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Health Protection Service Public Health Agency, Northern Ireland

Health Protection Service Public Health Agency, Northern Ireland. Dr. Lorraine Doherty Assistant Director of Public Health (Health Protection) Lorraine.doherty@hscni.net. Public Health Agency. Established 1 April 2009

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Health Protection Service Public Health Agency, Northern Ireland

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  1. Health Protection ServicePublic Health Agency, Northern Ireland • Dr. Lorraine Doherty • Assistant Director of Public Health (Health Protection) • Lorraine.doherty@hscni.net

  2. Public Health Agency • Established 1 April 2009 • Chief Executive, 3 executive Directors – Public Health, Nursing & Allied Professions, Operations • Director of Public Health - 4 Assistant Directors • - Health Protection • R&D • Service Development and Screening • Health & Social Well Being Improvement

  3. Health Protection • “Public health activities intended to protect individuals, groups, and populations from infectious diseases, environmental hazards such as chemical contamination, and from radiation” • Includes emergency planning and response

  4. Health Protection in Northern Ireland • Pre 1st April 2009 • DHSSPS responsible for health protection policy • 4 Health and Social Services Boards • DPH in each board with responsibility for health protection activities • Consultant in Communicable Disease Control (CCDC) led on communicable disease control • External expert advice sought when required, e.g. from HPA, ChaPD • Assisted by Specialist Registrars, Health Protection Nurses and Emergency Planning Officers • 2 surveillance centres – CDSCNI (infectious diseases) and HISC (SSIs)

  5. From 1 April 2009 • DHSSPS responsible for health protection policy • Regional Public Health Agency with 1 DPH • Assistant DPH leads Regional Health Protection Service • Includes staff from previous Health and Social Services Boards, CDSCNI and HISC – CCDCs, Specialist Registrars, Health Protection Nurses, Infection Control Nurses, Regional Epidemiologists, Surveillance Staff and Emergency Planning Officers • MOU with HPA in place

  6. Health Protection Service • Front line role in protecting the NI population from infectious diseases and environmental hazards by: • - Surveillance and monitoring of diseases. • - Operational support and advice to a range of health professionals/other stakeholders. • - Response to adverse health Protection incidents – outbreaks etc. • - Education, Training, Research.

  7. Assistant Director of Public Health (Health Protection) Dr. Lorraine Doherty Consultants in Health Protection (8.2) Consultant Lead, Health Protection Surveillance Consultant Nurse: Health Protection SpRs, FY2 Doctors, EPIET Fellows, Doctors in training Senior ICN (1) Health Protection Nurses (5.8) Infection Control Nurses 2.5 Emergency Planners (2) Health Protection Officer (1) HP Surveillance Staff

  8. Health Protection Teams & Leads • Acute Response/Duty Room • Blood Borne Viruses/STIs • Emergency Planning, Environmental Hazards, Environmental Health • Gastrointestinal, Waterborne, Zoonoses • HCAI, AMR, Infection Control • Immunisation • Respiratory Infections • Training, Standards and Development • Health Protection Improvement and Inequalities • Health Protection Surveillance

  9. Acute Response / Duty Room

  10. Health Protection- Acute Response Service • First point of call in hours: • PHA Duty Room • Tel. 02890 553 994 • Email – pha.dutyroom@hscni.net • Deal with all incidents, immunisation issues, outbreaks, meningo cases, chemical incidents etc. • HP Zone installed • Out of hours - rota, accessed via NIAS control

  11. Regional Duty Room • Deals with all Health Protection queries, incidents • Incident response • HP Zone -installed & fully functional • SOPS in place • Community Associated C difficile cases surveillance established.

  12. Consultant Lead for Health Protection Surveillance Epidemiological Scientist Band 7 Respiratory Infections / Zoonoses / Gastro Information Manager Band 7 Immunisation / VPs / STIs / BBVs / IT Epidemiological Scientist Band 7 HCAI / AMR Information Manager Band 7 SSI Surveillance Information Officer Band 6 Epidemiological Scientist Band 6 Epidemiological Scientist Band 6 AMR / HIV / STIs Epidemiological Scientist Band 6 PVL / MRSA / CJD / CDiff Regional Surveillance Co-Ordinator Band 6 SSI Surveillance Information Officer Band 5 Flu Surveillance Information Officer Band 5 Surveillance Information Officer Band 5 Surveillance Information Assistant Band 3 Surveillance Information Officer Band 5 Surveillance Information Officer Band 5 Surveillance Information Officer Band 5 Surveillance Information Assistant Band 4 Surveillance Information Assistant Band 4 Health Protection ServiceSurveillance Team

  13. Surveillance

  14. Consultant in Health Protection (Team Lead) Consultant in Health Protection Health Protection Nurse Information Manager Information Officer Blood Borne Viruses and STIs Surveillance Support

  15. Consultant in Health Protection (Team Lead) Consultant in Health Protection (Emergency Preparedness) Emergency Planning Officer Emergency Planning Officer Emergency Planning, Environmental Hazards, Environmental Health

  16. Consultant in Health Protection (Team Lead) Consultant in Health Protection Zoonoses Consultant in Health Protection GI Disease Consultant in Health Protection Waterborne Disease and IHR Consultant in Health Protection Waterborne Disease Consultant In Health Protection Port Health Surveillance Support Information Officer Gastrointestinal, Waterborne, Zoonoses

  17. Consultant in Health Protection (Team Lead) Senior Infection Control Nurse Microbiology Consultant 2 Sessions Microbiology Consultant 4 Sessions Infection Control Nurse Surveillance Support Infection Control Nurse Information Manager Infection Control Nurse Information Officer Epidemiological Scientist Information Officer HCAI, AMR, Infection Control Team

  18. Consultant in Health Protection (Team Lead) Consultant in Health Protection Consultant in Health Protection Consultant Nurse Surveillance Support Information Officer Health Protection Nurse Health Protection Nurse Immunisation Team

  19. Consultant in Health Protection (Team Lead) Epidemiological Scientist Consultant in Health Protection TB Consultant in Health Protection Flu Surveillance Officer Respiratory Infections Team

  20. Consultant Nurse Senior Infection Control Nurse Health Protection Nurse Health Protection Nurse Health Protection Nurse Health Protection Nurse Health Protection Nurse Health Protection Nurse Infection Control Nurse Infection Control Nurse Infection Control Nurse Health Protection Nursing

  21. Training, Standards and Professional Development Team

  22. Dr Lorraine Doherty (Team Lead) HCAI Lead TB and Migrant Health Lead Immunisation Lead Consultant Nurse HIV/STI Lead Port Health Lead Health Protection Improvement and Inequalities Team

  23. Our Stakeholders • Public Health Agency Directorates, AMT etc • DHSSPS – CMO’s Office, Primary Care, Minister • Trust staff, Primary care • Close links with COE, QUB • Links to HPA (England), HPS (Scotland), PH • W (Wales), HSE (Ireland), ECDC, CDC (USA). • MOU with HPA for specialist support

  24. Regional Health Protection Forum • Advisory to Health Protection Service. • Representation from across Health and Social Care System. • Informs Business Plan and response plans. • Forum for discussion Health Protection Challenges

  25. Strategy and Planning

  26. Excerpts from Health Protection Service Business Plan 2010/11

  27. Work Programme 2010/11 • Health Protection Duty Room Operational – SOPs, NOIDs, trained staff, HP Zone. • Identify and respond to all health protection incidents. • Ensure Surveillance of communicable diseases. • Contribute to Review of PHA response to Pandemic Influenza, update and test plans.

  28. Immunisation • Lead Implementation of DHSSPS policy on Immunity Testing and MMR Immunisation for health care workers in Trusts. • Increase HPV immunisation uptake rates • Improve MMR uptake in hard to reach groups • Respond to measles cases • Achieve target for seasonal flu vaccine uptake rates • Influenza Immunisation for Pregnant Women

  29. HCAI • Implement recommendations in DHSSPS HCAI Strategy - ‘Changing the Culture II’ for which PHA accountable. • Lead Joint HSCB / PHA HCAI team and deliver on work plan. • Provide HCAI improvement support to Trusts during 2010/11. • Develop a HCAI action plan for Primary Care/Community.

  30. Emergency Planning, Env Hazards and Env Health • Ensure a joint PHA/HSCB/BSO emergency response plan is in place and tested. • Standard Operating Procedures for the duty room and HP Zone; ensure implementation and usage of HP Zone by trained staff. • Identify and respond to all emergency hazard notifications /incidents. • Develop training programme for key staff

  31. Transmit • Monthly Bulletin Health Protection Service • Primarily for HSC and Environmental Health professionals • Objectives: • To highlight local health protection issues • To describe NI epidemiology trends and compare with GB/ROI • Opportunity for non consultant staff to publish reports/studies

  32. Summary • Northern Ireland one unified Regional Health Protection Service • Integrates Surveillance functions and Operational Health Protection elements = a strength • http://www.publichealth.hscni.net/directorate-public-health/health-protection

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