Disaster Planning -learning lessons from 7/7 Mike Cross Director of Pharmacy Barts and the London NHS Trust

Disaster Planning Outline A reminder of the events of 7/7 How the events unfolded Lessons for the future

Summary of Events London under terrorist attack Over 400 treated in London Hospitals 56 died

HEMS at ERoad HEMS staff at Edgware Road Station incident

The Royal London Hospital

Timeline 8.52 ‘Power surge’ 9.07 HEMS alerted by LAS 9.26 Major incident declared First two casualties arrived By casualties arrived By casualties By casualties By casualties

Over 80 people are ferried to The Royal London in a convoy of three doubledecker buses

How it evolved… 7.45 pm (Thursday) –27 patients remained –7 in ITU, 19 on wards, 1 died in theatre 10 am Sunday (4 days later) –7 in ITU, 10 on wards

Meanwhile, in the Pharmacy Department……….. Major incident 9.28am Plan instigated A&E pharmacist based in A&E Review of stocks Clinical staff assigned to facilitate discharge (over 170)

Co-ordination and Planning Communication Continually changing picture Planning ahead

Drug Supplies Fluids C.D’s Replenishing –A&E, HEMS, Theatres, Receiving wards, ITU, HDU TTA’s Routine Service

Drug Supplies Don’t panic How busy can we get? Just be prepared –Major incident packs –Fluids –Antidotes / specific preparations Police escort

Communications Internal bleep, telephone, mobiles all went down. Hospital telephones overloaded unaffected

What Have We Done Since? Review of communications Review contents of major incident supplies Scenario planning

What if….. At night or weekend Power supplies go down Computers/robots fail Access difficult Area quarantined