Part 2A Orders: use and utility
PHE ePoster Library. Bickler G. Sep 13, 2016; 137999; 213
Dr. Graham Bickler
Dr. Graham Bickler
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Abstract
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Abstract Introduction: Part 2A Orders are the legal mechanism under the 1984 Public Health Act that allow local authorities (LAs) to apply to court for powers to protect public health. We surveyed applicants and ran a workshop to understand the use and utility of these Orders from their inception in 2010 to August 2015. Methods: Lead professionals of applications (Consultants in Communicable Disease Control and Environmental Health Officers) were emailed a web based survey. Results were presented at a workshop of respondents and stakeholders. Results: All applications were granted. 29 were for 'persons' (28 for tuberculosis, 1 for HIV), 23 for 'things' (tattoo and piercing equipment) and 3 for 'premises' (E coli, faecal contamination). Orders against 'things' have increased because in some areas the Health and Safety Executive, which has the statutory powers to deal with work activities carried out on domestic premises, had not agreed to use local mechanisms to transfer these powers to LAs. For 'person' Orders, difficulties were identified in implementation due to lack of interagency collaboration and facilities for safe and secure isolation of cases. At the workshop the utility of the legislation for use against 'persons' was discussed. Despite considerable difficulties encountered in implementing these Orders, the overriding conclusion was that the difficulties were due to lack of facilities rather than the legislation. Conclusions: Part 2 A Orders provide useful powers for use against 'persons' and increasingly 'things' but improved facilities for safe and secure isolation would help improve implementation of Orders against people. External funding details Amber Arnold is partially funded by Jefferiss Foundation
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