1. 1 Canterbury Health System Response to Earthquake Vulnerable People

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3. Vulnerable People?  September 5 th  Issues keeping residential services operating  ARC filled up  Awareness that many people not able to be adequately supported through general community response  VP team established 3

4. Team Selection  Critical to success  Clinicians and Managers  Sound practitioners  Ability to exercise judgement  Established relationships  Knowledge of health system  Partners – ACC, MOH, Lifelinks 4

5. Focus of Activity  2 ARC facilities with significant damage – approximately 200 residents affected  Supported residential providers (not all health)  Welfare centre support – ‘at risk’ people  Single Point of Entry into ARC  Evacuation of residents  Establishment of new respite facilities – hospital and community  Communication 5

6. What did we do well?  Whole of system response  Team membership selection - Use existing expertise and grow/augment them – SPOE; Social Work; DON; P&F  Contact with ARC and MH providers  Relationships across DHB and other sectors pivotal  Connection and relationships with Primary care supported speed of solutions and consistency of message  Made use of existing tools to aid communication eg Health pathways and developed new ones - eldernet  Sector Debrief 6

7. What could we have done better?  Get out to ‘at-risk’ providers earlier  Communication  Single reference point for all enquiries to avoid inconsistent advice  Phone not the best tool  Practical knowledge/preparedness of organisations and individuals 7

8. February  Massive scale  Immediate priorities –  Evacuation of Aged Residential Care residents  Provision of central contact (phone) point for community 8

9.  VP team established  Clinicians deployed to facilities  Evacuations commenced (500 people) – locally coordinated initially  SPOE controlled access to ARC immediately  Residential Care contact commenced  Logistics support commenced  VP helpdesk established 9

10.  Evacuation challenges – id, meds, nok, mobility aids, mode of transport…  Transit Lounge  Lens for acceptable standard of care  ACC, DSS, Education  Contact point for logistics help - water, portaloos etc  Conduit into other emergency teams  Door knocking support backup  Supported organisations and individuals 10

11. VP longest operational phase  Chemical Toilets  After shocks  Travel assistance  Repatriation  Support for vulnerable facilities  Door knocking 11

12. What we did well  Whole system response and interconnection  Team membership – right people right skills  Local and strong understanding of system  Urgent implementation of previous planned strategies supporting response 12

13. Lessons Learned  Everyone needs an emergency plan!!  Standard responses may meet the needs of many but not everyone  Importance of establishing systems and processes in advance where possible  Communication +++ (txt is best)  Disability and health systems and relationships different  Know what you don’t know and know the people that do 13

14. Resources  www.eldernet.co.nz www.eldernet.co.nz  www.cdhb.govt.nz/planning/ www.cdhb.govt.nz/planning/

15. Our Health System is based on trusted relationships.