1. Summary of Published Key Strategic Guidance for Health Emergency Preparedness, Resilience & Response (EPRR)

2. Introduction
For the attention of all NHS emergency preparedness, resilience and response (EPRR) personnel
The following charts give an overview of the key strategic EPRR guidance documents currently published. These lists are not exhaustive
For published documents, web-site links are imbedded in the charts. ‘Mouse over’ the boxes to see the links and click on the boxes to open the hyperlink (whilst viewed as a slideshow)
For general queries, to request information about inaccessible documents, or to suggest amendments please contact NHS England (National) EPRR Team at
NHS | Summary of published strategic guidance for EPRR | June 2015 |

3. Strategic Cabinet Office & DH EPRR Guidance (1 Sept ‘12)
Cabinet Office (CO):
UK Public Safety and Emergencies web-page
NHS England EPRR
internet site
NHS England Emergency Preparedness Framework (2013)
Note. Supersedes NHS Emergency Planning Guidance 2005
Business Continuity
CO: National Risk Register
(2015)
CO: The Central Government’s Concept of Operations
(April 2013)
Cabinet Office: Business Continuity (web-page)
CO: Emergency Preparedness
Guidance on Part 1 of the Civil Contingencies Act 2004, its associated Regulations and non-statutory arrangements (March 2012)
ISO Business Continuity Management Systems (BCMS) - Requirements
CO: The role of Local Resilience Forums
(July 2013)
NHS England Core Standards for Emergency Preparedness, Resilience and Response
ISO Business Continuity Management Systems - Guidance
CO: Provision of Scientific and Technical Advice in the Strategic Co-Ordination Centre (STAC) - Guidance to Local Responders (April 2007)
CO: Expectations and Indicators of Good Practice Set for Category 1 and 2 Responders
(October 2013)
NHS England Command and Control Framework
for the NHS during Significant Incidents and Emergencies (2013)
Note: supersedes
the Strategic command arrangements for the NHS during a major incident (Dec 2007) from 1 April 2013
BSI PAS 2015:2010 Framework for Health Services Resilience
(NHS version of BSI/ISO)
CO: Enhanced SAGE Guidance: A strategic Framework for the Scientific Advisory Group for Emergencies (SAGE)
(October 2012)
CO: Emergency Response and Recovery (October 2013)
NHS England Business Continuity Management Framework (Service Resilience) (2013)
CO: Recovery Guidance Common Issues and Recovery Plan Template (November 2008)
CO: Strategic Framework and Policy Statement on Improving the Resilience of Critical Infrastructure to Disruption from Natural Hazards (March 2010)
DH: Underpinning Emergency Planning Guidance 2005 for SHAs, Primary Care Organisations, Amb Services and Acute, Non-Acute & Spec Trusts
NHS England Business Continuity Management Toolkit
CO: Lexicon of UK Civil Protection Terminology
(February 2013)
NHS England Responsible > April ‘13
Key:
Cabinet Office
EPRR Guidance
DH Published Guidance
HPA/PHE Guidance
NHS England Published Guidance

4. Major Incidents Stocks Mass Casualty CBRN Pre-Hospital Fatalities
NHS England:
UK Reserve National Stock for Major Incidents – How to access stock in England (Feb 2015)
DH: Trauma Network: Regional Networks for Major Trauma
(September 2010)
DH: Mass casualties incidents: a framework for planning (Mar 2007)
HPA: CBRN Incidents: A Guide to Clinical Management and Health Protection
(September 2008)
NHS: A Plan for NHS Blood and Transplant and Hospitals to address Platelet Shortages
(October 2009)
DH: Planning for the Management of Burn-Injured Patients in the Event of a Major Incident: Interim Strategic National Guidance (April 2011)
DH: Trauma Network: Management of Children with Major Trauma
(February 2011)
DH: NHS Guidance - Incidents Involving Radioactivity (1998)2
NHS: A Plan for NHS Blood and Transplant and Hospitals to address Red Cell Shortages
(October 2009)
DH: Ambulance service guidance on dealing with radiological incidents and emergencies (Mar 2010)2
DH: Planning for the Management of Blast Injured Patients (Dec 2007)
Pre-Hospital
Home Office: Guidance on Dealing with Fatalities in Emergencies (2004)
DH: Development & Deployment of Medical Emergency Response Incident Teams (MERIT) in the provision of advanced medical care at the scene of an incident (Mar 2010)
NARU: Clinical Guidance Medical Support Minimum Requirements for a Mass Casualty Incident (Oct 2014)
NHS England: Chemical Incidents – Planning for the management of self-presenters in healthcare settings (April 2015)
Home Office: National Recovery Guidance - Humanitarian Aspects - Mass Fatalities. Nb. ‘under review’
DH: Immediate Medical Care at the Scene of a Major Incident (Oct 2005)1
CO: National Recovery Guidance - Humanitarian Aspects - Mass Fatalities
Fatalities
1 Replacement NHS England publication to be merged together
2 Replacement NHS England publication to be merged together

5. Evacuation, Surge, Pandemic and other EPRR Guidance
NHS England Pandemic Influenza NHS guidance on the current and future preparedness in support of an outbreak
Lockdown & Evacuation
Severe Weather
DH: NHS Protect
Lockdown Guidance
(Password protected document) – contact Local Security Management
Specialists (LSMSs)
Psychosocial Support
DH: The UK Influenza Preparedness Strategy 2011
PHE: Cold Weather Plan for England 2014
(October 2014)
DH: Health and Social Care Influenza Pandemic Preparedness and Response (Apr 2012)
DH: Planning for the Psychosocial and Mental Health Care of People affected by Major Incidents and Disasters: Interim National Strategic Guidance (July 2009)3
NHS England: Shelter and Evacuation Guidance of people in healthcare settings (Jan 2015)
PHE: Heatwave Plan for England
(May 2015)
DH: 14 x documents forming Evidence Base Underpinning the UK Influenza Pandemic Preparedness Strategy
(March 2011)
Fuel
DH: Responding to Pandemic Influenza: The Ethical Framework for Policy and Planning (Nov 2007)
DH: NHS Guidance on Planning for Disruption to Road Fuel Supply: Strategic National Guidance NHS Organisations (Nov 2008)
Surge
DH: Pandemic Flu: Managing Demand and Capacity in Health Care Organisations (Surge)
(May 2009)4
DH: Critical Care Contingency Planning in the Event of an Emergency where the Numbers of Patients Substantially Exceeds Normal Critical Care Capacity (December 2007)4
Management of Surge and Escalation in Critical Care Services
SOPs for Critical Care, Burns Services and ECMO
See ‘Fatalities’ in previous slide
DH: Pandemic Influenza: Guidance on the Management of Death Certification and Cremation Certification
(Aug 2008)
3 Responsibility within NHS England lies with the Medical directorate
4 Replacement NHS England publication to be merged together

6. Updates since previous version
Amendment
Date
Made by:
UK Reserve National Stock for Major Incidents – How to access stock in England
Feb 2015
NHS England EPRR
NHS England: Chemical Incidents – Planning for the management of self-presenters in healthcare settings
Apr 2015
NHS England Core Standards for EPRR
Heatwave Plan for England
National Risk Register
June 2015
NHS | Summary of published strategic guidance for EPRR | June 2015 |