$1.$ What would your initial actions be in light of receiving the information given

in the scenario?

$2.$ What services would you priorities and how would you mitigate the impacts of

the incident?

$3.$ How would you respond to the incident to ensure continuity of services as

much as possible?

$4.$ How would you inform patients and staff about the impacts of the

incident? Which stakeholders would you inform?

$5.$ Once the impacts from the incident are diminishing what steps would you

take to ensure an effective return to business as normal?

$6.$ What are the gaps you have identified that should be included in the

practices business continuity plan?

$7.$ What worked well in the scenario response and the plans?

$8.$ Where improvements could be sought in response to the scenario?

$9.$ What are the gaps in the current plans which would ensure a more effective

response?

Each carry $3$ Marks $(9$ X $3=27$ Marks$)$ plus $3$ Marks for Attendance in the

entire $14$ classes.

Scenarios

Below are five scenarios based on a variety of impacts of an incident which could

affect services.

$1.$ Premises

It is a Monday afternoon. There has been a gas leak outside your practice and

you have been advised the building must be evacuated until further notice. Due

to the severity of the leak it is expected to be Wednesday morning before you

can access the building again.

$2.$ IT Failure

It is Tuesday morning and having opened up the practice for the day it has

been found that there is no internet access. Having discussed with your IT

provider the cause is unknown currently however they expect analytics to

discover the issue are likely to take at least $24$ hours.

$3.$ Staffing

Due to severe winter weather from Sunday night into Monday morning a large

number of staff are unable to get into work. Your practice manager also

injured themselves over the weekend in the icy conditions and is expected to be

off work for a week. There are also higher than normal patients waiting to be

seen due to the inclement weather as well as with seasonal respiratory

symptoms.

Supplementary question: Consider how you would ensure services continue to

run if there is a total absence of a cohort of staff e$.$g$.$ receptionists, GPs$,$

administrative staff.

$4.$ Surge in Patients

A nearby fire on a landfill site has caused a large plume to spread over the

community. Whilst not directly affecting the practice you are receiving a

large number of self$-$presenters either with pre$-$ existing medical conditions

such as asthma as well as the worried well.

Supplementary question: If given postcodes of affected areas could you identify

vulnerable patients in the community most at risk?

$5.$ Utilities

At Wednesday morning a water main has burst in the vicinity of the practice

which has caused a total loss of water supply. The water company has stated

repairs are likely to take between $24$ and $48$ hours due to the complexity of

the work with the mains sitting alongside other utility lines. The water

company has delivered water bowsers to a nearby supermarket however queues

are forming quickly.