These questions can structure a review with the people responsible for project arrangements. They do not provide medical instructions or replace a site-specific emergency response and evacuation plan.
Clinical decisions
- Is the onsite clinical capability and its scope clearly defined?
- Is the process for seeking further clinical input understood?
- Are escalation criteria and decision authority documented in the agreed plan?
Receiving care
- Have facilities been considered against the types of care the project may need?
- Is responsibility for hospital acceptance and capacity confirmation clear?
- Are alternative receiving options identified for the planning scenarios?
Transport and access
- Which ground or air options are relevant to the site?
- Are medical escort and in-transit care requirements considered in the plan?
- Have terrain, weather, access and transport availability been addressed?
- Are responsibilities for permissions and logistical coordination identified?
Communication and handover
- How are onsite medical, operations, security and HSE teams connected?
- Who communicates with transport providers, receiving clinicians and client representatives?
- What documentation and handover arrangements support continuity of care?
Alternatives and review
- What changes if the preferred provider, route or hospital is unavailable?
- Does the plan reflect current workforce numbers, activities and access?
- What exercises or reviews are needed within the agreed preparedness programme?
- Who keeps contacts, responsibilities and arrangements current?
A useful brief identifies the known requirements, the information still needed and the people who need to agree the plan.
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