Inquiry Search
Rec-ID | Code | Recommendation |
---|---|---|
REC286-1465 | 15 - Inter-service cooperation | Improve the coordination and delivery of the National seismic monitoring program. |
REC286-2017 | 39 - Disaster Risk Management | Improve maintenance of flood mitigation infrastructure. |
REC286-2042 | 32 - Doctrine, standards, and reform | Increased regulation of landslide risk assessment. |
REC286-2065 | 16 - Training and behaviour | Deliver human influenza pandemic training and exercises in THS and other key organisations. |
REC286-2083 | 9 - Community education | Enhance the community development program. |
REC286-1440 | 9 - Community education | Expand the existing Fire Ready Schools Program with enhanced support and incorporate other sites used by vulnerable groups. |
REC286-1470 | 32 - Doctrine, standards, and reform | Integrate Storage Operating Rules with downstream flood response plans. |
REC286-2022 | 12 - EM agency and authority | Increase SES Capability and Capacity to respond to flood event. |
REC286-2053 | 40 - Equipment and consumables | Personal protective equipment (masks, gowns, gloves, goggles) – enhance stocktake methods. |
REC286-2070 | 25 - Inquiry, audit, lessons management and after action review | Test the Biosecurity Act 2015. |
REC286-2091 | 37 - Funding | Investigate the costs and benefits in enhancing the current Tsunami detection buoy network. |
REC286-1447 | 39 - Disaster Risk Management | Assess vulnerability of ecosystems and species to coastal inundation. |
REC286-1478 | 39 - Disaster Risk Management | Review environmental risks associated with hazardous uses within flood prone areas. |
REC286-2030 | 32 - Doctrine, standards, and reform | Develop innovative response models of patient care to improve surge capacity. |
REC286-2058 | 24 - Govt responsibility | Clarify the relationship between the DHHS and THS in the establishment of flu services. |
REC286-2075 | 9 - Community education | Develop and implement a community storm safe awareness program. |
REC286-1454 | 11 - Evacuation and shelters | Review coastal inundation evacuation and response plans. |
REC286-1463 | 39 - Disaster Risk Management | Develop enablers and capacity for Tasmanian earthquake risk owners. |
REC286-2016 | 6 - Insurance and legal liability | Review legal liability of participants in prevention and mitigation preparedness, response and recovery activities. |
REC286-2041 | 22 - Role of local Gvt | Development mechanisms to support small councils to manage treatment across the PPRR spectrum (across all hazards). |
REC286-2064 | 35 - Business and Industry in relation to industry | Encourage businesses to consider human influenza pandemics in business continuity planning. |
REC286-2081 | 39 - Disaster Risk Management | Engage with industry bodies to explore opportunities to better understand and manage risks. |
REC286-1439 | 9 - Community education | Continue the Community Bushfire Protection Program with a renewed focus on vulnerable groups. |
REC286-1469 | 39 - Disaster Risk Management | Actively manage riparian vegetation to manage flood dynamics. |
REC286-2021 | 40 - Equipment and consumables | Review temporary bridge stockpile for adequacy (DSG). |
REC286-2052 | 22 - Role of local Gvt | Undertake local level emergency management planning for areas at risk of debris flow. |
REC286-2069 | 24 - Govt responsibility | Implement a database management approach for notifiable disease record systems. |
REC286-2089 | 39 - Disaster Risk Management | Identify and analyse statewide storm hazard risk. |
REC286-1446 | 9 - Community education | Introduce child-centred household level disaster risk reduction strategies in school programs. |
REC286-1477 | 16 - Training and behaviour | Develop and deliver flood incident response management training to SES personnel. |
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) |
REC286-2057 | 16 - Training and behaviour | Provide training sessions to GPs to improve their understanding of their roles, options and obligations relating to human influenza pandemic. |
REC286-2074 | 8 - Communications and warnings | Continue the enhancement of forecast and warning services. |
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. |
REC286-1452 | 39 - Disaster Risk Management | Improve understanding of the allocation of ownership across government, business and individuals. |
REC286-2014 | 15 - Inter-service cooperation | Integrate non-government entities into emergency response and recovery arrangements. |
REC286-2036 | 16 - Training and behaviour | Provide information on landslide hazards and risks to decision makers. |
REC286-2063 | 24 - Govt responsibility | Review Tas Govt interoperability arrangements. |
REC286-2080 | 32 - Doctrine, standards, and reform | Formalise response triage arrangements. |
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. |
REC286-1462 | 32 - Doctrine, standards, and reform | Develop a strategic plan for the operation and management of the seismic monitoring network in Tasmania. |
REC286-1468 | 39 - Disaster Risk Management | Identify and anlalyse the location of critical infrastructure within defined flood areas. |
REC286-2020 | 6 - Insurance and legal liability | Improve insurance affordability. |
REC286-2049 | 39 - Disaster Risk Management | Pro-actively manage landslide areas. |
REC286-2068 | 24 - Govt responsibility | Develop a disaster client record system. |
REC286-2088 | 9 - Community education | Develop a community education strategy for when to call 000, 131 444, and 132 500. |
REC286-1444 | 16 - Training and behaviour | Maintain adequate seasonal fire crew resources across the fire agencies. |
REC286-1476 | 9 - Community education | Develop and implement a targeted community flood awareness program. |
REC286-2028 | 8 - Communications and warnings | Review community information and warning systems to ensure they cater for heatwave messages |
REC286-2056 | 39 - Disaster Risk Management | Review Ambulance Tasmania surge capacity. |
REC286-2073 | 16 - Training and behaviour | Ensure people designing and certifying buildings are appropriately trained and qualified. |
REC286-2095 | 37 - Funding | Investigate the costs and benefits of delivering a public education and awareness program. |
REC286-1450 | 39 - Disaster Risk Management | Improve the understanding of the vulnerability of critical infrastructure. |
REC286-2013 | 16 - Training and behaviour | State to develop a Swift Water rescue capability. |
REC286-2035 | 9 - Community education | Include heatwave in existing preparedness programs. |
REC286-2062 | 32 - Doctrine, standards, and reform | Review State Special Emergency Plan: Human Influenza Pandemic Emergencies. |
REC286-2078 | 15 - Inter-service cooperation | Review interagency information sharing arrangements. |
REC286-1437 | 9 - Community education | Continue the Bushfire Ready Neighbourhoods Program. |
REC286-1461 | 39 - Disaster Risk Management | Review all hazards response and recovery plans to ensure they address likely earthquake consequences. |
REC286-1467 | 15 - Inter-service cooperation | Review the allocation of responsibilities for earthquake risk management. |
REC286-2019 | 24 - Govt responsibility | Assess water supply resilience in the case of an interruption. |
REC286-2047 | 6 - Insurance and legal liability | Raise public awareness of the limitations of general insurance relating to landslide. |
REC286-2067 | 24 - Govt responsibility | Improve integration of health information systems. |
REC286-2086 | 32 - Doctrine, standards, and reform | Develop SOP for recovery package. |
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. |
REC286-1475 | 8 - Communications and warnings | Integrate existing capabilities into a Total Flood Warning System. |
REC286-2027 | 8 - Communications and warnings | Develop arrangements to identify and communicate with people vulnerable to heat stress |
REC286-2055 | 29 - Operational Health and Safety | Personal protective equipment (masks, gowns, gloves, goggles) – review fit-testing vs fit-checking. |
REC286-2072 | 35 - Business and Industry in relation to industry | Relax the requirement for medical certificates in the event of an outbreak. |
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). |
REC286-1449 | 9 - Community education | Develop coastal inundation education materials that meet the needs of exposed communities. |
REC286-1481 | 32 - Doctrine, standards, and reform | Integrate clean-up arrangements into emergency plans. |
REC286-2034 | 9 - Community education | Improve community educational information. |
REC286-2060 | 32 - Doctrine, standards, and reform | Develop a flexible plan for establishing flu-specific services. |
REC286-2077 | 6 - Insurance and legal liability | Improve working relationship with the insurance industry to access impact information. |
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. |
REC286-1460 | 25 - Inquiry, audit, lessons management and after action review | Review seismic monitoring network alert systems to ensure emergency managers are on the contact lists. |
REC286-1466 | 9 - Community education | Develop and deliver earthquake hazard awareness products. |
REC286-2018 | 12 - EM agency and authority | Review flood response sustainment capacity of organisations. |
REC286-2043 | 22 - Role of local Gvt | Assessment of council’s capacity to manage land effectively. |
REC286-2066 | 39 - Disaster Risk Management | Advocate for an National Notifiable Diseases Database. |
REC286-2085 | 9 - Community education | Up-skill isolated communities in emergency PPRR skills. |
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. |
REC286-1472 | 11 - Evacuation and shelters | Develop flood evacuation plans for at risk communities. |
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 |
REC286-2054 | 40 - Equipment and consumables | Personal protective equipment (masks, gowns, gloves, goggles) – review supply/distribution arrangements. |
REC286-2071 | 29 - Operational Health and Safety | Implement a social marking program to promote improved respiratory etiquette and hygiene. |
REC286-2092 | 37 - Funding | Ensure sufficient investment in controls across the PPRR spectrum with a focus on Prevention and Mitigation. |
REC286-1448 | 39 - Disaster Risk Management | Utilise coastal mapping to assess need for coastal defences. |
REC286-1479 | 6 - Insurance and legal liability | Ensure appropriate levels of insurance of public assets from flood risks. |
REC286-2033 | 24 - Govt responsibility | Incorporate heatwave surge response planning into business continuity planning. |
REC286-2059 | 24 - Govt responsibility | Enhance business continuity planning by the Tasmanian Health Service. |
REC286-2076 | 36 - Volunteers | Review volunteering arrangements to improve recruitment and retention. |
REC286-1455 | 39 - Disaster Risk Management | Assess options for managed coastal retreat. |
Rec-ID | Code | Recommendation |
---|---|---|
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. |
REC285-2517 | 38 - Agency/Department Reporting | The report recommends that Ambulance Tasmania collects data to allow regular and meaningful comparison of clinical outcomes at the regional level, to better allocate resources and to rapidly identify problems. |
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. |
REC285-2525 | 38 - Agency/Department Reporting | The report recommends that Ambulance Tasmania outline what KPIs are measured and provide targets or benchmarks to define what is good or poor performance. |
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. |
REC285-2518 | 38 - Agency/Department Reporting | The report recommends that regional summary reports of clinical reviews be standardised to facilitate review and comparison across regions. |
Rec-ID | Code | Recommendation |
---|---|---|
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. |
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. |
REC245-2598 | 24 - Govt responsibility | That government considers the establishment of a separate unit to implement and operate a Whole of Government network if existing stakeholders fail to make significant progress toward an agreed Whole of Government solution. |
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. |
REC245-2597 | 17 - Assets and technology | That the project team become independent from any of the entities involved in 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. |
REC245-2596 | 24 - Govt responsibility | That the Whole of Government project’s objectives should include meeting entity requirements and the consultant be asked to reevaluate the revised set of objectives. |
Rec-ID | Code | Recommendation |
---|---|---|
REC140-3554 | 37 - Funding | DHHS fund the equivalent of 2 FTE Consultant positions for retrieval duties (1.5 FTE existing, 0.5 FTE new) |
REC140-3570 | 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. |
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. |
REC140-3553 | 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. |
REC140-3569 | 12 - EM agency and authority | A senior Tasmanian NETS representative be confirmed on the Tasmanian Medical Retrieval Services Committee. |
REC140-3558 | 6 - Insurance and legal liability | DHHS need to confirm adequate accident insurance coverage for staff working in retrieval medicine. Coverage specific to helicopter and fixed wing duties is required. |
REC140-3575 | 24 - Govt responsibility | The preferred model for the Tasmanian Medical Retrieval Services is to have TMRS and NETS staff based in RHH. The fixed wing would remain based in Launceston (for the present) with the helicopter to remain based in Hobart. |
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. |
REC140-3552 | 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. |
REC140-3568 | 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. |
REC140-3557 | 12 - EM agency and authority | Royal Flying Doctor Service fixed wing to remain in Launceston for the duration of the current contract. |
REC140-3574 | 38 - Agency/Department Reporting | Formation of a subcommittee of the DHHS Tasmanian Medical Retrieval Services Committee to identify risk exposures, system problems and potential solutions. The subcommittee should review data, problem cases, system issues and generate a risk register. Meetings should occur at least quarterly. |
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. |
REC140-3556 | 17 - Assets and technology | The use of hospital transport vehicles to support retrieval operations be investigated. |
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. |
REC140-3555 | 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. |
REC140-3571 | 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. |