Day Thomas, Challen Kirsty, Walter Darren
St George's Healthcare NHS Trust, Blackshaw Rd, Tooting, London, UK.
Health Serv Manage Res. 2010 Feb;23(1):25-9. doi: 10.1258/hsmr.2009.009014.
The Civil Contingencies Act (2004) requires UK primary care trusts (PCTs) to plan and respond to major health incidents. We carried out a cross-sectional survey of all PCTs in the north-west region of England using a telephone interview with a structured questionnaire. We assessed: (1) staff members responsible for emergency planning; (2) risk assessment; (3) training and exercises; and (4) the planned response to a major incident. Response rate was 61% (20/33). Twelve out of 20 employed an emergency planning officer. All responding PCTs had participated in a tabletop exercise in the previous year and nine of 20 in a live exercise in the previous three years. Nine provided major incident training to new staff. Fifteen had discussed major incident preparations with their local acute trust but none could quantify the support they would be able to provide in terms of accelerated discharges. We have revealed potentially serious deficiencies in the emergency preparedness of many PCTs. PCTs are expected to play a vital role in coordinating the National Health Service (NHS) response to a major incident and these results have important implications for the ability of the NHS as a whole to effective respond to such incidents.
《2004年民事突发事件法案》要求英国初级医疗保健信托机构（PCTs）制定计划并应对重大健康事件。我们通过电话访谈并使用结构化问卷，对英格兰西北部地区的所有初级医疗保健信托机构进行了横断面调查。我们评估了：（1）负责应急规划的工作人员；（2）风险评估；（3）培训与演练；以及（4）对重大事件的计划应对措施。回复率为61%（20/33）。20个机构中有12个聘用了应急规划官员。所有回复的初级医疗保健信托机构在前一年都参加了桌面演练，20个中有9个在过去三年参加了实战演练。9个机构为新员工提供了重大事件培训。15个机构与当地急症信托机构讨论了重大事件的准备工作，但没有一个能够量化他们在加速出院方面能够提供的支持。我们发现许多初级医疗保健信托机构的应急准备工作存在潜在的严重缺陷。初级医疗保健信托机构预计在协调国民医疗服务体系（NHS）对重大事件的应对中发挥关键作用，这些结果对国民医疗服务体系作为一个整体有效应对此类事件的能力具有重要影响。
