Pandemic Influenza Response Plan: 2014 – Click Above for access to the full plan

About Public Health England

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Prepared by: Nick Phin, John Simpson and Gaynor Marshall, with contributions from Hilary Moulsdale and Mike Laing
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Published August 2014
PHE publications gateway number: 2014256


Pandemic Influenza Response Plan: 2014


About Public Health England 2 Foreword 5 1. Executive summary 6 2. Introduction 8

2.1 Aim 10 2.2 Objectives 10 2.3 Scope 10

3. Planning assumptions 12 3.1 UK response phases (DATER) 12 4.1 Business continuity during an influenza pandemic 16 4.1 business continuity impact 16 4.2 Human aspects 16 4.3 Risk management and mitigation 17 5. National incident response in an influenza pandemic 18 5.1 PHE national response 20 6. PHE national and local response arrangements during an influenza pandemic 22

6.1 Chief executive
6.2 Health Protection directorate
6.3 Operations directorate
6.4 Communications directorate
6.5 Human Resources
6.6 Finance and Commercial directorate 6.7 Health and Wellbeing directorate
6.8 Chief Knowledge Officer’s directorate 6.9 Strategy directorate
6.10 Programmes directorate

7. Governance arrangements 7.1 Assurance
7.2 Training and exercising


Pandemic Influenza Response Plan: 2014

Appendix 1: Planning assumptions 65 Appendix 2: Roles and responsibilities of the Department of Health, the NHS
and the Cabinet Office 66 Appendix 3: Roles of key partner organisations 68 Appendix 4: Summary of the epidemiology of pandemic influenza 70 Appendix 5: Summary of modelling work 72 Appendix 6: Summary of pandemic infection control assumptions 74 Appendix 7: World Health Organization global phases 76 Appendix 8: Mobilisation of the national stockpile of antivirals for

pandemic influenza preparedness
Appendix 9: The First Few Hundred
FF100 Appendix 10: Glossary
Appendix 11: Reference documents

78 85 87 88


Pandemic Influenza Response Plan: 2014


Duncan Selbie Chief Executive

The prospect of a flu pandemic is one of the highest risks faced by the UK. Ensuring the country is fully prepared and able to respond quickly and effectively is a top priority for PHE and, of course, for the government.

The 2009 H1N1 pandemic certainly tested our plans for dealing with a new pandemic strain. Fortunately it was a mild one, but we need to be confident that our planning and responses are sufficiently flexible to deal with every eventuality.

While the PHE Pandemic Influenza Strategic Framework (2014) describes the approach and overall responsibilities of PHE in a pandemic, this response plan further clarifies PHE’s role, responsibilities and response arrangements in each phase of a pandemic and links to the PHE National Incident and Emergency Response Plan (2013).

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Pandemic Influenza Response Plan: 2014

1. Executive summary

Public Health England (PHE) is the expert national public health agency and a Category 1 responder. PHE’s first function is to fulfill the Secretary of State’s duty to protect the public’s health from infectious diseases and other public health hazards. The threat from pandemic influenza remains the top national risk and PHE has a core and critical role working with its local and national partners, in preparing for and responding to influenza pandemic.

This plan details PHE roles and responsibilities during the preparation for and response to a pandemic, and describes the response in the context of the overarching national arrangements set out in the Department of Health’s (DH) UK Influenza Pandemic Preparedness Strategy (2011) and Health and Social Care Influenza Pandemic Preparedness and Response (2012).

This PHE plan reflects the roles and responsibilities of all staff within all PHE directorates within the five pandemic phases: detection, assessment, treatment, escalation and recovery (DATER).

PHE recognises that generating and sustaining its pandemic response will only be possible with the support of all staff, such is the extensive nature of tasks. These include surveillance and epidemiological advice, specialist diagnostics, microbiology, statistics and modelling, the provision of expert clinical and infection control advice, communications, managing the national stockpiles of countermeasures, developing and validating new diagnostic tests, undertaking research, and procuring pandemic specific vaccine. This plan also takes into account lessons identified during the response to the 2009 pandemic.

This plan and the learning from the national multiagency pandemic influenza Exercise Cygnus in late 2014, will inform the further development of comprehensive and integrated plans in delivering an effective and sustainable response across the organisation. This system of cross-organisational working will deliver the resources, science and leadership required during the pandemic in order to support the staff and organisational response from local and national centres, and laboratories.