Score 50% to 80% - Discernable reportable progress to date

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1 Red Amber Green Score up to 50% - Little reportable progress to date Score 50% to 80% - Discernable reportable progress to date Score up to 80% to 100% - Nearing completion

2 Sn: Date Description EPRR Workplan version 1 01/05/2014 Update to MIPG work % V /05/2014 Change to 1a to Inc BC in the Corporate EPRR policy & additions to completion status V /05/2014 of Draft EPRR / BC Documents and ed to EPRR Executive Lead V /05/2014 Addidition of tasks to EPPR plan and BC Framework V /06/2014 Adjustments to delivery Timescales - due to H&S Work commitments of EPRR Lead V /06/2014 Updates to completed actions V /06/2014 Addition of LHRP Actions V /06/2014 Addition of ICR actions and addional exercise detail V /07/2014 Update with outcome of EMG Ratification process V /07/2014 Update outcome of CBRN Exercise initial meeting with A&SFRS & Setup of access to EPRR Extranet V /07/2014 Upadate to spreadsheet fpor completed areas V /07/2014 Add new spreadsheet tab for 3-months from 01 August to 31 October 2014 V13

3 Page 3 V.13 WAHT - EPRR Work Plan - Until 04 Aug 14 Sheet Updated # EPRR Elements Date % 28/04/ /05/ /05/ /05/ /05/ /06/ /06/ /06/ /06/ /06/ /07/ /07/ /07/ /07/ /08/ EPRR Policy 1a Draft EPRR Policy Document for Approval 1b Submit to Dir Ops for EMG Approval at 03/07/2014 meeting 1c EMG requested small wording amendments' and return to EMG for final ratification on the 24th July 14 2 Major Incident Plan 2a Review to ascertain compatibility with ICR SOP & BC Plan 2b Detail Changes required to Dir Ops 2c Remove ancillary plans and make standalone: e.g. Heatwave and CBRN 2d Assess Action Cards for relevance and viability 24/07/ % 2e Redraft Action Cards as a Standalone Suite 24/07/ % 3 Business Continuity Framework 3a Review Trust Corporate Business Continuity Framework to meet ISO and NHS Standard Contract-7; in light of NHS-LAT & CCG Comments 3b Submit to Dir Ops for EMG Approval at 03/07/2014 meeting 3c Review & reformat Trust Local Business Continuity Plan Format EMG requested small wording amendments' and return to EMG for final 3d ratification on the 07th August 14 3e Develop Trust Business Continuity Plan Action Cards 4 Business Continuity Training 4a Draft Business Continuity Training Requirements 4b Obtain Off The Shelf Exercises from PHE 4c Draft Business Continuity Training Scheduled 24/07/2014 0% 4d Add Business Continuity TNA to EPRR TNA 5 Heatwave Planning a Review 2013 Heatwave Plan and subsequent debrief actions Redraft 2014 Heatwave plan to reflect debrief actions identified to improve 5b the 2013 plan 5c Estates and Facilities Assurance on Heatwave measures On Call Manager / Director Action Cards on Heatwave response measures for 5d 2014 Submit to Dir Ops for EMG Approval at 03/07/2014 meeting - complete 5e amendmnts to On Call Action Card as requested by EMG 6 CBRN Planning Review 6a Review CBRN Plan in response to new CBRN - IOR requirements - ED CBRN Clinical Lead 24/07/2014 0% 6b Review CBRN Equipment and Access Arrangements 6c Review CBRN Support Arrangements to ED by Estates CBRN Clinical Training Lead - Review CBRN Training Arrangements in response 6d to new CBRN - IOR requirements 24/07/2014 0% 6e Review CBRN Respirex Suits replacement dates with CBRN Clinical lead 6f Review CBRN Respirex Training Suits - replacement batteries requirement and place order with CBRN Clinical lead 6g Initiate CBRN Exercise meeting with A&SFRS Monday 14th July, involve ED CBRN Trainers and ED Consultant for CBRN 6h Review Exercising Arrangements in light of ASFRS Meeting 14/07/ /07/ % 7 Mass Casualty Planning 7a Assess the Trusts documentation for Mass Casualties' in light of attendance at Mass Cass workshop Oct /07/2014 0% 7b Join the LHRP Mass Cass group 7c Attend the LHRP Mass Cass Planning Meeting 11/07/2014 7d Invite ED & AEO as attendees to Mass Cass Workshop - tentative 01 Oct 14 Week

4 Page 4 8 Incident Control Room (ICR)- Boardroom 8a Finalise ICR Manual to SOP Format 8b Issue SOP to ICR Resource Cupboard and on call folder 8c Update ICR Resource Cupboard - Signage and Files Setup EPRR On Call Electronic Folder and arrange Access to all on Call Staff - 8d through Jo Robinson and IT Ensure Head of Comms has developed comms responses for use by ICT, has 8e communication templates available, has on call comms advice available. 24/07/ % 8f Liaise with Telecoms manager to ensure access to TV (Sat Aerial and Sat Rx Required) installed in Boardroom 8g Ensure that access to extranet set up and detail added to the ICR - SOP 8g Liaise with IT Dept to ensure that the EPRR Laptop in Boardroom is set up for duty managers and directors to access s 9 EPRR MI & BC Training & Exercising to Meet CCA Duty 9a Develop 3 Year EPRR Exercise Schedule 24/07/2014 0% 9b Submit to Dir Ops for EMG Approval 24/07/2014 0% 9c Publish 3 Year EPRR Exercise Schedule 24/07/2014 0% 9d Develop Table Top & Live Exercise Scenarios 9e Identify staff for exercise attendance 24/07/2014 0% 9f Obtain Off The Shelf Exercises from PHE 9g Ensure Trust DVD for EPRR information and awareness is added to the Induction / Stat Man Trainig Schedule 9h 10 Emergency Planning & Business Continuity Group 10a Setup annual schedule of EPBC Meetings 10b Draft a list of MIPG Membership 10c Draft a standard MIPG Agenda 10d Review the MIPG - TOR 11 Local Health Resilience Partnership - LHRP 11a Obtain LHRP Tactical Group Meeting Dates 11b Diarise and attend LHRP Tactical group meetings 11c Diarise and attend LHRP - Tac Grp - CBRN Sub Group meetings 11d Diarise and attend LHRP - Tac Grp - Acute Trusts Sub Group meetings 11e Attend LHRP Train the Trainer Loggists Session on Loggists Ensure National Exercise information is notified to the AEO Karen Croker at - 11f EPRR update meetings 12 12a 12b 12c

5 Page 5 Week V.0.2 WAHT - EPRR Work Plan - Until 03 November 2014 End of Week End of Week End of Week End of Week End of Week End of Week End of Week End of Week End of Week End of Week End of Week End of Week End of Week Sheet Updated Commencing Commencing Commencing Commencing Commencing Commencing Commencing Commencing Commencing Commencing Commencing Commencing Commencing # EPRR Elements Date % 18/08/ /08/ /09/ /09/ /09/ /09/ /09/ /10/ /10/ /10/ /10/ /11/ Major Incident Plan 1a Complete Major Incident Plan redraft 04/09/ % Due 1b Complete Action Cards update 04/09/ % Due 1c Major Incident Plan to EMG for Ratification 04/09/2014 0% Due 2 Business Continuity Framework EMG requested amendments' to on call notification to reflect Trusts revised 2a on Call arrangements; return to EMG for final ratification on the 14th August 04/09/ % 12/08/ Communicate divisional Team BC Plan Templates to Divisional - Department 2b Managers - with request for Assigned BC lead details and date the Team Plan 04/09/ % 26/08/2014 is forwarded to the Assigned BC lead 3 Business Continuity Training 3a Draft Business Continuity Training Requirements 04/09/ % 18/08/2014 3b Draft Initial Business Continuity Training Scheduled with Jo Robinson 04/09/ % 3c Draft Business Continuity Training Presentations 04/09/ % 3d Add Business Continuity Training to EPRR - TNA document 04/09/ % 3e Start BC Training 2-hour sessions (initially six) on 01st Sept 14 04/09/ % Due 3f Identify 1:1 training requirements from nominated BC Leads 04/09/2014 0% Due Identify further Training for BC - based upon non attendance at the 3g scheduled initial sessions. 04/09/2014 0% Due 4 CBRN Planning Review Redraft CBRN Plan in response to new CBRN - IOR requirements - with ED 4a CBRN Clinical Lead and trainers 04/09/ % Due Meet with ED matron and Clinical Leads to prepare for Trust External Audit 4b of CBRN Capability on the 11th Sept 14 (using new CBRN core standards and 04/09/ % 29/08/14 equipment self assessment) 4c CBRN Self Assessmnet to NHS Engalnd and SWAST by 04th Sept 14 04/09/ % 04/09/14 Review CBRN Training Arrangements in response to new CBRN - IOR 4d requirements with CBRN Clinical Training Lead and ED Matron Draft CBRN Exercise Briefing Document 1st draft with AFRS and ED CBRN 4e Leads 5 Mass Casualty Planning (Note: Workshop Now Posponed) Assess the Trusts documentation for Mass Casualties' in light of attendance 5a at Mass Cass workshop first week of Oct 14. 5a 5a Reassess mass casualty facilities - physical set up Re Assess Mass Casualties Plan drafted in 2013 by Nick Booth of Taunton 12/08/ /08/ /08/ /09/ % Due 04/09/ % Due 04/09/2014 0% 04/09/2014 0% 04/09/ % 6 Incident Control Room (ICR)- Boardroom Ensure Head of Comms has developed comms responses for use by ICT, has 6a communication templates available, has on call comms advice available. 04/09/ % Due 29/08/2014 NHSE Mass Cass Workshop Posponed NHSE Mass Cass Workshop Posponed 6b Carry out ICR Walkthrough with Op Management Group - Karen Croker request - date to be set up by Jo Robinson 04/09/ % Due

6 Page 6 7 EPRR MI & BC Training & Exercising to Meet CCA Duty 7a Draft an initial 3 Year EPRR Exercise Schedule 04/09/ % 7b Ensure Table Top & Live Exercise Scenarios are available 04/09/ % 7b Complete review of ICR Training requirements 04/09/ % 7c Identify staff for exercise attendance 04/09/2014 0% Due 8 Emergency Planning & Business Continuity Group 8a Attend next meeting Thursday 16th October 15:00 to 16:00 04/09/2014 0% Due 8b Invite Kate Bradley (NHS Engalnd) and Debbie Campbell (NS-CCG) 04/09/2014 0% Due 9 Local Health Resilience Partnership - LHRP 9a Attend next meeting LHRP meeting Wednesday 09:00 Castlewood 04/09/2014 0% Due 10 Winter Weather / Severe Weather Plan a Liase with david craig and divisional managers 04/09/2014 0% Due 10b Review and redraft winter weather / severe weather plan - for /09/2014 0% Due 11 Internal Audits from 2012 & 13 (Not processed by Trust at Time) Complete' initial response' to request from Audit South West regarding 2 11a 04/09/ % audits completed on the Trust in 2012 & 13 11b Respond to additional requests raised by Audit South West 04/09/ % 12 Trust EPRR Board Reports Complete the first annual Trust EPRR Board report for the 04th Nov 14 12a Board Meeting - to be delivered by Karen Croker 04/09/2014 0% Due 12b Forward to KC for approval and then CEO PA for submission to Board 04/09/2014 0% Due 13 Review and Update the Trust Pandemic Flu Plan 13a Review and redraft the Trust Pandemic Flu Plan to align with LHRP PF Plan. 04/09/2014 0% Due 13b Submit the Trust Pandemic Flu Plan to KC prior to submision to EMG for ratification. 04/09/2014 0% Due

7 Sn: Date Description EPRR Workplan version 1 01/05/2014 Update to MIPG work % V /05/2014 Change to 1a to Inc BC in the Corporate EPRR policy & additions to completion status V /05/2014 of Draft EPRR / BC Documents and ed to EPRR Executive Lead V /05/2014 Addidition of tasks to EPPR plan and BC Framework V /06/2014 Adjustments to delivery Timescales - due to H&S Work commitments of EPRR Lead V /06/2014 Updates to completed actions V /06/2014 Addition of LHRP Actions V /06/2014 Addition of ICR actions and addional exercise detail V /07/2014 Update with outcome of EMG Ratification process V /07/2014 Update outcome of CBRN Exercise initial meeting with A&SFRS & Setup of access to EPRR Extranet V /07/2014 Upadate to spreadsheet fpor completed areas V /07/2014 Add new spreadsheet tab for 3-months from 01 August to 31 October 2014 V13

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