NHS England (London) Tour de France 07th July 2014 Briefing Pack v0.5 Draft
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OFFICIAL NHS England (London) Tour de France 07th July 2014 Briefing Pack v0.5 Draft NHS England (London) Tour de France 2014 Briefing Pack 1
OFFICIAL NHS England (London) Tour de France, Monday 07th July 2014 First published: 23rd June 2014 Updated: (only if this is applicable) Prepared by NHS England (London) EPRR Team Comments to Liz Clark (liz.clark1@nhs.net) NHS England (London) Tour de France 2014 Briefing Pack 2
OFFICIAL Contents 1.0 Executive Summary ...................................................................................................... 4 2.0 Background Information and Context ......................................................................... 4 3.0 Planning Assumptions / Assurance / Issues and Risk Assessment ........................ 5 3.1.1 Deliveries and Collections ........................................................................................... 5 3.1.2 Staffing and Capacity ................................................................................................... 5 3.1.3 Assurance ..................................................................................................................... 5 3.1.4 Issues and Risk Assessment ....................................................................................... 5 4.0 London NHS Healthcare Planning and Operational Response................................. 6 4.1 Tour de France Event Planning Road Race – Stage Three London Sectors ........... 6 4.1.1 Transport ....................................................................................................................... 6 4.1.2 Treatment of Athletes and ASO Officials .................................................................... 7 4.1.3 Charging for Treatment ................................................................................................ 7 4.1.4 Press and Communications ......................................................................................... 8 4.1.5 Situation Reporting Requirements .............................................................................. 8 4.1.6 Major Incident Response ............................................................................................. 8 4.2 Operational Event Arrangements ................................................................................ 9 4.2.1 Emergency and Local Access Points ....................................................................... 10 4.2.2 Designated Hospitals ................................................................................................. 12 4.2.3 Primary Care Affected Providers ............................................................................... 14 4.2.4 Secondary Care Affected Trust Sites ........................................................................ 15 4.2.5 Specialist Care Affected Trust Sites ......................................................................... 19 4.3 Command and Control Arrangements ...................................................................... 19 4.3.1 Internal Command and Control ................................................................................. 19 4.3.2 External Command and Control ................................................................................ 20 4.4 Debrief Arrangements ................................................................................................ 22 4.4.1 Internal Debrief............................................................................................................ 22 4.4.2 External Debrief .......................................................................................................... 22 4.5 Public Health ............................................................................................................... 22 4.5.1 Public Health Messaging ............................................................................................ 22 4.6 Medical Support .......................................................................................................... 22 4.7 Parallel Events ............................................................................................................ 22 5.0 Appendices ................................................................................................................. 22 5.1 Appendix One - Route Maps ...................................................................................... 23 5.1.1 Impact Map .................................................................................................................. 24 5.1.2 Stage Three ................................................................................................................. 24 5.2 Appendix 2 – Issue and Risk Register ...................................................................... 25 NHS England (London) Tour de France 2014 Briefing Pack 3
OFFICIAL
1.0 Executive Summary
The Tour de France (TdF) begins in Yorkshire on Saturday 5th July 2014 and travels through the
London area on Monday 7th July. This report outlines some of the issues, the plans which are
being put in place and other contingencies to mitigate the risks.
2.0 Background Information and Context
The world’s biggest cycle race, the Tour de France, comes to London on Monday 07th July 2014.
Prior to that the race begins on the Saturday in North Yorkshire; it also covers areas of West
Yorkshire.
It is anticipated that there will be an influx of visitors to the area in the weeks leading up to the
event and in particular the preceding week and over the weekend. It is estimated that upwards
of 500,000 spectators in London will view the race, with a specific concentration of spectators
along the route from Epping through Waltham Forest, Newham and finally Westminster.
The peloton (group of cyclists) will race through London from Epping at approximately 12.301 on
Monday 07th July. The peloton will then proceed through Woodford, Redbridge, Upper
Walthamstow, Leyton, Olympic Park area, West Ham, Plaistow, Custom House, Leamouth,
Poplar, City of London, Westminster, finishing along The Mall.
During the three days of the race event there will be many cycle related events taking place
across the North East and Central London.
Other events taking place during the period of the TdF, for which the usually planning takes
place, include,
Date Name Location Type of Event
Rock Festival. All campers departing the
03 - 07 Knebworth, event after 0900 on the last day. Up to 65,000
Sonisphere
July 2014 Stevenage revellers are expected over the duration of
the event
04 - 06 Music Festival. Up to 50,000 revellers are
Wireless Finsbury Park
July 2014 expected each day
Barclaycard This summer, Hyde Park is hosting an
04 - 13 British Hyde Park, exciting programme of music and
July 2014 Summer Time London entertainment at Barclaycard British Summer
Hyde Park Time
Big Dance kicks off on 16 May with the Big
Dance Pledge - a dance routine anyone can
05- 13 July Big Dance do - leading up to Big Dance Week which
London
2014 2014 runs 5-13 July. London’s streets, parks,
libraries, cinemas, theatres and museums will
come alive with dance.
BRITISH
06 July Hyde Park,
SUMMER Music Festival
2014 London
TIME:
1
Please note that times are flexible and subject to the pace of the peloton.
NHS England (London) Tour de France 2014 Briefing Pack 4OFFICIAL
McBusted
06 July Summer Regents Street closed to traffic, pedestrian
Regent Street
2014 Streets access only
07 July Tour De
City-Wide Bicycle Race
2014 France
Waltham
Abbey/Queen
07 - 14 Investec
Elizabeth Hockey Tournament
July 2014 London Cup
Olympic Park,
London
23 June – Wimbledon
Tennis Tournament. Up to 77,000 visitors
06 July Tennis Wimbledon
over the final weekend
2014 Tournament
3.0 Planning Assumptions / Assurance / Issues and Risk Assessment
NHS England (London) and London NHS Provider Trusts have agreed that the following areas
are business-as-usual activities. As such business continuity plans are being used to mitigate
any issues or risks that may arise.
3.1.1 Deliveries and Collections
Event Management Company Innovision and TfL have been engaging with NHS Supply Chain
as to the impacts and mitigating actions of the race. NHS Provider Trusts are working with bank
holiday assumptions in order to plan for deliveries and collections around the road closures.
3.1.2 Staffing and Capacity
NHS England (London) and London Provider Trusts are engaging with staff to ensure that staff
pre plan their route to work or make requests for leave where necessary. Staffing numbers will
be maintained at levels appropriate deliver safe levels of clinical care.
3.1.3 Assurance
NHS England (London) has worked with NHS Provider Trusts and Primary Care Independent
Contracts to seek assurance that the following areas have been considered as part of
organisational planning for the event,
Business Continuity
o Staffing and capacity
o Deliveries and collections
o Access to services
Major incident response
3.1.4 Issues and Risk Assessment
NHS England (London) EPRR has compiled an Issues and Risk Register (Appendix 2) to form
the basis of Tour de France Planning for the duration of the road races.
The main perceived disruptions and risks are:
NHS England (London) Tour de France 2014 Briefing Pack 5OFFICIAL
Access to clinics and residential areas for community midwives, ante and post natal
services, and community nursing services during the road race
Ability to maintain a Major Incident Response with increased staff absence/leave
Newly discharged patients are at particular risk of delay of transfer back to the
community
NHS Provider Trusts are providing assurance that they have considered the following areas
when assessing and planning for potential impacts of the TDF.
Business Continuity
o Staffing and capacity
o Deliveries and collections
o Access to services
Major incident response
4.0 London NHS Healthcare Planning and Operational Response
This section of the briefing provides the NHS England (London) operational response to
mitigating and managing the identified impacts and risks; and provides the Command
and Control arrangements that will be implemented.
4.1 Tour de France Event Planning Road Race – Stage Three London
Sectors
4.1.1 Transport
It is expected that there will be congestion and delays on the roads in some parts of London
during the road race on Monday 07th July. The extent of this is likely to vary at different locations
and different times. It could also have a knock on effect on other areas.
Many parts of the London Underground are located within or directly along the route of the race.
Below is a list of the affected London Underground stations. There are no planned TfL Tube
closures along the route.
Proximity to
Station Tube Line Comments
Route2
Likely to be busy due to being closest
Epping Central 600m transport hub to the Stage 3 hotspot
sprint
Not expected to attract spectator
Theydon Bois Central 3km numbers
Will not be marked as a venue station
Not expected to attract spectator
Debden Central 4km numbers
Will not be marked as a venue station
Loughton Central 1.7km Will not be marked as a venue station
Not expected to attract spectator
Buckhurst Hill Central 1.3km
numbers
2
Distances are from Google Maps using the walk setting to find the shortest distance from the station to the race
route.
NHS England (London) Tour de France 2014 Briefing Pack 6OFFICIAL
Will have ‘venue station’ status
Roding Valley Central --- Will not be marked as a venue station
Normal operation
Woodford Central 1km
Will have ‘venue station’ status
South Woodford Central 1.3km Will not be marked as a venue station
Snaresbrook Central 1.5km
Walthamstow
Victoria 1km Demand for spectator use uncertain
Central
Leyton Central 750m Normal operation
Stratford Central, Jubilee 200m Normal operation
West Ham Jubilee, DLR 1km -
Canning Town Jubilee, DLR 1km -
Hammersmith Normal operation
Plaistow On route
and City, District Barriers in place
Tower Hill Circle, District 100m Marathon route operation
Cannon Street Circle, District 100m Normal operation
Monument Circle, District 500m Normal operation
Mansion House Circle, District 500m Normal operation
Blackfriars Circle, District 100m Normal operation
Normal operation
Temple Circle, District On route
Barriers in place
Embankment Circle, District On route Normal operation
St James’s Park Circle, District 200m Normal operation
Circle, District, Interchange and egress only -
Westminster On route
Jubilee Proposed
Circle, District,
Victoria 1km -
Victoria
Control ingress and egress at specific
Green Park Jubilee, Victoria 500m of finish
exits
Bus services in and around the route will be subject to diversion or will terminate earlier than
usual to avoid the road closures. It is expected that up to 79 bus routes will be affected. NHS
England (London) holds a copy of the draft London Buses travel disruption information. The
final version will be published in the two weeks before the event.
Barclays Cycle Hire docking stations in and around the route area may be suspended. More
detailed information about docking stations affected will be available in early summer.
4.1.2 Treatment of Athletes and Amaury Sport Organisation Officials
There are two possible routes for conveying athletes and Amaury Sport Organisation (ASO)
officials to Provider Trusts during the event, these are,
By French ambulance, under police escort
By London ambulance
The details of these will be confirmed at the next TdF Health Sub Group, 10th June 2014.
4.1.3 Charging for Treatment
NHS England (London) Tour de France 2014 Briefing Pack 7OFFICIAL During the Tour de France, Stages 1-3 the business as usual protocols for ensuring entitlement to treatment as part of Primary and Secondary care registration processes will continue as normal. 4.1.4 Press and Communications To date communications with press, public and businesses has been coordinated through TfL, who chair the TdF Communications Sub Group. 4.1.5 Situation Reporting Requirements For the duration of the Tour de France, Stage 3, NHS Providers will communicate directly with LAS at Palestra, home to TfL's Surface Transport and Traffic Operations Centre (STTOC), for all issues relating to the race. For all other incidents the normal lines of communication, via NHS01, should be used. The requirement to provide NHS England (London) with Situation Reporting (SitReps) will be by exception only, which should include reporting of ASO or TdF athlete attendance for treatment. Any changes to this requirement will be communicated by NHS England (London) EPPR NHS01. 4.1.6 Major Incident Response NHS England (London) EPRR staff will provide full cover at the Incident Coordination Centre, Southside, providing assurance that NHS England (London) will be able to mount a Major Incident Response if required during the Tour de France event. NHS England (London) Tour de France 2014 Briefing Pack 8
OFFICIAL 4.2 Operational Event Arrangements This section of the plan details specific arrangements during the Road Race, including Command and Control, to ensure all relevant organisations and personnel have access to timely and accurate information. NHS England (London) Tour de France 2014 Briefing Pack 9
4.2.1 Emergency and Local Access Points
The following Emergency and Local Access Points (ELAPs3) will be in operation between Sunday 06th and Monday 07th July as
follows,
TdF Green Red Green TM Points and
Road Crossing Route Authority
Ref Phase4 Phase5 Phase Remarks
Red Phase throughout
Whitehall Road (A110) / until last race vehicle
5A Woodford Green Redbridge n/a 10:00 15:30
Knignton Drive (police vehicle) has
passed
Chingford Lane (A1009) /
5B Broadmead Road High Road (Woodford) Redbridge 10:00 12:00 15:30
(A1009)
Access to Whipps Cross
Whipps Cross Road Lead Bridge Road Waltham Hospital. During Green
5C 10:00 12:00 15:30
(A114) / Wood Street (Forest Rise) Forest Phase open to all
traffic.
High Road (A112) / Hoe Waltham
5D Lea Bridge Road 10:00 12:00 15:30
Street (A112) Forest
Church Road (A1006) / Waltham
5E Lea Bridge Road 10:00 12:00 15:30
Markhouse Road Forest
Access to Newham
Hospital via New City
Barking Road (A124) / Greengate Street / Road – Boundary Road
6A Newham 10:00 12:15 16:00
Barking Road (A124) Prince Regent Lane – Boundary Lane
During Green Phase
open to all traffic.
Glamis Road / Glamis Tower
6B The Highway (A1203) 10:00 12:15 16:00
Road Hamlets
The Highway (A1203) /
Dock Street / Vaughan Tower
6C East Smithfield 10:00 12:15 16:00
Way Hamlets
(A1203)
3 ELAP – a crossing point along the route that allows for non event traffic, including pedestrians, to cross the route at specific times
4 Green Phase – priority will be given to traffic crossing the race route
5 Red Phase – priority will be given to the race traffic travelling along the routeOFFICIAL
TdF Green Red Green TM Points and
Road Crossing Route Authority
Ref Phase4 Phase5 Phase Remarks
Mansell Street / Tower East Smithfield / Tower Tower
6D 10:00 12:15 16:00
Hill Hill Hamlets
Parliament Square / Parliament Square
7B Westminster n/a 12:00 18:00
Parliament Street (north side)
NHS England (London) Tour de France 2014 Briefing Pack 114.2.2 Designated Hospitals
The following hospitals have been identified as Tour de France NHS designated Hospitals for Stage 3, Monday 07 th July, as
identified by LAS.
Specialities and
Hospital Type Impact Address
Restrictions
No under 16yrs
ED Fulham Palace Road
Charing Cross No Isolated Neuro
General Hospital W6 8RF
Trauma
Chelsea and ED Fulham Road
Westminster General Hospital SW10 8NH
UCC
Great Maze Pond
Guys Outpatients Near to route UCC
SE1 7EH
Wards
ED Homerton Road
Homerton Near to route
General Hospital E9 6SR
ED Major Trauma
Denmark Hill
Kings College MTC Cath Lab
SE5 9RS
General Hospital HASU
Cath Lab
Bonner Road
London Chest Outpatients Near to route Cath Lab only
E2 9JX
Wards
ED
Adjacent to route Glenn Road
Newham UCC
Could receive self presenters from event E13 8SL
General Hospital
Queen ED Stadium Road
Could receive self presenters from event
Elizabeth General Hospital SE18 4QH
ED
Milward Street Major Trauma
Royal London MTC Near to route
E1 1BB HASU
General Hospital
MIU
St West Smithfield
Outpatients Near to route MIU
Bartholomew’s EC1A 7BE
WardsOFFICIAL
Specialities and
Hospital Type Impact Address
Restrictions
ED
Praed Street
St Mary’s MTC Major Trauma
W2 1NY
general Hospital
Cath Lab
Adjacent to route Lambeth Palace Road
St Thomas’s ED Cath Lab
Could receive self presenters from event SE1 7EH
General Hospital
University
ED Gower Street
College Near to route HASU
General Hospital NW1 2BU
Hospital
ED Adjacent to route Whipps Cross Road
Whipps Cross
General Hospital Could receive self presenters from event E11 1NR
NHS England (London) Tour de France 2014 Briefing Pack 134.2.3 Primary Care Affected Providers NHS England (London) Primary Care Commissioning Team has conducted a mapping exercise to ascertain the impact to primary care providers along the route and within the 800m race ‘hot zone’6. NHS England (London) Primary Care Commissioning Team has generated a briefing pack and assurance process for those primary care providers identified through the mapping process. These packs are currently being issued to these providers and a collation of assurance responses is underway. 6The ‘hot zone’ is the area 400m either side of the route that will be most directly impacted by the road race due to restricted access.
4.2.4 Secondary Care Affected Trust Sites
NHS Trusts have undertaken their own risk assessments for service delivery for the duration of the Tour de France. Some Trusts
have been identified as being more greatly impacted than others.
Details of those NHS Trusts that have taken special measures on Monday 07 th July are highlighted in summary below:
Business Continuity
Trust Deliveries and Major Incident Response
Staffing and Capacity Access to Services
Collections
Barts Health Communicating with Working with suppliers Working with soft and Having an ICC set up /
NHS Trust staff of the events timing to ensure that they are hard Facilities monitoring the race and
location and duration aware of delivery routes Management services the information flow from
Liaising with and ensuring that staff into affected hospital at sites with significant partner organisations to
CCG and CSU travelling into work on sites. proximity to the route to co-ordinate any
partners to the day (both day and ensure that additional response as may be
ensure that they night shifts allow foot fall doesn’t impact necessary.
are aware and additional time where on facilities within the
endorse our necessary to get to hospital sites
plans work. Holding audit days for
Tower Hamlets clinical services that
Community Health would be impacted by
services will have staff patient journeys into the
positioned on both sides hospital both elective
of land locked areas so and out patients
that clinical care won’t therefore rescheduled
be impacted. for alternative days
Ensuring that ED’s are
fully staffed on the dayOFFICIAL
Business Continuity
Trust Deliveries and Major Incident Response
Staffing and Capacity Access to Services
Collections
Homerton Information on intranet Director of Estates and Outpatient lists limited Gold and Silver are
Hospital NHS and individual staff being relevant Heads of and patients being prepared but will open ICC
Foundation asked to confirm that they Services working with contacted directly to only if necessary.
Trust have made arrangements suppliers etc to arrange confirm that they will be
to get to the Trust and deliveries on the able to attend. Maternity The aim will be to maintain
understand how the preceding providing leaflets with a slightly curtailed BAU i.e.
transport restrictions may Friday/Saturday maps and warning reduced
affect them. Most will be mothers to allow sufficient Outpatient clinics targeted
in or out before closures time to get at patients who can get
come into play her. Community visits here and
being arranged to cover the option to keep patients
off affected until normal road
areas. Consultant conditions are
Physician and full resumed
discharge team coming in
on Sunday to maximise
discharges on
Sunday. Transport
services reviewing service
provision on the day, may
keep Discharge Lounge
open and discharge
patients later. Internet will
have full travel
information/links for
patients and visitors.
NHS England (London) Tour de France 2014 Briefing Pack 16OFFICIAL
Business Continuity
Trust Deliveries and Major Incident Response
Staffing and Capacity Access to Services
Collections
NELFT Services in affected Procurement team Services delivered close Normal major incident
boroughs will co-locate working with to the route to be response arrangements
services either side of requisitioners and relocated or rescheduled will be followed.
the route. suppliers to ensure critical as appropriate.
deliveries can be made or
Staff awareness alternative delivery date
programme is on-going. agreed.
Staff team meetings,
staff newsletters etc.
Services reviewing
service delivery
ensuring all priority
visits/appointments will
be made.
Inpatient services
ensuring that discharges
are not disrupted.
Cancellation of non-
urgent meetings/training
in high impact areas.
NHS England (London) Tour de France 2014 Briefing Pack 17OFFICIAL
Business Continuity
Trust Deliveries and Major Incident Response
Staffing and Capacity Access to Services
Collections
ELFT Communication to staff Suppliers have been Patient profiles have Incident Co-ordination
to ensure that shifts made aware of the been reviewed to reflect Centre will be activated.
reflect the period of disruption travelling arrangements.
disruption and that Some clinics have been Sit reps will be
travel arrangements are Medicines: will be rescheduled. requested of affected
changed. stockpiled before the Directorates at 12.00,
weekend and stocks Staff have been asked 14.00 and 16.00
Community staff will be renewed on Tuesday. to inform patients of
allocated within difficulties with
localities. Food, cleaning travelling.
materials etc: will be
Some staff will be stockpiled before the Close liaison with Barts
asked to start duty early weekend and stocks Health regarding
and finish early (same renewed on Tuesday. discharge activity
or different day)
Blood and other
UCC will be fully samples – clinics will
staffed. Staffing will be finish early to facilitate
reviewed if there is hot early collection and
weather forecast conveyance to NUH.
Urgent blood tests like
INRs in community will
be carried out early
morning.
NHS England (London) Tour de France 2014 Briefing Pack 184.2.5 Specialist Care Affected Trust Sites
No Specialist Hospital Trusts have been identified as being directly impacted by the road race
and the ‘hot zone’.
4.3 Command and Control Arrangements
4.3.1 Internal Command and Control
NHS England (London) Incident Control Centre (ICC) will be on standby for the duration of
Stage 3 of the road race. Members of the EPRR team including those rostered as on-call will be
present in the ICC on Monday 07th July. Therefore there will be an oversight of command and
control aspects of the race, such as road closures/opening and monitoring progress of the race.
There will be direct communication with the event Venue Coordination Centre (VCC), based at
Palestra, via London Ambulance Service (LAS) who will be based there. NHS England will not
be present at Palestra.
NHS England (London) will operate the normal On-Call rota,
Internal Contacts
Role Name Call Sign
Gold Helen Cameron via NHS01
Senior Manager (Silver) Nicki Smith via NHS01
EPRR Chloe Sellwood NHS01
EPRR Liz Clark via NHS01
EPRR Admin Nancy Luck via NHS01
Roshan Abdool-Raheem
Silvia Novo
Wendy Singleton
NHS Communications Hannah Stokell LON01
NHS England (London) Incident Coordination Centre Details:
020 7932 3999
England.london-incident@nhs.net4.3.2 External Command and Control
External Contacts
Role Name Contact Email Address
Number
Venue Coordination – Details to
Centre (Palestra) follow once
confirmed
LAS – Details to
follow once
confirmed
Barts Health NHS Trust James Ross 020 7473 1496 emergency@bartshealth.nhs.uk
(Silver)
Matt Overton
(Control Room
Manager)
Homerton Marcia Smikle 07811 188 099 Marcia.smikle@homerton.nhs.uk
Sheila Adam 07780 954 234 Sheila.adam@homerton.nhs.uk
ELFT Petra Nittel 07961 522 505 Petra.nittel@eastlondon.nhs.uk
Director on – 0797 196 1172 emergencies@eastlondon.nhs.uk
call (Mason
Fitzgerald)
NELFT Nicky Mclean 0300 555 1200 Nicky.Mclean@nelft.nhs.uk
x64492
Generic Email: epo@nelft.nhs.uk
07946 081 114
Secure email:
Emergency Nicky.Mclean@nhs.net
mobile:
Graham.Blowes@nelft.nhs.uk
07568 130 453
Secure E-Mail:
2nd Contact 07711 391 195 graham.blowes@nhs.net
Graham Blowes
NHS England (East Primary No.: Primary Email:
Anglia) - 0113 8255550 England.eangincident@nhs.net
Cambridgeshire
Secondary No.: Secondary Email:
01223 880982 England.eangeprr@nhs.net
NHS England Primary No.: Primary Email:
(Midlands and East) - 01245 464664 England.essex-icc01@nhs.net
Essex
Secondary No.: Secondary Email:
07748 321808 England.essex-icc02@nhs.netOFFICIAL 4.4 Debrief Arrangements 4.4.1 Internal Debrief Arrangements are in place, as per the NHS England (London) Incident Response Plan v1.3.1, to ensure that NHS England (London) holds both formal and informal debrief to ensure that lessons and of best practice can be identified to improve the arrangements that are currently in place. A formal debrief will be conducted by NHS England (London) EPRR team and will take place by Monday 21st July 2014. NHS England (London) will produce a debrief report by Monday 04 th August 2014. 4.4.2 External Debrief The external debrief process will be conducted by Innovision, for which details will be confirmed in the final version of this pack. 4.5 Public Health 4.5.1 Public Health Messaging Public Health England will produce public health messaging based on pollution levels and weather information. This will include information about heatwave water consumption. Network Rail and TfL already have existing health messaging with regards to public carrying water. 4.6 Medical Support Tour de France Event Medical provision will be provided by Site Rescue. Site Rescue aims to provide medical treatment and welfare to any person who is injured whilst at the TdF. The on- site medical team will be dedicated to the event site only. The Event Medical Plan is currently in draft form. The final version, once available, can be shared with partner agencies on request. The British Red Cross are providing first aid provision at Kings Cross Station. 4.7 Parallel Events Velo-Gogo is operating the TdF fan parks for the duration of the three days of the TdF in the UK. Fan parks will be located at Trafalgar Square, Green Park, and the closing party fan park at Canary Park. Fan Parks will display live coverage of the race, as well as various hospitality arrangements which vary across the sites. Queen Elizabeth Olympic Park will display live coverage only. 5.0 Appendices Please note that the following appendices are provided as separate documents due to their size. Appendix 5.1.2 – Detailed Route Map Appendix 5.1.3-5 – Detailed ELAP Maps NHS England (London) Tour de France 2014 Briefing Pack 22
5.1 Appendix One - Route Maps
5.1.1 Impact Map 5.1.2 Stage Three See Appendix 5.1.2 to 5.1.5
5.2 Appendix 2 – Issue and Risk Register
The list of issues and risks below are based on discussions with affected NHS Provider Trusts and is being used as a tool for
further planning.
Ref Risk/Issue Area Issue / Risk Mitigating Actions to be Considered
Communications planning to include staff awareness
Reduced ability of staff to travel in/out of work during cycle road
001 ISSUE ALL Primary Care Commissioning engaging with Primary Care
races
Contractors
Inability of NHSBT (NHS Blood and Transplant) to maintain
002 ISSUE NHSBT Request detail from NHSBT
routine rounds schedule
003 ISSUE NHSBT Increase in delivery time for urgent blood products from NHSBT Request detail from NHSBT
004 RISK ALL Inadequate specialist supplies due to restricted access Follow established operational plans and procedures
005 ISSUE LAS Routine transfers of children to other hospitals i.e. GOSH Blue light transfers to be covered by LAS procedures
006 RISK Trusts Inability to support planned home deliveries Follow established operational plans and procedures
Access to clinics and residential areas for community midwives,
007 RISK Trusts ante and post natal services, and community nursing services Follow established operational plans and procedures
during the road race
Impact of potential for reduced maintenance workforce to Organisations responsible for Business As Usual
008 ISSUE ALL
address equipment or estates needs NHS Property Services – need confirmation of resilience
Reduction in staff attending work leading to an increase in
009 ISSUE ALL Follow established operational plans and procedures
unplanned leave
Ability to maintain a Major Incident Response with increased staff
010 RISK ALL Follow established operational plans and procedures
absence/leave
Increased demand for services, reducing the capacity of Primary
011 ISSUE ALL Follow established operational plans and procedures
and Secondary careOFFICIAL
Ref Risk/Issue Area Issue / Risk Mitigating Actions to be Considered
012 RISK ALL Potential for industrial action to affect services Follow established operational plans and procedures
Inability to secure emergency supplies or services e.g. Follow established operational plans and procedures
013 RISK Trusts
generators Blue lights if required
Business As Usual
014 ISSUE ALL Potential for change in attendance trends Intelligent coveyancing
Trust planning against LAS trend analysis / modelling
015 ISSUE ALL Potential for increase in usage of stocks Follow established operational plans and procedures
NHS Supply Chain engaged via Innovision/TfL stakeholder
016 ISSUE ALL Suppliers and contractors unable to supply or service equipment
engagement
017 ISSUE ALL Increase in lead times from suppliers for routine orders Follow established operational plans and procedures
Spectators parking on Trust sites, using Trust facilities and
018 ISSUE Trusts Follow established operational plans and procedures
attempting to view race from inappropriate locations
019 ISSUE Trusts Language interpretation services Follow established operational plans and procedures
Risk of media intrusion whilst treating TdF athletes and ASO
020 RISK ALL Follow established operational plans and procedures
officials
Risk of a delay to receiving detailed health related event time
information, i.e. Designated hospitals have been identified
The formal procedure for notifying hospitals of an athlete
‘HOPLO’ attendance / presence at designated hospitals
021 RISK Trusts arriving are being confirmed
Designated hospitals
Riders will be accompanied by TdF medical personnel who will
Rider medical provision / drug awareness – how are riders
advise on medical provision at hospitals
identified and what comms in place at receiving hospitals
NHS Risk that event volunteers will not be appropriately briefed about
022 RISK Seeking confirmation from TdF Health Subgroup
England sign posting to health services
NHS England (London) Tour de France 2014 Briefing Pack 26OFFICIAL
Ref Risk/Issue Area Issue / Risk Mitigating Actions to be Considered
NHS England (London) Primary Care Commissioning,
Mapping primary care services directly impacted by the road
NHS Impact to Primary Care services and disruption to Primary Care
023 ISSUE race
England supply chain
Need to review General Practice services such as home visits,
may need to utilise ‘buddy’ system
NHS LC in discussions with Network Rail to have public health
024 ISSUE Public Health messaging not disseminated wildly enough
England messaging displayed within rail infrastructure i.e. stations
LC in discussions with Network Rail to obtain Red Cross
NHS
025 ISSUE Red Cross first aid provision to be at Kings Cross Rail Station contact details and confirm similar procedures to Olympics will
England
be utilised
NHS Impact map provided is too generic and requires more detail Innovision / TfL to be requested to provide more detail to assist
026 ISSUE
England including expected pinch points with planning
Newly discharged patients are at particular risk of delay of
027 RISK Trusts Follow established operational plans and procedures
transfer back to the community
Road closures along the route, particularly in the vicinity of NUH TfL have provided detailed maps
028 ISSUE Trusts
may cause access issues for patients and visitors ELAP will assist with accessing the site
An emergency crossing point near Glen Road to allow access to
the UCC outside the 3.20 bubble seems vital. We might be Detailed knowledge of road closures have been provided by
029 ISSUE Trusts having an UCC outpost west of Prince Regent’s Lane during the TfL
3.20 bubble, so detailed knowledge of road closures is essential Trusts must now consider their planning needs
for this.
LC discussed risk with Jim Pursell
NHS
030 ISSUE Home oxygen deliveries are delayed or curtailed Jim Pursell will contact Liquide Homecare Ltd (home oxygen
England
provider) to discuss arrangements
NHS England (London) Tour de France 2014 Briefing Pack 27You can also read
