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Thinking the Unthinkable: the NHS and Terrorist Action
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Posted By Charles Robinson Tech IOSH I recently came across the following Hospitals are unprepared for terrorist attack and are therefore vulnerable targets, claims Loughborough University’s Charles Hancock, a leading expert in healthcare risk management and one of the authors of a recently published article on the threat of terrorism to the NHS The following is a link to the full report and may be of interest to those in healthcare http://aolsearch.aol.co....and%20Terrorist%20Action
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Posted By John T Charles,
I tried to open up your links to read the article without success, can you re post the link as I would like to read the article before I jump in with both feet by responding to the very subjective heading.
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Posted By John T Got the article now, must be a monday!!
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Posted By Charles Robinson Tech IOSH pleased you got the link it is rather long and runs off the page It took me quite some time to find the full report
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Posted By John T Well I have read the said article and I find this sort of thing incredibly annoying and condescending, wrote by what I suspect to be a intellectual who has a job which is writing scare mongering articles from his ivory tower, very intelligent but not a lot of common sense as my Dad would say.
I do take on board his points about the NHS use of agency staff and the lack of induction training carried out in some establishments, but is the author suggesting that we see demons around every corner?
Yes, sort out the communication problems and staff training but for goodness sake come on I think if you were to carry out a risk assessment on any NHS hospital and neglected to add in a major terrorist attack your assessment would still be "suitable and sufficient".
When you cease to live a normal life, they have already won.
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Posted By John Murgatroyd Yes, I too am fed-up with towering intellects who spend their time working-out ways to blow the world up, and by doing so tell the ones who want to do it, how to do it. Another case of an intelligent idiot too stupid and full of his own importance to realise that keeping his mouth shut, and his pen still, would be far better for our health and safety.
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Posted By Merv Newman I suppose that this is how you get research grants.
Of course the NHS is unprepared for terrorist acts. So are schools and police stations.
Some major events ensure a cursory seraching of handbags. But no way will they detect a suicide bomber.
Do we really want to change our way of life and thinking that much. Very very few countries in the world need to do that.
Some pubs were bombed by terrorists. Not many of them, today, take any precautions to prevent that happening again.
I suppose that drawing up that "imaginary scenario" gave him a lot of pleasure.
Merv
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Posted By Pete48
I have just read the summary found at the reference given. I consider this to be an important bit of research that is anything but alarmist. The interpretation given by Charles in starting this thread does not appear to be the objective or conclusion of the report. The authors are from respected sources of soundly based research in the area of H&S. (Glasgow and Loughborough) There are two quotes form the report that give the outline and background that commissioned this work. Such research is essential to our understanding of complex matters and is neither determined by or is a response to matters alluded to by other contributors to this thread. In particular making personal remarks seems totally inappropriate as a response.
For those that have not read the report the abstract is as follows. “The purpose of this paper is to stimulate a public debate about the consequences of a terrorist attack upon a hospital complex. The intention is to avoid what the 9/11 Commission calls the ‘failure of imagination’ that left society vulnerable to attack in 2001. The scenario that we generate is fictional.” And further into the report we find the following statement “This scenario is a work of fiction. It can, therefore, be argued that previous paragraphs are unnecessarily alarmist. Healthcare providers have more immediate concerns than a nebulous terrorist threat. However, the intention here is to avoid the ‘failures of imagination’ that leads to systemic vulnerabilities in critical infrastructure.”
From my own experience I can relate this “failure of imagination” to disasters such as the Kings Cross Fire on LU so it is not an ephemeral academic ivory tower creation. It is a very real issue. The key conclusions are a challenge to the currently accepted standards of emergency response. A conclusion that appears on a first reading to have some merit or, at the very least, to warrant further detailed examination and review.
How much better if we as a body of professional safety people could debate the conclusions of this research instead of rushing to condemn it and its authors?
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Posted By John T Pete
I wasn't going to post anymore on this topic but I had to respond to your comments about making personal remarks about the author.
In my opinion the author has far too much time to be thinking (or been paid to think by some grant) about such possible attacks to the NHS.
I am not trying to dismiss the possibility of such an attack, as I am acutely aware of how devious terrorists can be as I spent over 10 years in Northern Ireland as a serving soldier out of a career of over 20 years and have lost several friends in the process.
So forgive me for getting slightly annoyed by this author but the fact is there are more likely targets and what would be the solution, armed police at every hospital, curfews, military law??
As health and safety professionals we really need to focus on the likelihood of risk other than trying to grab headlines otherwise we will be forever castigated and it will be deserved.
In relation to the Kings Cross fire on the London Underground, was this not started by a discarded cigarette on the wooden escalator, which had a mass of combustible material below it.
Not a terrorist incident, albeit tragic, this could have been prevented by a good health and safety environment with management commitment.
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Posted By John Murgatroyd I'm sorry ? So, in what way would a risk assessment of two aircraft being flown into two buildings at near the same time have helped ? Would it have helped prevent the destruction of said buildings ? (the failure mode of each was different although the cause was the same) As for the underground bombs....in what way could the scenario have been prevented by the usual h&s routines ? Of course, if wqe now have an incident at a hospital the guy will rush into print stating that if his advice (etc) had been followed......
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Posted By Pete48 Guys, I was trying to point out that you may be looking too literally in your responses and you chose to do so in a manner that condemned the report and its authors as out of touch academics with nothing better to do. This technique of "thinking the unthinkable" is a powerful way to take a look at why we do things the way we do. They chose a topical scenario to illustrate not to rationalise.
The point about the Kings X incident that I referred to was that before the fire everyone said it was unthinkable to ban smoking in the underground, OTT and all that. The point about 9/11 was that everyone said you cannot plan for such disasters and anyway it is unlikely to happen and if it does the emergency services will sort it out. Those that spoke out before the incident were ignored and in some cases ridiculed for their views. That I think is the background to the commissioning of this paper. The possible outcomes of this sort of research are adopt it, adapt it or ignore it. That does not make it invalid.
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Thinking the Unthinkable: the NHS and Terrorist Action
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