Please see below your request and the Trust’s response below.
We will require claification to answer questions 10, 16 and 19. Please
provide this. Question 2 is still in the process of being researched with
each department listed.
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.)
Yes
2. Any record of whether staff have been trained in the above procedures.
(Can be answered yes / no.)
In process.
3. Any record of whether resources to implement the above procedures can
be mobilized at all times. (Can be answered yes / no.)
Yes
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.)
Yes
5. Any record of whether staff have been trained in the above procedures.
(Can be answered yes / no.)
Yes
6. The date(s) of the most recent test(s) of the above procedures. (Can be
answered with a date or dates.)
27/5/21
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.)
Yes
8. Any record of whether staff have been trained in the above procedures.
(Can be answered yes / no.)
Yes
9. The date(s) of the most recent test(s) of the above procedures. (Can be
answered with a date or dates.)
13/11/19
Triage tags for mass casualty incidents
10. Any record the existence of triage tags for mass casualty incidents.
(Can be answered yes / no.)
Please define triage tags?
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.)
Yes
12. Any record of whether staff have been trained in the above
procedures.. (Can be answered yes / no.)
Yes
13. The date(s) of the most recent test(s) of the above procedures. (Can
be answered with a date or dates.)
27/5/21
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.)
Yes
15. Any record of whether staff have been trained in the above
procedures.. (Can be answered yes / no.)
Yes
16. Any record of whether resources are available for implementation of
the above procedures. (Can be answered yes / no.)
I do not understand this question. Please elaborate or give examples.
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.)
Yes
18. Any record of whether staff have been trained in the above
procedures.. (Can be answered yes / no.)
Yes
19. Any record of whether resources are available for implementation of
the above procedures. (Can be answered yes / no.)
I do not understand this question. Please elaborate or give examples.
For further information about Freedom of Information / Environmental
Information requests, you can visit the ICO’s website –.
Provision of this information does not constitute permission for its
commercial re-use in terms of the Re-Use of Public Sector Information
Regulations 2015. You are free to use the information for your own use,
including for non-commercial research purposes. The information may also
be used for the purposes of news reporting. However, any other type of
re-use will require permission from the Oxford University Hospitals NHS
Foundation Trust.
Kind regards,
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
This response may refer to external third-party websites. The Trust does
not endorse or guarantee in any way the external organisations, services,
advice, or products included in these external website links nor does the
Trust control or guarantee the accuracy, relevance, timeliness, or
completeness of the information contained in them. These links are
provided solely as a service for your information and convenience. The
Trust does not control, approve, or endorse these sites or the information
contained therein.
If you access (or provide information to) any of the external websites
linked to on the Website, you do so entirely at your own risk and the
Trust accepts no responsibility for any loss or damage that you may suffer
as a result.
For information about how personal data is being used by the Oxford University
Hospitals NHS Foundation Trust, please visit -
[1]https://www.ouh.nhs.uk/privacy/.
References
Visible links
1. https://www.ouh.nhs.uk/privacy/
Dear Freedom of Information Team
Re: F23-8787
Regarding question 10 and triage tags, I am referring to the cards placed with casualties which identify the urgency of the care they require. An example is given here:
https://www.rcemlearning.co.uk/reference...
Regarding questions 16 and 19, these refer to a Major Incidents that require special arrangements to be implemented.
16. Any record of whether resources are available for implementation of procedures for infection prevention and control during emergencies and disasters. (Can be answered yes / no.)
19. Any record of whether resources are available for implementation of procedures for provision of psychosocial support, assessment and treatment services to patients, families and staff during emergencies and disasters. (Can be answered yes / no.)
Yours faithfully
William Wetherell
Dear William Wetherell,
Thank you for your request, F23-8787, for information about EPRR Patient
care and support services sent 17/03/2023.
The request is not clear enough for us to identify and locate the
information requested. Therefore, we require further clarification from
you.
We have now received the following from the department,
"Here are the answers:
Q10 – Yes
Regarding Q16 and Q19 – the explanation does not really help as all Major
Incidents (by definition) required special arrangements to be implemented.
If the requestor could give an example of what they are looking for it
would be helpful."
Please provide an example to enable the department to answer this
question.
Under section 1(3) of the Freedom of Information Act (FOIA) 2000 /
regulation 12(4)(c) of the Environmental Regulation (EIR) 2004, we are not
obliged to fulfil your request for information until we have received
clarification. Therefore, whilst we wait for your response, your request
will be placed on-hold until clarification is received.
The 20 working day time limit will be paused from the day this
clarification request is sent. Once clarification is received, the 20
working day time limit will resume.
If we do not receive clarification within two months, your request will be
considered to have lapsed and will be closed by the Trust.
Yours sincerely,
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
Dear Freedom of Information Team
Re: F23-8787
My requests are based on the emergency and disaster management module of the World Health Organisation Hospital Safety Index and apply to general EPRR, not specific examples. To date 18 NHS Trusts have provided this information in reply to a similar request.
Yours faithfully
William Wetherell
Dear Freedom of Information Team
Re: F23-8787
I am writing to ask when I am likely to receive a reply to my request please? To date 93 NHS Acute Trusts in England have provided this information in reply to a similar request.
Yours faithfully
William Wetherell
Dear William Wetherell
Thank you for your request, F23-8787, for information about EPRR Patient
care and support services sent 17/03/2023.
We require further clarification in order to identify and locate the
information requested.
The emergency and disaster management module of the World Health
Organisation Hospital Safety Index looks at potential causes of disasters
and their effects, but does not assist with my understanding the question.
Could the requestor please re-word questions 16 and 19, or expand on them,
so it is clear what exactly is being asked? Alternatively if the requestor
could give examples it would be helpful
Under section 1(3) of the Freedom of Information Act 2000, we are not
obliged to fulfil section 1(1) (right of access) until we have received
clarification. Therefore, whilst we wait for your response, your request
will be placed on-hold until clarification is received.
The 20 working day time limit will be paused from the day this
clarification is sent. Once clarification is received, the 20 working day
time limit resumes.
If we do not receive clarification within two months, your request will be
considered to have lapsed and will be closed by the Trust.
Yours sincerely,
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
This response may refer to external third-party websites. The Trust does
not endorse or guarantee in any way the external organisations, services,
advice, or products included in these external website links nor does the
Trust control or guarantee the accuracy, relevance, timeliness, or
completeness of the information contained in them. These links are
provided solely as a service for your information and convenience. The
Trust does not control, approve, or endorse these sites or the information
contained therein.
If you access (or provide information to) any of the external websites
linked to on the Website, you do so entirely at your own risk and the
Trust accepts no responsibility for any loss or damage that you may suffer
as a result.
For information about how personal data is being used by the Oxford University
Hospitals NHS Foundation Trust, please visit -
[1]https://www.ouh.nhs.uk/privacy/.
References
Visible links
1. https://www.ouh.nhs.uk/privacy/
Dear Freedom of Information Team
Re: F23-8787
I have re-worded questions 16 and 19. Please find these below.
16. Does the Trust have resources available for implementation of procedures for infection prevention and control during emergencies and disasters? (Can be answered yes / no.)
19. Does the Trust have resources available for implementation of procedures for provision of psychosocial support, assessment and treatment services to patients, families and staff during emergencies and disasters? (Can be answered yes / no.)
The terms "emergencies" and "disasters" are as defined in the UK Civil Protection Lexicon at:
https://www.gov.uk/government/publicatio...
Emergency: "An event or situation which threatens serious damage to human welfare in a place in the UK, the environment of a place in the UK, or the security of the UK or of a place in the UK."
Disaster: "Emergency (usually but not exclusively of natural causes) causing, or threatening to cause, widespread and serious disruption to community life through death, injury, and/or damage to property and/or the environment."
To date 97 NHS Acute Trusts in England have provided this information in reply to a similar request without requiring further clarification.
Yours faithfully
William Wetherell
Dear Oxford University Hospitals NHS Foundation Trust
Re: F23-8787
Please pass this on to the person who conducts Freedom of Information reviews.
I am writing to request an internal review of Oxford University Hospitals NHS Foundation Trust's handling of my FOI request 'EPRR Patient care and support services'. The Trust has not provided the information I requested.
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
[This is an automated acknowledgement of your request]
Thank you for contacting the Oxford University Hospitals NHS Foundation
Trust.
Your reference is F23-9183. Please keep a note of this reference if you
want to contact us about your request.
If you have submitted a request under either the Freedom of Information
Act 2000 or the Environmental Information Regulations 2004, your request
will be considered.
You should receive our response within the statutory time limit of 20
working days. Therefore, the deadline for providing a response to your
request is the 03/07/2023.
Your request may already be answered by our responses to previous requests
on our publication scheme. Our publication scheme can be found on this
webpage - [1]https://oxford.disclosure-log.co.uk/.
If you are looking for Trust expenditure information, this is available on
this webpage - [2]https://www.ouh.nhs.uk/about/foi/what-we....
This will list all expenditure payments of £25,000 or more by month.
For information about how the Trust processes personal data, or if you
want to make a request for personal data (including medical records),
please refer to our privacy notice - [3]http://www.ouh.nhs.uk/privacy/.
Kind regards
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
References
Visible links
1. https://oxford.disclosure-log.co.uk/
2. https://www.ouh.nhs.uk/about/foi/what-we...
3. http://www.ouh.nhs.uk/privacy/
Dear William Wetherell
We acknowledge receipt of your request for an internal review. The
Assurance Team will conduct the review into the our response to your
request.
We will process this and respond to you within 40 working days.
Yours sincerely,
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
Dear William Wetherell
The Oxford University Hospitals NHS Foundation Trust is writing to respond
to your request, F23-8787, sent 17/03/2023.
Please see below the Trust’s response below.
For each question, please can you provide data for the following years -
2020, 2021, 2022, 2023 to date.
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.)
Yes
2. Any record of whether staff have been trained in the above procedures.
(Can be answered yes / no.)
There is no record of training in the continuity plan, however it is
implemented by staff almost every day
3. Any record of whether resources to implement the above procedures can
be mobilized at all times. (Can be answered yes / no.)
Yes
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.)
Yes
5. Any record of whether staff have been trained in the above procedures.
(Can be answered yes / no.)
Yes
6. The date(s) of the most recent test(s) of the above procedures. (Can be
answered with a date or dates.)
27/5/21
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.)
Yes
8. Any record of whether staff have been trained in the above procedures.
(Can be answered yes / no.)
Yes
9. The date(s) of the most recent test(s) of the above procedures. (Can be
answered with a date or dates.)
13/11/19
Triage tags for mass casualty incidents
10. Any record the existence of triage tags for mass casualty incidents.
(Can be answered yes / no.)
Yes
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.)
Yes
12. Any record of whether staff have been trained in the above
procedures.. (Can be answered yes / no.)
Yes
13. The date(s) of the most recent test(s) of the above procedures. (Can
be answered with a date or dates.)
27/5/21
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.)
Yes
15. Any record of whether staff have been trained in the above
procedures.. (Can be answered yes / no.)
Yes
16. Any record of whether resources are available for implementation of
the above procedures. (Can be answered yes / no.)
Yes
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.)
Yes
18. Any record of whether staff have been trained in the above
procedures.. (Can be answered yes / no.)
Yes
19. Any record of whether resources are available for implementation of
the above procedures. (Can be answered yes / no.)
Yes
For further information about Freedom of Information / Environmental
Information requests, you can visit the ICO’s website –.
Provision of this information does not constitute permission for its
commercial re-use in terms of the Re-Use of Public Sector Information
Regulations 2015. You are free to use the information for your own use,
including for non-commercial research purposes. The information may also
be used for the purposes of news reporting. However, any other type of
re-use will require permission from the Oxford University Hospitals NHS
Foundation Trust.
Kind regards,
Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU
This response may refer to external third-party websites. The Trust does
not endorse or guarantee in any way the external organisations, services,
advice, or products included in these external website links nor does the
Trust control or guarantee the accuracy, relevance, timeliness, or
completeness of the information contained in them. These links are
provided solely as a service for your information and convenience. The
Trust does not control, approve, or endorse these sites or the information
contained therein.
If you access (or provide information to) any of the external websites
linked to on the Website, you do so entirely at your own risk and the
Trust accepts no responsibility for any loss or damage that you may suffer
as a result.
For information about how personal data is being used by the Oxford University
Hospitals NHS Foundation Trust, please visit -
[1]https://www.ouh.nhs.uk/privacy/.
References
Visible links
1. https://www.ouh.nhs.uk/privacy/
Dear Freedom of Information Team
Re: F23-8787
Thank you for this.
Yours faithfully
William Wetherell
We work to defend the right to FOI for everyone
Help us protect your right to hold public authorities to account. Donate and support our work.
Donate Now