11

Canterbury Health System

Response to Earthquake

Vulnerable People

22

Vulnerable People?Vulnerable People?

September 5September 5thth Issues keeping residential services Issues keeping residential services

operatingoperating ARC filled upARC filled up Awareness that many people not able to Awareness that many people not able to

be adequately supported through general be adequately supported through general community responsecommunity response

VP team establishedVP team established33

Team SelectionTeam Selection

Critical to successCritical to success Clinicians and ManagersClinicians and Managers

Sound practitionersSound practitioners Ability to exercise judgementAbility to exercise judgement Established relationshipsEstablished relationships Knowledge of health systemKnowledge of health system

Partners – ACC, MOH, LifelinksPartners – ACC, MOH, Lifelinks

44

Focus of ActivityFocus of Activity

2 ARC facilities with significant damage – 2 ARC facilities with significant damage – approximately 200 residents affectedapproximately 200 residents affected

Supported residential providers (not all health)Supported residential providers (not all health) Welfare centre support – ‘at risk’ peopleWelfare centre support – ‘at risk’ people Single Point of Entry into ARCSingle Point of Entry into ARC Evacuation of residentsEvacuation of residents Establishment of new respite facilities – hospital Establishment of new respite facilities – hospital

and communityand community CommunicationCommunication

55

What did we do well?What did we do well?

Whole of system response Whole of system response Team membership selection - Use existing expertise and Team membership selection - Use existing expertise and

grow/augment them – SPOE; Social Work; DON; P&Fgrow/augment them – SPOE; Social Work; DON; P&F Contact with ARC and MH providersContact with ARC and MH providers Relationships across DHB and other sectors pivotalRelationships across DHB and other sectors pivotal Connection and relationships with Primary care supported Connection and relationships with Primary care supported

speed of solutions and consistency of messagespeed of solutions and consistency of message Made use of existing tools to aid communication eg Made use of existing tools to aid communication eg

Health pathways and developed new ones - eldernetHealth pathways and developed new ones - eldernet Sector DebriefSector Debrief

66

What could we have done What could we have done better?better?

Get out to ‘at-risk’ providers earlier Get out to ‘at-risk’ providers earlier Communication Communication

Single reference point for all enquiries to Single reference point for all enquiries to avoid inconsistent adviceavoid inconsistent advice

Phone not the best toolPhone not the best tool

Practical knowledge/preparedness of Practical knowledge/preparedness of organisations and individualsorganisations and individuals

77

February February

Massive scaleMassive scale Immediate priorities – Immediate priorities –

Evacuation of Aged Residential Care Evacuation of Aged Residential Care residentsresidents

Provision of central contact (phone) point for Provision of central contact (phone) point for community community

88

VP team established VP team established Clinicians deployed to facilities Clinicians deployed to facilities Evacuations commenced (500 people) – Evacuations commenced (500 people) –

locally coordinated initiallylocally coordinated initially SPOE controlled access to ARC SPOE controlled access to ARC

immediatelyimmediately Residential Care contact commencedResidential Care contact commenced Logistics support commencedLogistics support commenced VP helpdesk establishedVP helpdesk established

99

Evacuation challenges – id, meds, nok, Evacuation challenges – id, meds, nok, mobility aids, mode of transport…mobility aids, mode of transport… Transit LoungeTransit Lounge

Lens for acceptable standard of careLens for acceptable standard of care ACC, DSS, EducationACC, DSS, Education Contact point for logistics help - water, Contact point for logistics help - water,

portaloos etc portaloos etc Conduit into other emergency teamsConduit into other emergency teams Door knocking support backupDoor knocking support backup Supported organisations and individualsSupported organisations and individuals

1010

VP longest operational phaseVP longest operational phase

Chemical ToiletsChemical Toilets After shocksAfter shocks Travel assistanceTravel assistance Repatriation Repatriation Support for vulnerable facilitiesSupport for vulnerable facilities Door knockingDoor knocking

1111

What we did wellWhat we did well

Whole system response and Whole system response and interconnectioninterconnection

Team membership – right people right Team membership – right people right skillsskills

Local and strong understanding of systemLocal and strong understanding of system Urgent implementation of previous Urgent implementation of previous

planned strategies supporting response planned strategies supporting response

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Lessons LearnedLessons Learned

Everyone needs an emergency plan!!Everyone needs an emergency plan!! Standard responses may meet the needs of many Standard responses may meet the needs of many

but not everyonebut not everyone Importance of establishing systems and processes Importance of establishing systems and processes

in advance where possiblein advance where possible Communication +++ (txt is best)Communication +++ (txt is best) Disability and health systems and relationships Disability and health systems and relationships

different different Know what you donKnow what you don’’t know and know the people t know and know the people

that do that do

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ResourcesResources

www.eldernet.co.nzwww.eldernet.co.nz

www.cdhb.govt.nz/planning/ www.cdhb.govt.nz/planning/

Our Health System is based on trusted relationships.