Inquiry Search
Rec-ID | Code | Recommendation |
---|---|---|
REC286-1444 | 16 - Training and behaviour | Maintain adequate seasonal fire crew resources across the fire agencies. |
REC286-1481 | 32 - Doctrine, standards, and reform | Integrate clean-up arrangements into emergency plans. |
REC286-2048 | 26 - Research | Conduct research into changes of owners’ and occupiers stated and revealed risk tolerance and preference for treatment measures before and after natural hazard events. |
REC286-2086 | 32 - Doctrine, standards, and reform | Develop SOP for recovery package. |
REC286-1459 | 13 - Mapping and data quality | Improve beach morphology mapping to understand coastal inundation, including post-event surveys. |
REC286-2022 | 12 - EM agency and authority | Increase SES Capability and Capacity to respond to flood event. |
REC286-2060 | 32 - Doctrine, standards, and reform | Develop a flexible plan for establishing flu-specific services. |
REC286-2093 | 37 - Funding | Investigate the costs and benefits in enhancing the current Tsunami warning arrangements with signage and audible warning systems at key exposed locations (e.g. Port Arthur and Kingston Beach). |
REC286-1470 | 32 - Doctrine, standards, and reform | Integrate Storage Operating Rules with downstream flood response plans. |
REC286-2029 | 32 - Doctrine, standards, and reform | Create a stakeholder plan template to aid heatwave preparedness and response in facilities occupied by people vulnerable to heatwaves (e.g. nursing homes) |
REC286-2073 | 16 - Training and behaviour | Ensure people designing and certifying buildings are appropriately trained and qualified. |
REC286-1443 | 14 - Incident Mgt Teams | Build capacity to enable Incident Management Teams to manage the likely increased frequency and intensity of major fire events. |
REC286-1480 | 26 - Research | Deliver Flood Studies. |
REC286-2045 | 26 - Research | Investigate the potential effectiveness of economic and financial mechanisms to manage the risk appetites of land owners. |
REC286-2080 | 32 - Doctrine, standards, and reform | Formalise response triage arrangements. |
REC286-1458 | 13 - Mapping and data quality | Make coastal mapping available to public. |
REC286-2021 | 40 - Equipment and consumables | Review temporary bridge stockpile for adequacy (DSG). |
REC286-2057 | 16 - Training and behaviour | Provide training sessions to GPs to improve their understanding of their roles, options and obligations relating to human influenza pandemic. |
REC286-2092 | 37 - Funding | Ensure sufficient investment in controls across the PPRR spectrum with a focus on Prevention and Mitigation. |
REC286-1467 | 15 - Inter-service cooperation | Review the allocation of responsibilities for earthquake risk management. |
REC286-2028 | 8 - Communications and warnings | Review community information and warning systems to ensure they cater for heatwave messages |
REC286-2071 | 29 - Operational Health and Safety | Implement a social marking program to promote improved respiratory etiquette and hygiene. |
REC286-2097 | 13 - Mapping and data quality | Extend current tsunami maritime hazard modelling project to deliver coastal inundation modelling. |
REC286-1442 | 25 - Inquiry, audit, lessons management and after action review | Review legislation relating to Fuel Stove only areas, Fire Permit System and Total Fire Bans to ensure appropriate incentives to modify individuals’ behaviour. |
REC286-1477 | 16 - Training and behaviour | Develop and deliver flood incident response management training to SES personnel. |
REC286-2042 | 32 - Doctrine, standards, and reform | Increased regulation of landslide risk assessment. |
REC286-2079 | 26 - Research | Develop capacity to utilise the new high-resolution satellite products now available. |
REC286-1457 | 26 - Research | Improve understanding of how coastal inundation events interact with riverine flood events. |
REC286-2018 | 12 - EM agency and authority | Review flood response sustainment capacity of organisations. |
REC286-2055 | 29 - Operational Health and Safety | Personal protective equipment (masks, gowns, gloves, goggles) – review fit-testing vs fit-checking. |
REC286-2092 | 26 - Research | Investigate usefulness of satellite data for PPRR (prevention, preparedness, response, recovery) planning. |
REC286-1465 | 15 - Inter-service cooperation | Improve the coordination and delivery of the National seismic monitoring program. |
REC286-2027 | 8 - Communications and warnings | Develop arrangements to identify and communicate with people vulnerable to heat stress |
REC286-2070 | 25 - Inquiry, audit, lessons management and after action review | Test the Biosecurity Act 2015. |
REC286-2096 | 32 - Doctrine, standards, and reform | Review current all-hazards emergency management arrangements to evaluate if they adequately address Tsunami response and recovery requirements. |
REC286-1438 | 25 - Inquiry, audit, lessons management and after action review | Consider outcomes of national review of warnings and review resilience of warning systems’ infrastructure. |
REC286-1475 | 8 - Communications and warnings | Integrate existing capabilities into a Total Flood Warning System. |
REC286-2036 | 16 - Training and behaviour | Provide information on landslide hazards and risks to decision makers. |
REC286-2078 | 15 - Inter-service cooperation | Review interagency information sharing arrangements. |
REC286-1456 | 26 - Research | Improve understanding of the weather systems that cause storm surge events to improve predictability and warnings. |
REC286-2014 | 15 - Inter-service cooperation | Integrate non-government entities into emergency response and recovery arrangements. |
REC286-2054 | 40 - Equipment and consumables | Personal protective equipment (masks, gowns, gloves, goggles) – review supply/distribution arrangements. |
REC286-2091 | 37 - Funding | Investigate the costs and benefits in enhancing the current Tsunami detection buoy network. |
REC286-1462 | 32 - Doctrine, standards, and reform | Develop a strategic plan for the operation and management of the seismic monitoring network in Tasmania. |
REC286-2026 | 11 - Evacuation and shelters | Identify facilities that can be used as cool spaces during heatwaves and establish linkages between operators and emergency management organisations |
REC286-2065 | 16 - Training and behaviour | Deliver human influenza pandemic training and exercises in THS and other key organisations. |
REC286-2095 | 37 - Funding | Investigate the costs and benefits of delivering a public education and awareness program. |
REC286-1434 | 16 - Training and behaviour | Improve the strategic resource-to-risk skills mix (recruitment, retention, capacity), including investigating difference models of volunteering within the TFS Brigade Network. |
REC286-1473 | 13 - Mapping and data quality | Develop a statewide flood hazard map for use within the Tasmanian Planning System. |
REC286-2032 | 26 - Research | Quantify the effect of heatwaves on vulnerable people. |
REC286-2076 | 36 - Volunteers | Review volunteering arrangements to improve recruitment and retention. |
REC286-1454 | 11 - Evacuation and shelters | Review coastal inundation evacuation and response plans. |
REC286-2013 | 16 - Training and behaviour | State to develop a Swift Water rescue capability. |
REC286-2053 | 40 - Equipment and consumables | Personal protective equipment (masks, gowns, gloves, goggles) – enhance stocktake methods. |
REC286-2090 | 26 - Research | Increase understanding of the Puysegur Trench dynamics to improve certainty around the likelihood and magnitude of future Tsunamis. |
REC286-1460 | 25 - Inquiry, audit, lessons management and after action review | Review seismic monitoring network alert systems to ensure emergency managers are on the contact lists. |
REC286-2024 | 26 - Research | Improve knowledge and understanding of the effect heatwaves coinciding with other hazard events have on the effectiveness and capability of response and recovery capabilities |
REC286-2062 | 32 - Doctrine, standards, and reform | Review State Special Emergency Plan: Human Influenza Pandemic Emergencies. |
REC286-2094 | 13 - Mapping and data quality | Deliver updated inundation mapping. |
REC286-1472 | 11 - Evacuation and shelters | Develop flood evacuation plans for at risk communities. |
REC286-2030 | 32 - Doctrine, standards, and reform | Develop innovative response models of patient care to improve surge capacity. |
REC286-2074 | 8 - Communications and warnings | Continue the enhancement of forecast and warning services. |
Rec-ID | Code | Recommendation |
---|---|---|
REC285-2519 | 12 - EM agency and authority | The report recommends that Ambulance Tasmania develop strategies to improve response times to those of other jurisdictions and undertake cost benefit analysis of those strategies before deciding on implementation. |
REC285-2524 | 25 - Inquiry, audit, lessons management and after action review | The report recommends that Ambulance Tasmania investigate why the level of multiple responses had increased. |
REC285-2523 | 32 - Doctrine, standards, and reform | The report recommends that Ambulance Tasmania regularly reviews its emergency and urgent determinants methodology to ensure that it continues to be best practice and in accordance with requirements of the National Academy of Emergency Medical Dispatch. |
REC285-2522 | 12 - EM agency and authority | The report recommends that Ambulance Tasmania reinforce the requirement to record factors contributing to response time outliers and the remedial action undertaken to address the contributing factors. |
REC285-2521 | 36 - Volunteers | The report recommends that Ambulance Tasmania investigate whether higher proportions of volunteers were impacting on mobilisation times in the North. |
REC285-2520 | 25 - Inquiry, audit, lessons management and after action review | The report recommends that Ambulance Tasmania investigate whether the additional resources in the North and North West regions were effective in reducing average response times. |
Rec-ID | Code | Recommendation |
---|---|---|
REC245-2588 | 7 - Inter-agency communication | That Tasmania Police, Tasmania Fire Service (TFS), Ambulance Tasmania and State Emergency Services (SES) investigate ways of providing secure and confidential radio communications. |
REC245-2593 | 17 - Assets and technology | That network managers develop and document strategic plans for the management of their radio networks. |
REC245-2592 | 37 - Funding | That duplication of infrastructure be costed and taken into account when considering whether to proceed with the Whole of Government network. |
REC245-2591 | 17 - Assets and technology | That until the outcome of the Whole of Government project is complete (and interoperability is achieved), emergency services should investigate and implement methods for further improving interoperability. |
REC245-2597 | 17 - Assets and technology | That the project team become independent from any of the entities involved in the Whole of Government network. |
REC245-2590 | 12 - EM agency and authority | That: |
REC245-2595 | 17 - Assets and technology | That stakeholders involved with the Whole of Government radio project re-engage positively to ensure a solution to the current impasse is achieved in the best interests of the stakeholders and the State as a whole. |
REC245-2589 | 7 - Inter-agency communication | That TFS and Ambulance Tasmania work together to resolve problems around congestion, particularly during the fire season. |
REC245-2594 | 17 - Assets and technology | That the network managers produce business cases for all major upgrades. |
Rec-ID | Code | Recommendation |
---|---|---|
REC159-3056 | 32 - Doctrine, standards, and reform | ACTAS should specify and document the role of each of its various clinical governance processes, how they relate to each other, and how these will be managed, measured and monitored within an overarching clinical framework. |
REC159-3048 | 12 - EM agency and authority | ACTAS should enhance its approach to risk management by: |
REC159-3054 | 12 - EM agency and authority | ACTAS should improve systems to manage its non-emergency transport services, provide training and guidance to staff on use of these systems, and implement a quality assurance process. |
REC159-3061 | 32 - Doctrine, standards, and reform | ACTAS should develop and implement policies and guidance to staff on how complaints should be assessed and actioned, including timeliness targets. |
REC159-3046 | 12 - EM agency and authority | ACT Ambulance Service (ACTAS) should revise its Business Plan to address key priorities and activities for each key service delivery function. This would include clearer expected outputs to be delivered annually and their prioritisation. |
REC159-3053 | 32 - Doctrine, standards, and reform | ACTAS should develop policies and guidelines to assist ambulance officers’ decisions on whether or not to transport a patient to hospital. This guidance might include appropriate responses when a mentally impaired patient declines transport or treatment, and when to call on management or clinical guidance. |
REC159-3060 | 32 - Doctrine, standards, and reform | ACTAS should develop a policy that provides direction on what type of feedback it will seek, from whom it will seek the feedback, and how this feedback will be used to improve the patient care experience. |
REC159-3052 | 12 - EM agency and authority | ACTAS should develop and implement as a matter of priority, appropriate strategies to address declining response times. |
REC159-3058 | 25 - Inquiry, audit, lessons management and after action review | ACTAS should improve patient care processes by: |
REC159-3051 | 32 - Doctrine, standards, and reform | ACTAS should: |
REC159-3057 | 32 - Doctrine, standards, and reform | ACTAS should conduct formal reviews of its clinical procedures manuals in consultation with its Clinical Advisory Committee, and develop guidance to oversight these reviews. |
REC159-3049 | 12 - EM agency and authority | ACTAS should enhance its approach to demand modelling in order to better guide current and future ambulance resourcing by: |
Rec-ID | Code | Recommendation |
---|---|---|
REC140-3564 | 17 - Assets and technology | The medical equipment used in retrieval and air ambulance duties undertaken by helicopter and fixed wing must be standardised. |
REC140-3552 | 37 - Funding | Department of Health and Human Services (DHHS) to fund 3 Full-Time Equivalent (FTE) Senior Registrar positions at the Royal Hobart Hospital (RHH) for the Tasmanian Medical Retrieval Service (TMRS). One registrar in the Anaesthesia Department, one in the Intensive Care Unit and one in Emergency Department is proposed. |
REC140-3569 | 12 - EM agency and authority | A senior Tasmanian NETS representative be confirmed on the Tasmanian Medical Retrieval Services Committee. |
REC140-3557 | 12 - EM agency and authority | Royal Flying Doctor Service fixed wing to remain in Launceston for the duration of the current contract. |
REC140-3563 | 17 - Assets and technology | An additional secure emergency oxygen supply source to be located in the BK 117 helicopter. An internal supply is preferred. |
REC140-3568 | 37 - Funding | The State Medical Retrieval Cost Centre (TMRS and NETS) be formed and be supported by the appropriate administrative and resource accountant expertise. This cost centre should be placed with those responsible for its management. |
REC140-3556 | 17 - Assets and technology | The use of hospital transport vehicles to support retrieval operations be investigated. |
REC140-3573 | 13 - Mapping and data quality | Databases with a common minimum data set complete with incident monitoring should be established for TAS Air Ambulance, TMRS and NETS missions. |
REC140-3562 | 12 - EM agency and authority | A rapidly responsive helicopter and road retrieval capability to be developed out of RHH. |
REC140-3567 | 37 - Funding | A uniform retrieval charge to the region of referral should be considered. This should be independent of the mode of transport used. |
REC140-3555 | 16 - Training and behaviour | The Tasmanian Ambulance Service Clinical Advisory Committee review helicopter and fixed wing Flight Paramedic training and consider extending the scope of practice to embrace the role of retrieval paramedic in the Doctor/Paramedic retrieval team setting. |
REC140-3572 | 32 - Doctrine, standards, and reform | A DHHS website be developed to list policies, procedures and guidelines relevant to critical care retrieval including the NETS policies. |
REC140-3561 | 17 - Assets and technology | Development of a helipad at Mersey Hospital. |
REC140-3566 | 12 - EM agency and authority | Launceston General and Burnie Hospital’s Emergency Departments require sufficient equipment, monitors and human resources to provide occasional safe local retrieval in their region. |
REC140-3554 | 37 - Funding | DHHS fund the equivalent of 2 FTE Consultant positions for retrieval duties (1.5 FTE existing, 0.5 FTE new) |
REC140-3571 | 12 - EM agency and authority | A senior, experienced, clinically trained ambulance officer to be based in TAS Communications in Hobart for at least 14 hours a day. |
REC140-3560 | 17 - Assets and technology | RHH requires a helipad. Plans to rebuild RHH must include a helipad at its earliest stage of conception. |
REC140-3565 | 17 - Assets and technology | The TMRS medical equipment inventory requires an overhaul. The TMRS medical equipment should be located with the TMRS team. |
REC140-3553 | 37 - Funding | RHH Neonatal Emergency Transport Service receive DHHS funding for a Senior Registrar to assume the responsibilities of retrieval staffing, quality assurance, data collection and reporting demands. |
REC140-3570 | 12 - EM agency and authority | The fragmentation and duplication of fixed wing and helicopter clinical coordination should be eliminated through centralisation to TAS Communications. |
REC140-3559 | 17 - Assets and technology | A service level agreement is negotiated with the Police department that will cover access, tasking, price, equipment and staffing. This will enable a more strategic use of the helicopter. |