February 26, 2013

EMS Going for Gold! Safe Delivery of the London 2012 Olympic Games Dr. Fionna Moore Medical Director London Ambulance Service

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The Winning Bid – 6th July 2005

…we heard the good news about the Olympics.

and we went happily to bed…

The day London wants to remember...

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•  Preparing a host City Ambulance Service for safe games delivery - planning and execution

•  Relationship with the organising committee (LOCOG)

•  Maintaining service delivery, demand/performance and business continuity

•  Lessons identified and the Olympic legacy

London 2012

LAS & London: setting the scene 4

•  620 square miles •  8.5 million residents •  1.6 million 999 calls per year •  3,300 front line staff •  400 emergency ambulances •  200 rapid response cars •  30 motorbikes and 30 pedal cycles •  1 helicopter (HEMS)

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Olympic Bid Commitments ‘By special arrangement with the NHS, members of the Olympic family will

be entitled to comprehensive, free health care, as needed throughout their stay for the games.’

‘At the Games, overall management of emergency services at specific

sports events will follow the national Guide for Safety at Sports Grounds.’

‘…a minimum of two general practitioners with sports medicine experience

and two paramedics at every venue.’

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IOC Medical Manual ‘… it is equally important for the OCOG to recognise and respect the safe

operational procedures that have been developed from the expert experience of the EMS programme.’

‘Each Olympic Hospital should appoint a Hospital Liaison Officer (HLO)

and implement an Olympic planning team. The HLO will be responsible to the OCOG’s Chief Medical Officer.’

‘The services at the IOC Hotel should include first aid, limited primary care,

and initial response for acute illness or injury. Depending on the location… a dedicated onsite ambulance may be required.’

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Preparing for Games Delivery

Planning: Test Events 2011

Planning: Test Events 2011 LAS involvement: •  Operational Commander •  Clinical staff – minimum 2 paramedics •  Venue dependent post risk assessment

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Operation Amber (May 2012)

Aim Raise awareness and provide assurance of the NHS Ambulance Services’ Resilience and Preparedness for an Emergency. Objectives •  Demonstrate:

ü Specialist Response Skills of the National Ambulance Service

ü Frontline Ambulance Mutual Aid ü National Ambulance intra-operability ü Bespoke capabilities

•  Test pre-planned aid provision to London for 2012 Games •  Test the Olympic Deployment Centre systems & processes

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Planning: Operation Amber (May 2012)

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People and Infrastructure

•  500 additional staff •  Pre-planned aid from other UK Services •  All planned training deferred •  66 dedicated emergency ambulances •  Olympic Deployment Centre •  Event Control Room

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Pre-Planned Aid

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Olympic Deployment Centre •  Open 24/7 from 16 July 2012 •  Staff assembled for all venues (except

Wembley and Wimbledon) •  Mustering, registration, briefing &

issuing of equipment and drugs •  Transport hub to venues

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The Olympics Begins!

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Command & Control •  Local command, central co-ordination •  Pan London control centre •  National and Regional coordination

(National Ambulance Coordination Centre) •  Liaison with emergency providers •  Constant communication with LOCOG and

IOC

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London Olympic Venues

Park zone

River zone

Central zone

Urban zone

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Olympic Control Centre

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Contingency Planning •  Built on existing plans and arrangements •  Enhanced on duty 24/7 capability •  Text paging •  Additional voluntary sector support from St.

John Ambulance & British Red Cross •  Community Responder schemes •  Police assistance and Military support

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Ambulance Specialist Assets

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Venue Operations

•  Statutory (CCA) responsibilities •  LAS role as contractor to LOCOG •  To support assessment, treatment and

conveyance of ü Athletes ü Olympic family/accredited persons ü Public

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Olympic Activity

Athletes Olympic family Media LOCOG

workforce Statutory services Spectator Live site

workforce Live site public

LAS conveyed 48 19 8 54 4 141 4 223 LAS responses 64 27 11 88 11 225 11 396

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Inci

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Olympic Hospital Impact

Attendee Category Attendance Admission

Accredited Games Family Athlete 9 5

Accredited Games Family Team Official, Technical Official or VIP 23 5

Accredited Games Family Media 34 10

Accredited Games Family but ineligible for free treatment (workforce, security etc) 90 2

Unaccredited Games Family member (VIP - Head of State attending Games in a private capacity etc.) 1 1

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Maintaining Service Delivery

•  Modelled activity increases based on previous host cities

•  Workforce resilience and use of support teams in frontline roles

•  Day to day planning for performance delivery

•  Business continuity

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Activity - Summer 2012

2000

2200

2400

2600

2800

3000

3200

3400

27/07/12

29/07/12

31/07/12

02/08/12

04/08/12

06/08/12

08/08/12

10/08/12

12/08/12

14/08/12

16/08/12

18/08/12

20/08/12

22/08/12

24/08/12

26/08/12

28/08/12

30/08/12

01/09/12

03/09/12

05/09/12

07/09/12

09/09/12

2012 Incidents 2011 Incidents 2010 Incidents

OLYMPICS PARALYMPICS NHC

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Lessons Learnt: NB Rio!

•  Short notice additional requirements •  Training venue commitments •  Access, accreditation and VAPs •  Clarity on last mile and medical provision •  Pre deployment training and exercising with

on site medical provider •  Shift allocation and staff transport

Realising the Legacy

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