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

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

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

5. HEMS at ERoad HEMS staff at Edgware Road Station incident

6. The Royal London Hospital

7. Timeline 8.52 ‘Power surge’ 9.07 HEMS alerted by LAS 9.26 Major incident declared 10.10 First two casualties arrived By 10.30 25 casualties arrived By 11.45 96 casualties By 12.15 176 casualties By 3.45 208 casualties

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

9. 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

10. 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)

11. Co-ordination and Planning Communication Continually changing picture Planning ahead

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

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

14. Communications Internal bleep, telephone, mobiles all went down. Hospital telephones overloaded E-mail unaffected

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

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