Dr Penny Bevan CBE’s (Director of Emergency Preparedness, Department of Health, England) presentation from BSI's (British Standards Institution) launch of the standard for healthcare resilience - PAS 2015 Understanding the Disruptive Challenges facing the NHS •An overview of disruptive challenges that may impact on patient care •Health care resilience and the integration with the wider UK cross-government civil resilience agenda •Linking the elements of emergency preparedness and business continuity management

1. The Disruptive Challenges
facing the NHS
Dr Penny Bevan
Director of Emergency Preparedness
Department of Health
For more information visit http://shop.bsigroup.com/pas2015

2. Agenda
• An overview of disruptive challenges that may
impact on patient care
• Health and Healthcare resilience as part of the
wider UK cross-government civil resilience
agenda
• Linking the elements of emergency
preparedness and business continuity
management
For more information visit http://shop.bsigroup.com/pas2015

3. Context
• Ongoing high threat level
• Consequences from an increasing spectrum of risks
• Civil Contingencies Act 2004
• NHS part of the UK Critical National Infrastructure (CNI)
• Increased expectations
For more information visit http://shop.bsigroup.com/pas2015

4. Civil Contingencies Act 2004
Sets out the responsibilities of frontline responders together
to assess local risks and:
• publish them in community risk registers;
• to prepare plans;
• to make arrangements
• to warn and inform the public in the event of
emergencies;
• and to promote business
• continuity
For more information visit http://shop.bsigroup.com/pas2015

5. Disruptive Challenges
Facing the NHS
For more information visit http://shop.bsigroup.com/pas2015

6. Disruptive Challenges
Relative Likelihood
Relative
Impact
Major Transport
Accidents
Major Industrial
Accidents
Coastal
Flooding
Inland
Flooding
Severe
Weather
Attacks on
Critical
Infrastructure
Non-conventional
Attacks
Attacks on
Transport
Attacks on
Crowded
Places
Electronic
Attacks
Pandemic
Influenza
Animal
Disease

7. National Security
Strategy

8. National Security Strategy –
major threats
• International Terrorism
• Cyber attack
• International military crises
• Major Incidents and natural hazards
For more information visit http://shop.bsigroup.com/pas2015

9. PM
Cabinet Office
DH
NSS CCS
NSC (THRC) NRA
RRTs
GOs
PCT
SHA’s
PCT
Mental Health
Ambulance
Acute Trusts
LRF’s
HPA (National)
HPA (Regional)
HPA (Local)
Patients & Service Users
NS Adviser
National Security
Council
Central
Government
Structure -
October 2010

10. ‘Survive to Operate’
• The NHS needs to be able to survive as an
organisation to enable it to operate core
services there by continuing to provide patient
care – ‘Survive to Operate’
• All healthcare providers should build resilience
within the system to ensure continued
operational delivery of services when faced
with disruptive challenges.
For more information visit http://shop.bsigroup.com/pas2015

11. Health and BCM
• Business continuity is a key issue for all
provider organisations, including Foundation
Trusts. This is a clear message from DH and is
in the current NHS Operating Framework
• It requires an integrated organisational
response at local, regional and national level
• Business continuity must be part of every NHS
organisation’s core business not an adjunct to
business – ‘survive to operate’
For more information visit http://shop.bsigroup.com/pas2015

12. Linking Emergency
preparedness and BCM
Integrated emergency management (IEM)
• Anticipate
• Assess
• Prevent
• Prepare
• Respond
• Recover
For more information visit http://shop.bsigroup.com/pas2015

13. Linking emergency
preparedness and BCM
The BCM life Cycle - Embedding BCM in the
Organisation’s culture
• Understanding the organisation
• Determining the BCM Strategy
• Developing and implementing BCM response
• Exercising, maintaining and reviewing
For more information visit http://shop.bsigroup.com/pas2015

14. IEM and the BCM Life-Cycle
For more information visit http://shop.bsigroup.com/pas2015

15. Components of Resilience Across
the Health Economy

16. Thank you
Dr Penny Bevan
Director of Emergency Preparedness
Department of Health
For more information visit http://shop.bsigroup.com/pas2015