1. Dr Helen FARDY Lead Clinician Paediatric Intensive Care Unit University Hospital of Wales, Cardiff

2. Regional PICU response In preparing for a flu pandemic

3. Background Service established in 99/00 Service Configuration The NHS in Wales

5. Perseverance and determination

6. Unit response Increase capacity from 7 to 15 beds Beds Equipment Staff

7. “ In house” challenges Personal protective equipment Corporate direction and ownership Delayed and late authorization

8. Communication problems

9. The Network

10. Regional Education and Training Regional education and development nurse Paediatric life support “roadshow” Stabilisation study days Ad hoc sessions Medical and nursing secondments WEBSITE www.cardiffpicu.com

11. Current Situation DGH teams manage children well prior to retrieval Can be personnel dependant Uptake of training patchy Challenge of vast and rapidly changing workforce

12. Preparing the Region Enhance document DOH 2006 WAG flu committee early 2007 No action Winter 2008-raised at informal network Link into SEWCCN (adult early2009)

13. Preparing the Region Information directly to DGH link consultants and nursing staff, May 2009 “Surge” Enhance Regional plan Action Points

14. Response Silence! 3 month delay in asking for training sessions and secondments

15. Challenges Lack of Managed Clinical Network Staff being released for training Limited personnel at lead centre to provide training NMC guidance Clarity on legal issues

16. Extremely time consuming

17. ARE WE PREPARED?