Business Continuity Exercise: Denial of Access Primary Care and Pharmacies Appendix 4.3

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1 1 Business Continuity Exercise: Denial of Access Primary Care and Pharmacies Appendix 4.3

2 2 Housekeeping Fire safety Breaks and refreshments Toilets Mobiles and pagers

3 3 Introduction Respect each others contributions What s said in the room stays in the room

4 Course Objectives To test the business continuity arrangements in your work place To identify any shortfalls in the existing business continuity arrangements To implement improvements from the lessons identified 4

5 Business Continuity Business impact analysis & risk assessment Exercising & Testing Operational planning & control Business Continuity Strategy 5 Establish & implement BC procedures

6 6 Exercise Groups Nominate one person to be the scribe Decide how you are going to deliver the feedback at the end of each session

7 Exercise Background Your organisation can be denied access to the majority of the premises for a variety of reasons, for example: The police have declared the area as a crime scene An exclusion zone has been established from a safety perspective, such as a risk of explosion, or a risk from a fire in a neighbouring property. A local flood has occurred which has engulfed on your premises 7

8 Exercise Background The response for what ever reason should be the same: Take immediate action to ensure safety or staff & patients Establish the period of time that access will be denied Establish what might be needed to restore the activity/service when access can be regained or Decide whether to relocate that activity or service to either temporary or permanent basis 8

9 Exercise Scenario The practice/pharmacy is normally open Monday to Friday office hours Staff arriving to work following a bank holiday discover that there has been serious flood caused by a failure of the water system in the building. It is likely that the damage has occurred over several days. 9

10 Exercise Scenario The flooring in waiting areas and offices is soaked and there are expanding areas of water on the vinyl floor Storage areas are visibly water damaged Paperwork left on shelves and desks have been damaged by the water Water is visibly dripping from the light fittings, and electrical sockets Numerous ceiling tiles have been affected by the water Patients are already arriving to see the doctors and nurse 10

11 Discussion What immediate action should be taken by those first there? What are their immediate priorities? 11

12 Question It is obvious that the building cannot be used for patient care / dispensing in its present condition, but who is authorised to make that decision? 12

13 Question Who would you contact to give you an estimate length of time that the area will be unable to function? 13

14 Inject 1 The damage is extensive Carpets and other flooring need to be replaced All electrics, fire alarms need testing once dry The area will need redecorating before reopening Computers have been damaged and need replacing All paperwork in the area have been destroyed including some in filing cabinets Drug storage areas are water damaged 14

15 Question The contractor estimates 6 weeks to carry out all necessary repairs and restoration work 15

16 Inject 2 The senior partner/pharmacist has decided that in the interests of the patients the service cannot be suspended for more than 48 hours. 16

17 Question What is needed to restore the core service within 48 hours? What is the biggest challenge in restoring the core service in 48 hours? 17

18 Question Communication plan Who will need to be communicated with? During the incident During the recovery After the incident 18

19 Lessons Identified From the exercise today in your groups discuss and create a list in your workbook a list of lessons that you have identified today that you need to consider when you review your plan 19

20 Course Objectives To test the business continuity arrangements in your work place To identify any shortfalls in the existing business continuity arrangements To implement improvements from the lessons identified 20

21 21 Questions

22 22 Evaluation

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