ࡱ> AC@[ ]bjbj 8(ΐΐ] 33333GGGG SDG0trrrs0u0u0u0u0u0u0D24hu03rrrrru0330   r33s0 rs0  -;0<$Gr._0000.N5 N54;0N53;0$ rrru0u0 rrr0rrrrN5rrrrrrrrr : INFLUENZA PANDEMIC NORTH CURRY HEALTH CENTRE CONTINGENCY PLAN Background: 25% of population likely to be affected over 12 week period For practice population of 4000 means 100 patients ill. DOH estimates that 200 of these will need GP consultation 25% of workforce (ie us) will need 5-8 days sick leave Likely to be two waves second, worse, wave 3-9 months after the first. This plan is not definitive but aims to provide a framework strategy for the practice to continue to function in the face of an influenza (or other similair) pandemic Implementation is divided into four phases. Implementation of the plan can be scaled up or down according to the level of disease prevalence and its effect on the practice. Phases: Preparedness Phase: Pandemic Virus Isolated in the UK. (DOH Alert Level 2) Special Measures Invoked: Local cases of flu increasing Practice unable to provide full normal service but able to cope with special measures. Decompensated Phase: Practice unable to cope even with special measures. Requires outside help. Recovery Phase. Preparedness Phase Pandemic Virus Isolated in the UK. (DOH Alert Level 2) PPE Preparation: FFP3 Masks for clinical staff Gloves Overalls/Gowns Room & Staff Preparation Preparation of rooms, signs and patient information Skeleton staff planning Preventation of Disease Spread Disposable masks for patients & visitors Handwashes in and out Routine Work Reduction: Longer repeat prescriptions Vigilance Vigilance for potential cases Testing Notification Treatment Protocols Drawn up in accordance to guidance prevailing at the time Special Measures Phase: Local cases of flu increasing. Practice unable to provide full normal service but able to cope with special measures. Telephone Triage Who does this will depend on degree of pressure on the service and staff availability: Could be Doctor, Nurse or Receptionist with protocol. Consider rotating staff triage staff protected from patients and therefore available in reserve Routine Work Reduction: Longer repeat prescriptions Publicity Campaigns Stop routine clinics and medication reviews If necessary inform PCT will not be able to provide Additional Services for the duration Visiting If large numbers of requests or visits: Rotate doctors to do rounds instead of surgeries Triage/Phone advice Liaison with district nursing service. Isolation Where possible need to separate flu patients from the rest. District nurses room has separate entrance and foyer could be commandeered as a separate, and isolated consulting suite, either for flu patients or others depending on ratios. If necessary patients can wait in cars. Call by number system. Treatment Vaccination Oseltamivir (Tamiflu) Antibiotics According to protocols drawn up in phase 1. Decompensated Phase Practice unable to cope even with special measures. Requires outside help. Inform PCT unable to provide normal GMS as defined in the contract. 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