2015 Primary Care Flu Response Plan

Canterbury Flu Group November 2015

Canterbury Primary Response Group

Agencies and Funders

• Ministry of Health

• Canterbury District Health Board

• Hospital & Secondary Care

• Community and Public Health

• St John

• City Council & Civil Defence

• Aid Agencies e.g. Red Cross

• Mental Health NGOs

• Private Hospitals

• Hotels

• Media & Communications

Primary

• Primary Health Organisations

• General Practice

• 24HS & After Hours Clinics

• Pharmacy

• District Nursing + Home Care

• Plunket

• Maori Community Health

• Allied Health Workers

• Rest Homes

• Radiology & Laboratories

2009 H1N1 Pandemic (Swine Flu)

Influenza Vaccination Programme

Local Fluline: 0800 37 30 37

General Practice Streamed Clinics

Designated General Practice Clinics

Health Sector Communications

Canterbury Influenza Response 2010Public Messaging

Emergency Dept and/or Hospital

Community Based Influenza Response

IMMS

Immunisation programmes

Flu Group

Hospital Based Influenza Response

Canterbury Annual Influenza Response Strategy (Whole of Health)

Ensuring an appropriate

community based influenza response

IMMS

Flu Group

Influenza OthersOthers

The effective management of immunisation programmes

coordination

coordination

2015 Primary Care Flu Response Plan

Intelligence

Assumptions:

1. Preparing for a ‘2012-like event’

2. Late arrival of vaccine (mid – late April)

3. Reduced vaccination rate in under 18 due to funding

4. Similar incidence of other ILI to previous years

5. ED remains ‘at risk’

2015 Primary Care Flu Response Plan

Intelligence

2015 Primary Care Flu Response Plan

ILI “Surveillance” Case Definition“Acute upper respiratory tract infection

characterized by abrupt onset and two of the following: fever, chills, headache,

myalgia.”

2015 Primary Care Flu Response Plan

Intelligence

Immunization Strategy

Review vaccination planning

2015 Primary Care Flu Response Plan

2015 Primary Care Flu Response Plan

Intelligence

Practice/Pharmacy Preparedness

Immunization Strategy

Keeping practice/pharmacy safe

Safe waiting areas

Signage

Patients’ PPE

Safe staff area

2015 Primary Care Flu Response Plan

Streaming

Triage (options)

Allocation of Staff and Holiday considerations

Plan to review/delay some services

Same Day appointments +/- Extended Hours

Faxing and delivery of scripts

Timing to minimise cross infection at pharmacy

Pick up by well person or delivery of medication

TriageSelf

OnlinePhone

Flu LineCar Park

ReceptionAnother Practice

2015 Primary Care Flu Response Plan

Normal Workload

Increased ILI/Respiratory Illnesses

Business as Usual

Approx 4 months Approx 4 months Approx 4 months

Practice Capacity

Expanded Practice Capacity

Impact of Annual Winter Illnesses

2015 Primary Care Flu Response Plan

Staff

ILI

Non-ILI

Winter Demand in Primary Care 2015 was challenged by:

1) Late arrival Influenza vaccination

2) Respiratory Viruses and influenza like illness (ILI)a) GP Consults Canterbury 40,000 weeklyb) Very High ILI Year: peak week 1250 new casesc) Represents 4 new patients per GP per week

3) Chronic illness presentations

4) Staff illness

5) Free under 13s

2015 Primary Care Flu Response Plan

2015 Primary Care Flu Response Plan

Intelligence

Hospital and Emergency Department

Practice/Pharmacy Preparedness

Immunization Strategy

2015 Primary Care Flu Response Plan

Intelligence

Hospital and Emergency Department

Practice/Pharmacy Preparedness

Immunization Strategy