Norfolk Emergency Response Guidance
OFFICIAL
Page 48 of 97
OFFICIAL
Clinical Commissioning Groups (CCG)
Ensure contracts with all commissioned provider organisations
(including independent and third sector) contain relevant EPRR
elements, including business continuity
Monitor compliance by each commissioned provider
organisation with their contractual obligations in respect of
EPRR and with applicable Core Standards
Ensure robust escalation procedures are in place so that if a
commissioned provider has an incident the provider can inform
the CCG 24/7
Provide a route of escalation for the LHRP in respect of
commissioned provider EPRR preparedness
Support NHS England in discharging its EPRR functions and
duties locally, including supporting health economy tactical
coordination during incidents (alert level 2-4)
Fulfil the duties of a Category 2 responder under the CCA 2004
and the requirements in respect of emergencies within the NHS
Act 2006 (as amended).
Provide a Director On-Call 24/7 to be available as the first point
of contact for the Norfolk and Waveney CCGs.
Provide a C3 function for the Norfolk Health system in response
to an incident, emergency and recovery.
Community Healthcare Service Providers
Reprioritise community based services to maximise capacity and capability including:
Creation of capacity in the community to enable acute hospitals
to discharge patients to community hospitals or home
Deferring non-urgent planned community activity
Expediting discharges from community beds
Suspension of operational training and redeployment of
staff/managers
Liaising with NHSE East / CCG’s
Ensuring that a continuing health service is provided to those
unaffected by the incident including non-incident minor injury
plus other patients if held at scene for prolonged periods
If requested, support medical coverage at Survivor Reception
Centres wherever possible These services may also be
augmented by the voluntary services via Local Authority
arrangements or other commissioned clinical providers
GP’s and community pharmacy services may be asked to
support treatment of patients who are of a lower priority in care
settings, and assist in managing patients triaged away from A&E
GPs may work Emergency Departments to see/ triage existing
patients out of the department to make way for incident victims.
General Practitioners can support messages being issued to the
public to give reassurance following the incident.
Primary Care services are part of the mechanisms to ensure
those involved in the incident receive appropriate mental health
support and are able to triage those who are emotionally
traumatized in the appropriate support and response services.