Speaking at a media conference a short while ago, Health Minister Terrance Deyalsingh notes that the mosquito borne virus poses a clear threat to the country.
He says a Rapid Response Unit will be established to treat with the vector, the Aedes Aegypti mosquito. He says all Members of Parliament are being asked to get onboard with the initiatives to rid the country of the vector, by spreading information in their constituencies. The Health Minister has also ordered that spraying be conducted at all major Carnival events this season.
This means the Ministry of Health will be partnering with the Ministry of National Security to combat the spread of Zika.
The service men will be going door to door handing out flyers and information booklets starting in mosquito hotspots. Minister Deyalsingh was speaking at the weekly health conference at his Ministry's Park Street office this morning. Even as the first Zika case is yet to be diagnosed in T&T, the Ministry, he says has already established a rapid response unit to treat with the Aedes Aegypti mosquito. It is important to note that at this time, there are no confirmed cases of the Zika Virus in Trinidad. This stance is being taken because of the spread of the virus across the Caribbean and Latin America. This more robust approach to treating the threat of mosquito borne diseases will involve collaboration with the Ministries of Local Government and National Security to increase duties of fogging, spraying and information dissemination. The Health Emergency Operations Centre (EOC) under the Ministry of Health (MoH) ran a community-based health emergency response drill on August 14 in Hanoi to enhance its performance. Prominent individuals present at the scene included representatives from the EOC, the National Institute of Hygiene and Epidemiology (NIHE), the National Hospital of Tropical Diseases, the World Health Organisation (WHO) and the US Centre for Disease Control and Prevention (CDC). Deputy Director of the MoH’s Preventive Medicine Administration Dang Quang Tan stressed the need to be well-prepared for community health emergencies, particularly in the context of increasing emerging diseases and pandemics in the world such as Ebola and Mers-CoV.
In the drill, the national emergency was developed at four levels, each with five response teams responsible for supervision and prevention, treatment, communications, logistics and international cooperation.
They were required to respond promptly, creatively and effectively within a seven hour scenario that simulated a 10-day incident in real life. The National Health Emergency Plan (NHEP) provides overarching direction to the health and disability sector and all of government.It shows how the health and disability sector would work together in a coordinated way with other government agencies to respond to disasters and emergencies. The National Health Emergency Plan (NHEP) describes the strategic relationships for emergency management across the health sector and against the 4 Rs (Reduction, Readiness, Response and Recovery). Share this page on some of the most popular social networking and content sites on the internet. AuthorityIn recognition of the need for a whole of nation approach to health protection, the Australian Government, National Health Emergency Response Arrangements (NatHealth Arrangements) are produced under the authority of the Australian Health Minister’s Advisory Council (AHMAC).
In June 2006, AHMAC established the Australian Health Protection Committee (AHPC) as the peak national health emergency management committee with the authority to plan, prepare and coordinate the national health response to significant incidents.
The AHPC, with the assistance of the Department of Health and Ageing (DoHA), has prepared the NatHealth Arrangements to articulate the strategic arrangements and mechanisms for the coordination of the Australian health sector in response to emergencies of national consequence.
The NatHealth Arrangements operate within the context of Australian Government National Security framework including the provisions of National Emergency Coordination Framework, the Commonwealth Disaster Plan (COMDISPLAN), the National Counter-Terrorism Plan (NCT-P) the National Counter-Terrorism Handbook (NCT-H) and the Council of Australian Governments (COAG) endorsed Model Arrangements for Leadership during Emergencies of National Consequence. National Security has historically incorporated traditional defence and intelligence themes. The Comprehensive Approach allows for risks to the community and the environment to be managed in a rational and strategic manner through a continuum of strategies for, prevention, preparedness, response and recovery (PPRR). 3.1 ApplicationUnlike a plan that is activated in times of need, the NatHealth Arrangements remain in place at all times. 3.2 Control, Command and CoordinationControl, Command and Coordination are central response concepts of emergency management. Control refers to the overall direction of the activities, agencies or individuals concerned. The Australian Constitution provides the Australian Government the statutory authority to give directions to states and territories on issues specifically included in the Constitution. The Control, Command and Coordination mechanisms of the NatHealth Arrangements are represented at Annex A. The NatHealth Arrangements may also be utilised for an international health emergency such as a border health event or overseas health emergency affecting Australian interests, Australian nationals or other designated persons. 4.1 Department of Health and Ageing DoHA seeks to promote, develop, and fund health and aged care services for the Australian public.
4.2 State and Territory Health AuthoritiesState and territory health authorities have well established emergency management legislation, and well rehearsed and integrated emergency management arrangements. Jurisdictional health authorities have existing command and control structures for the management of health facilities, public health units and pathology laboratory services. Each state and territory is responsible for determining its own internal coordination mechanisms to give effect to the NatHealth Arrangements, both as an affected jurisdiction in requesting national coordination and as an unaffected jurisdiction that may provide resources and assistance. 4.3 The Australian Health Protection Committee (AHPC) The Australian Health Protection Committee (AHPC) is the peak national health emergency forum chaired at Deputy Secretary level by DoHA.
4.4 LegislationA number of legislative levers exist that may be utilised by the Commonwealth and the states and territories to coordinate and assist in an emergency of national consequence. The objectives of quarantine activities and the Quarantine Act 1908 are to prevent the introduction of specified diseases into Australia and prevent the spread of such diseases within Australia.
The Governor-General can also make a proclamation under the Quarantine Act 1908 to authorise actions to respond to an epidemic or the danger of an epidemic, and to allow the Commonwealth Minister for Health and Ageing to invoke emergency powers to take action to remove or respond to this threat. The states and territories have concurrent legislative powers with the Commonwealth with respect to quarantine.
The National Health Security Act 2007 provides for the exchange of public health surveillance information (including personal information) between the Commonwealth and the states and territories and, where relevant, the World Health Organization (WHO).
The National Health Security Agreement has been signed by the Commonwealth, states and territories to support the practical operation of the National Health Security Act 2007. The National Health Security Act 2007 and National Health Security Agreement have been developed to give legal and operational effect to Australia’s specified responsibilities under the IHR (2005). 4.5 Linkages to National Security Policy As outlined in part one, the NatHealth Arrangements utilises a National Security approach to guide national health sector coordination for consequence management and crisis management operations. Consequence management activities relate to the management of the impact of an emergency on the community. Crisis management activities relate to measures taken to manage crime including terrorist related incidents.
The NatHealth Arrangements have been developed to integrate with existing national security functions and plans. The NatHealth Arrangements can operate independently of COMDISPLAN, in that COMDISPLAN does not need to be activated for the NatHealth Arrangements to function. The NatHealth Arrangements can operate independently of NCT-P, such as in a national response to a natural disaster where NCT-P arrangements do not apply. 4.6 Finance The Australian Government will not ordinarily seek financial reimbursement from states or territories for providing assistance under the NatHealth Arrangements when COMDISPLAN is likewise activated for the same event. When the NatHealth Arrangements are utilised independently of COMDISPLAN to assist an affected jurisdiction, the costs associated with any response under the plan will be borne by the affected jurisdiction.

When assistance is requested for activities not directly related to the preservation of life and property, or that could reasonably expected to be handled within state or territory resources, the Australian Government may seek reimbursement. 6.1 Event IdentificationDoHA, through the NIR, will maintain a continuous watching brief for domestic and international health protection events and threats. The state and territory health authorities will maintain a watching brief for health protection events and threats within their respective jurisdictions. 6.2 Event CommunicationDoHA and the state and territory health authorities may exchange information on health protection events and threats under the provisions of the National Health Security Act 2007 and the National Health Security Agreement. 6.3 National CoordinationWhen a significant event or emerging threat is identified, an emergency AHPC teleconference may be called at the discretion of the Chair.
The National Incident Room (NIR) may be activated at the discretion of the Chair of the AHPC to support the functions of the committee. For an international event, a senior OHP representative will provide the situational briefing. The AHPC will confirm that the event constitutes an emergency of national consequence and will utilise the NatHealth Arrangements for guidance and implementation during subsequent response and recovery operations. The AHPC will note national level plans currently activated and activate any relevant health sector plans referenced in part Five. The Chair of the AHPC or delegate will contribute to the Commonwealth Coordination Framework on behalf of the committee through the provision of advice on situational intelligence, progress of national health sector coordination activities (NCP) and outlook. For domestic events that meet the notification requirements DoHA, in consultation with the AHPC, will provide notification to the WHO under the provision of the IHR (2005). 6.4 Recovery The chair of the AHPC or delegate will contribute to the Commonwealth recovery operations though the Australian Government Disaster Recovery Committee (AGDRC) on behalf of the AHPC through the provision of advice on health protections aspects, progress of national health sector coordination activities and outlook.
6.5 NATHEALTH Arrangements Enablers There are a number of national health sector enablers available to the AHPC in response to an emergency of national consequence. The National Health Emergency Management Subcommittee (NHEMS) addresses the operational aspects of disaster medicine and health emergency management in an all hazards context with a focus on preparedness and response.
The Public Health Laboratory Network (PHLN) is a collaborative group of pathology and veterinary laboratories, nominated by State and Territory health departments, which have expertise and provide services in public health microbiology.
The Communicable Diseases Network Australia (CDNA) provides national public health coordination on communicable disease surveillance, prevention and control, and offers strategic advice to governments and other key bodies on public health actions to minimise the impact of communicable diseases in Australia and the region. DoHA manages the National Medical Stockpile (NMS), a strategic cache of pharmaceuticals and medical equipment, for use in a pandemic or other emergency.
DoHA currently has a funding agreement with the Northern Territory Department of Health and Families (DHF) to establish a National Critical Care and Trauma Response Centre (NCCTRC) at the Royal Darwin Hospital (RDH) and maintain it in a state of readiness to respond to a major regional incident and emergencies. The NCCTRC is available for national priorities in the event of a major incident, and can be directed to meet national priorities in an emergency. The strategic lessons identified from exercises utilising the NatHealth Arrangements will be considered during reviews. This form uses a CAPTCHA to ensure that it is submitted by a person, instead of a machine or automated software. United Kingdom2015 has been a year where the health and social care sector has made great strides towards opening up discussion about co-operative approaches to care.
United KingdomOn 1 October 2015, three major health organisations in North East Lincolnshire covering community services, mental health and acute (hospital) services entered into a Co-operation Agreement. United KingdomCo-operative principles will underpin the Labour Party’s proposals on health care, banking and energy reform, confirmed shadow chancellor Ed Balls.
United KingdomNew figures reveal that there are over 2.2 million members of NHS foundation trusts in England.
The Co-operative Pharmacy has a rich history of serving members in various different forms for over 100 years – but within the next few months the Co-operative Group’s division is expected to be in private hands following a sale to Bestways to reduce its deficit.
United KingdomCo-operatives have delivered to the public for generations and pioneered many services that are now provided by the state. With the New Year comes a new trading style for ICMIF member Benenden Healthcare Society, a leading health and wellbeing mutual, as it seeks to redefine itself in the tough UK healthcare market. United KingdomAccording to new research launched by Benenden Healthcare Society last week at a reception at the House of Commons, London, UK, there is a lack of confidence from the UK public in the ability of the NHS to provide good quality healthcare in the future. Member representatives for the UK’s largest mutual healthcare organization and ICMIF member, Benenden Healthcare Society, have voted to open up the organization to the wider public. Deyalsingh also notes that various arms of the state and stakeholders will be collaborating to help get the Unit up and running. This declaration means that resources meant to handle an actual or potential public health crisis have now been released to address and manage this threat. Additionally, the native Aedes aegypti mosquito population in Trinidad and Tobago which is responsible for spreading Zika means that the arrival in this country is inevitable. While the Government of the Republic of Trinidad and Tobago works at managing this threat, the public is also reminded of their part in dealing with mosquito borne diseases. IntroductionThe NatHealth Arrangements direct how the Australian health sector (incorporating state and territory health authorities and relevant Commonwealth Agencies) would work cooperatively and collaboratively to contribute to the response to, and recovery from, emergencies of national consequence. The Australian Government has broadened the concept of National Security to include non-conventional threats such as climate change, biosecurity, natural disasters and the economy to facilitate a whole-of-nation approach to National Security. Most, if not all, large scale emergencies or disasters have the potential to cause adverse impacts on the health of affected communities and populations.
AimThe NatHealth Arrangements outline the strategic authorities, responsibilities, arrangements and the mechanisms that enable a coordinated national health sector response to emergencies of national consequence. ScopeThe NatHealth Arrangements are based on a number of nationally recognised contemporary crisis and consequence management concepts.
The NatHealth Arrangements describes authority and mechanisms for emergency (crisis and consequence) management, Response coordination and Recovery arrangements for the Australian health sector. Traditional hazard specific plans will be developed by DoHA in conjunction with the AHPC to align with the NatHealth Arrangements to give operational guidance to Commonwealth agencies and state and territory health authorities for efficient and coordinated response to the health aspects of emergencies of national consequence. In emergency management coordination involves the bringing together of many organisations to pursue a common goal and to share resources, information, expertise and decision making. Each state and territory has a mandate under jurisdictional emergency legislation for the prevention of, and if they occur, management of emergencies and disasters. Governance and AdministrationThe following outlines the key governance and administrative arrangements that underpin the NatHealth Arrangements including roles and functions of relevant agencies.
In the event of an emergency of national consequence, the primary role of DoHA is to provide leadership and national health sector coordination. Additionally, in some jurisdictions ambulance services also come under the health authority response arrangements. The peak committee has senior representatives from the Commonwealth, Australian states and territories, Defence, the Attorney-General’s Department Emergency Management Australia and New Zealand.
The Commonwealth Minister for Health and Ageing and the Commonwealth Minister for Agriculture, Fisheries and Forestry share responsibility for quarantine measures and administration of the Quarantine Act 1908. Chief Quarantine Officers (CQOs) are appointed in each state and territory to undertake the functions of the Quarantine Act 1908.
The legislation enhances the early identification of, and timely responses to, public health events of national or international significance, such as an influenza pandemic.
It formalises decision-making and coordinated response arrangements that have been refined in recent years to prepare for health emergencies such as pandemic and mass casualty events.

The CHOs may utilise powers in their respective public health acts in conjunction with other jurisdictional emergency management arrangements to facilitate a coordinated response to an emergency of national consequence.
As a signatory country Australia is obligated to rapidly identify and report public health events of international significance to the WHO. The Act and Agreement enabled the establishment of a National Focal Point (NFP) to liaise and exchange information with nominated Responsible Bodies including Commonwealth, state and territory agencies within Australia in relation to public health events of national significance. This includes, but is not limited to, developing strategies to manage emergencies, protecting public health and safety, restoring essential services and providing emergency relief and recovery to affected business and individuals usually as a result of natural disasters. The primary aims of crisis management are response, isolation, containment, evacuation, resolution, investigation, and the provision of resources to support whole of government efforts with the objective of maintaining public safety and security. The following guidance is given to articulate the relationship between the NatHealth Arrangements and other strategic national plans. COMDISPLAN is activated when Commonwealth assistance for emergency response or short-term recovery is requested or likely to be requested. States and territories can request national health sector assistance under the NatHealth Arrangements, such as deployment of components of the National Medical Stockpile (NMS) independently of the mechanisms in COMDISPLAN. If the NCT-P is activated, the NatHealth Arrangements operations must acknowledge the mechanisms stipulated in the NCT-P and NCT-H, particularly in relation stated roles and functions of DoHA, and the AHPC and to the maintenance of information security and critical infrastructure protection. However, the Commonwealth Government will assume costs for a national border health response or the response to an overseas event involving Australian interests.
Advice that cost recovery may apply will be provided to the requesting authority when the request for assistance is being considered.
Execution The execution of the NatHealth Arrangements relies on collaborative and cooperative partnerships between the states and territories and the Commonwealth through the AHPC.
The Chair may also take tasking from the Commonwealth Coordination Framework to refer back to the AHPC for action. The Chair may also take tasking from the Commonwealth recovery to refer back to the AHPC for action. The enablers currently include expert committees, working groups, operational teams, equipment caches and specialist health facilities available to the AHPC for the provision of advice, support and operational input across the key functional areas in response and recovery. Australian Medical Assistance Teams (AUSMATs) are jurisdictional based civilian medical assistance teams with self-sustaining field deployment capabilities for deployment to domestic and international response. During an emergency of national consequence the AHPC may task the DMHWG to provide advice on mental health and welfare recovery aspects of the emergency. The NMS provides a reserve of essential medicines and equipment to protect Australians from the effects of terrorism or a major communicable disease outbreak. The NCCTRC's Commonwealth funded resources would be directed to meet needs such as reception of patients arising from an overseas mass casualty event. Review The AHPC and the OHP, in consultation with agencies having responsibilities under the NatHealth Arrangements, will review the NatHealth Arrangements periodically to ensure they reflect the most contemporary capabilities and mechanisms. Changes and amendments to the arrangements arising from any operational review will require that a new version of the NatHealth Arrangements being posted to the Health Emergency Website. DoHA will seek opportunities to incorporate exercising of the NatHealth Arrangements as a component in exercises of other agencies relevant National Security exercises including in the NCTC Capability Program. Mayoral candidates speak about their plansCo-op Group drivers' dispute settledWill employee ownership work for you? Health and social care co-operatives looked not only to expand, but to be more open and inclusive, with more opportunities for people to have their say on services. Addressing delegates at the Co-operative Party’s annual conference in London, he asked them to “stick together” to build an economy and society that “works for all and not just the few”. OK, those are not the actual words pronounced by Cabinet Office minister Francis Maude, but his meaning is pretty clear. Emergencies of national consequence are defined in the Model Arrangements for Leadership During Emergencies of National Consequence as emergencies that require consideration of national level policy, strategy and public messaging or inter-jurisdictional assistance, where such assistance is not covered by existing arrangements. It does not describe the routine Prevention and Preparedness arrangements that are the domain of the AHPC, the Office of Health Protection (OHP) and the state and territory health authorities. There are numerous mechanisms to coordinate of which command and control is one, and cooperation and collaboration is another.
Hence the strategic coordination of national emergencies is reliant on cooperative and collaborative mechanisms with states and territories for the management of health emergencies of national consequence.
This includes existing plans, arrangements and mechanisms describing how state and territory health authorities integrate with their respective emergency services to undertake a whole of jurisdiction response to, and recovery from, emergencies and disasters. Functionally, this may include provision of expert health advice and national policy development, logistical coordination of extra jurisdictional health sector resources (human, equipment and peripherals) and linkages to international health authorities and bodies. OHP designs and implements evidence-based and targeted programs, which contribute to the sustainability of the Australian health system by reducing preventable illness and mortality during an emergency. The Australian Quarantine and Inspection Service (AQIS) have primary responsibility for the implementation of the Act at Australia’s borders.
The NFP provides a central point of coordination with WHO on all matters related to the IHR (2005).
These supporting plans facilitate the operational integration of national and jurisdictional arrangements and mechanisms, whilst operating under the authority and direction and guidance of the strategic overarching NatHealth Arrangements. The following is an indicative guide to the key execution mechanisms underpinning the NatHealth Arrangements.
The AHPC may task, activate and deploy any or all of these enablers in response to an emergency of national consequence. During an emergency of national consequence the AHPC may task PHLN to provide advice on the laboratory diagnostic and surveillance aspects of the emergency. Components of the NMS can be rapidly deployed to affected jurisdictions through the coordination of the NIR.
When active the NIR will provide agreed outputs including AHPC minutes and outcomes, NIR Situation Reports (SitReps), Ministerial briefings and management of the logistical requirements for the coordination of support to affected jurisdictions. NHS foundation trusts were introduced in 2003 as organisations within the NHS structure, but which had a degree of control over operations and budgets.
The NatHealth Arrangements do not relate to the concept of control of the Australian health sector, nor is it intended to direct or replace incident management arrangements by individual jurisdictions or health authorities. OHP supports the administration of the AHPC and maintains the National Incident Room (NIR). Request for the deployment of the stockpile are through the NIR to the CMO who has authority for release. Haven’t public service bodies been entering into partnership arrangements and collaboration agreements and co-operating with each other for years?
Control exists within responding Commonwealth agencies and within responding state and territory agencies but does not extend between the two.

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