TABLE 1 - NATIONAL PRIORITIES How they are being addressed National priorities Current Arrangements Examples of Joint Working Agencies involved Intended Actions A potential pandemic of influenza The NHSH pandemic influenza plan informed the management of the H1N1 epidemic. Joint working with Argyll and Bute Council and Highland Council in the control of the pandemic ABC/ HC/ NHSH Audit and evaluation to identify further opportunities to improve preparedness and learn lessons for other health protection issues Revise pandemic flu plans for future emergent strains. Resources have been developed and systems evolved as a result of the experience of the H1N1 swine flu situation and the subsequent vaccination campaign Joint working with Argyll and Bute Council and Highland Council implementing the vaccination campaign Healthcare associated infections and antimicrobial resistance Guidance for the management of viral outbreaks in care homes. For more detail on the HAI agenda see workplan of NHSH Infection Control Committee ABC/ HC/ NHSH Promoting effective infection control practices in care homes Vaccine Preventable Diseases and the impact of them on current and planned immunisation programs Continuation of routine vaccination programs (Childhood, seasonal influenza) Collaboration with both local authorities to ensure effective delivery of the HPV vaccine in schools, in addition to provision of dT/IPV and measles boosters ABC/ HC/ NHSH Embedding annual HPV vaccination of S2 pupils in routine service. Introduce measles vaccination into school leaving booster programme Continuation of HPV vaccination program
Gastrointestinal and Zoonotic Infections Joint protocols are available for the management of specified infections Joint working to ensure the control of instances of infection through proactive risk management and the investigation of suspected or confirmed infections ABC/ HC/ NHSH Review of relevant joint plans and procedures Scottish Hepatitis C and HIV Action Plans and Sexual Health and BBV Framework More of an NHS issue. Local authorities represented on BBV Steering Group. NHSH Implementation of the plans and HIS Standards Improving communications with the public on risks to health Information leaflets available for all major infectious diseases and on website. Common leaflets have been developed ABC/ HC/ NHSH Joint training in managing incidents/outbreaks and chairing these meetings
TABLE 2 - LOCAL PRIORITIES continued Outcome Details Agencies involved Timescale to be achieved by Control of Norovirus and biotoxins in the shellfish industry Through food safety enforcement and regulation, ensure that adequate steps are taken to minimise risks from norovirus Working with the FSAS and the industry to develop standards and controls to minimise norovirus risks Investigate suspected or confirmed cases, taking appropriate controls Liaison with Scottish Water regarding wastewater treatment processes and their investment programme for public sewer systems adjacent to shellfish harvesting sites and SEPA for private sewage schemes ABC/ HC 1-4. Ongoing throughout 2012-2014 Effective and proportionate arrangements in place to protect public health 1. 2. 3. 4 5. Review and update joint local plans and procedures Exercise emergency incident plans in accordance with programme Joint training exercise on foodborne outbreak Review service arrangements following publication of the Health Protection Stocktake Report from the Scottish Government Develop key performance standards for the response, investigation and actions for public health incidents ABC/ HC/ NHSH 1. Ongoing as per review dates 2. One per year 3. 31 March 2013 4. 31 March 2013 5.Ongoing throughout 2012-2014
3.2 Argyll and Bute Council Job Title Role and Responsibility WTE Regulatory Services Manager Strategic and operational management of environmental health, animal health and trading standards, including debt counselling within the Council. Delivery of effective health protection interventions. Lead and support the development of staff. Effective management of resources. Council’s Head of Food Safety. 1 Environmental Health Managers Management and delivery of the environmental health service within a geographical area of Argyll and Bute – east and west regions 2 Environmental Health Officer (Food Control and Service Support) Provide specialist food safety advice and expertise within Argyll and Bute Council. Provides specific advice and supports the development of protocols, service plans and ensure that they are in line with current legislation. The inspection of high risk and EC approved food premises. 1 Environmental Health Officer Health and Safety and Service Support) Provide specialist health and safety advice and expertise within Argyll and Bute Council. Provides specific advice and supports the development of protocols, service plans and ensure that they are in line with current legislation. 1 Environmental Health Officers Full range of environmental health duties including public health, food safety, environmental protection and health and safety. 10 Environmental Protection Officer Carrying out the Council’s statutory duty to identify contaminated land and local air quality. To deal with historic contamination under the planning process and by programmed inspection; to carry out risk assessments in accordance with legislation, statutory guidance and the Council’s published Strategy. 1 Regulatory Services Officers To undertake a specific range of environmental health duties principally in food safety. 4.6 Technical Assistants/Sampling Officers To support the environmental health service and undertake environmental sampling and monitoring programmes. 5.2 Senior Animal Health and Welfare To supervise the delivery of animal health and welfare service. To undertake programmed visits relating to animal heath and welfare and primary food production. Investigate all cases of notifiable animal disease including zoonotic diseases. 1 Animal Health and Welfare To undertake programmed visits relating to animal health, welfare and primary food production. Investigate all cases of notifiable animal disease including zoonotic diseases 1 Civil Contingencies Manager Ensuring Argyll & Bute Council is prepared for a major incident. 1 Civil Contingencies Officer Ensuring Argyll & Bute Council is prepared for a major incident. 1 Trading Standards Manager Manage, co-ordinate, lead and support activities surrounding Trading Standards. Develop protocols, service plans in line with current legislation. 1 Trading Standards Officers and RegulatoryServices Officers Carry out Trading Standards interventions in accordance with current plans, protocols and legislation 7.6
3.3 Highland Council Job Title Role and Responsibility WTE Environmental Health Manager Strategic and Operational Lead for Environmental Health and Public Health activities in Highland Council. 1 Area Environmental Health Managers Operational Lead in respective areas for Environmental Health and Public Health activities. 3 Principal Environmental Health Officer (Food) Coordinate, lead and support activities surrounding Environmental Health and Public Health. 1 Principal Environmental Health Officer Coordinate, lead and support activities surrounding Environmental Health and Public Health. 1 Environmental Health Officers Carry out Environmental Health and Public Health interventions and inspections in accordance with current plans, protocols and legislation. 17.6 Environmental Health Technical Officers To undertake a specific range of environmental health duties principally in food safety and Health & Safety. 7.6 Environmental Health Technical Officers – sampling To support the environmental health service and undertake environmental sampling and monitoring programmes. 7.7 Principal Officer (Contaminated Land) Management of the Council’s statutory duty to identify contaminated land. 1 Scientific Officer (Contaminated Land) Carrying out the Council’s statutory duty to identify contaminated land. 4.6 Information Technician (Contaminated Land) Maintenance of the Council’s contaminated land information records. . 1 Senior Animal Health & Welfare Officer Management of Council’s statutory duties in relation to Animal Health & Welfare including management of Animal Health & Welfare Officers. 1 Animal Health & Welfare Officer Carry out Council’s statutory duty in relation to Animal Health and Welfare. 3 Emergency Planning and Business Continuity Manager Strategic and Operational Lead for Emergency Planning and Business Continuity 1 Emergency Planning Officer Ensuring Highland Council is prepared for a major incident. 2 Administration Provision of administrative support. Trading Standards Manager Strategic and Operational Lead for Trading Standards. 1 Trading Standards Team Leader Coordinate, lead and support activities surrounding Trading Standards. 2 Trading Standards Officers & Assistant Trading Standards Officers Carry out Trading Standards interventions in accordance with current plans, protocols and legislation. 16