Scottish Government

Draft For Comment

ISBN 978 0 7559 1851 5 (Web only publication)

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Contents

Invitation to comment

Foreword

Executive summary

1. Scope and purpose

2. Audience

3. Ethical issues

4. Context and what to expect
4.1 Context
4.2 What to expect

5. Surge capacity
5.1 Defining 'surge capacity'
5.2 Guiding principles
5.3 Surge capacity - elements
5.4 Increasing capacity

6. Concept of operations - a proposed operational response
6.1 Timing
6.2 Stages of surge
6.3 Command and control

7. Service prioritisation
7.1 The Service Priority Assessment Tool
7.2 Facility-based plans
7.3 Implementation of service prioritisation at a national and local level

8. A model of levels of care

9. Admission to, utilisation of and discharge from services
9.1 Access to a service or level of care
9.2 Ongoing utilisation of a service or level of care
9.3 Discharge from a service or level of care
9.4 Alternative provision of care

10. Critical care
10.1 Building capacity
10.2 Admission and discharge criteria in the critical care setting

11. Paediatric care and access

12. Non-invasive respiratory support

13. Palliative care

14. Communication
14.1 Aims and objectives
14.2 Key elements
14.3 Further information

15. Security

Appendix 1: World Health Organization international phases and UK alert levels
Appendix 2: Ethical principles
Appendix 3: Practical guidance on completion of the Service Priority Assessment Tool
Appendix 4: Prioritisation example
Appendix 5: Surge checklists for adaption by local facilities
Appendix 6: Modified Standard Assessment Evaluation Protocol
Appendix 7: Community hospital day of care criteria
Appendix 8: Patient classification system for emergency/disaster management
Appendix 9: CURB-65 and the Pandemic Medical Early Warning Score
Appendix 10: Admission and discharge guidance for an influenza-like illness
Appendix 11: Inclusion and exclusion criteria
Appendix 12: Discharge and risk of consequential medical event
Appendix 13: Phased responses and staged triage for critical care
Appendix 14: The Sequential Organ Failure Assessment scoring system

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This document is also available at www.scotland.gov.uk/pandemicflu