Q2.1 The Met Office issues hot weather alerts when it expects there to be high temperatures reached in regions of England.
Were there any hot weather alerts issued this summer (that is, between 1st June and mid-September) in the region/area in which you were working?
Yes, there was/were hot weather alert(s) in my region/area (1)
No, there were no hot weather alerts in my region/area this summer (2) Can’t recall (3)
If Q2.1 = 1
Q2.2 How are you personally made aware of a hot weather alert in your work setting?
Tick all that apply.
Verbal communication from manager or team lead, either one-to-one or at team meetings (1)
Personal email from manager or organisation’s lead on heatwave planning (2) The alerts are emailed/sent directly to me (for example, by the CCG, Local
Authority, Met Office) (3)
Written notification on staff noticeboard (4)
Informally/word of mouth from colleagues/other staff (5)
I hear/read about hot weather alerts from news or weather reports (6)
Some other way (please type in) (7) _______________________________________
Q2.3 Hot weather alerts are part of the Heatwave Plan for England, which was implemented in England in 2004. Before today, had you heard of the Heatwave Plan for England?
Yes (1) No (2)
Don’t know (3) If Q2.3 = 1
Q2.4 Have you read any of the Heatwave Plan?
Yes (1) No (2)
Can’t recall (3) If Q2.3=1
Q2.5 Was the Heatwave Plan used by your organisation to help it make plans for summer or spells of hot weather? This could be anything from long-term planning to specific actions to take during spells of hot weather.
Yes (1) No (2)
Don’t know (3)
Q2.6 Does your organisation/practice/service have its own written plan or instructions about what activities should be carried out when a hot weather alert has been issued by the Met Office or when there is a spell of hot weather?
Yes (1) No (2)
Don’t know (3)
Q2.7 Does your organisation/practice/service identify patients/clients who may be vulnerable to hot weather, either by keeping a list of vulnerable patients/clients or by a system which identifies at-risk patients/clients?
Yes (1) No (2)
Don’t know (3)
If Q2.1 = 1,3 and Q1.2 = 2 and Q1.5 = 2-9
Q2.8 A level 2 heat-health alert is when there is a high-risk of a heatwave in your area within the next 2 to 3 days.
There was a level 2 heat-health alert issued in your region on $[e://Field/Level2] 2018.
Thinking about this time which, if any, of the following actions did you personally take?
Tick all that apply.
Communicate heatwave alerts to other staff (1) [managers only]
Ensure other staff are aware of their responsibilities in local heatwave plan (2) [managers only]
Ensure sufficient staffing to cope with any potential needs (3) [managers only]
Implement business continuity (4) [managers only]
Check those that have been identified as high-risk have a visitor or phone call arrangements in place (5)
Ensure patients/clients and their carers have the required information on how to protect themselves as described in the Heatwave Plan (such as staying out of the heat, cooling self down, keeping environment cool) (6)
If visiting patients/clients, I check room temperature (7)
Other actions (please type in) (10) _________________________________________
Not applicable, as I did not work during the alert period (8) None of these (12)
Can’t recall/unsure (11)
If Q2.1 = 1,3 and Q1.2 = 1,6 and Q1.5 = 2-9
Q2.9 A level 2 heat-health alert is when there is a high-risk of a heatwave in your area within the next 2 to 3 days.
There was a level 2 heat-health alert issued in your region on $[e://Field/Level2] 2018.
Thinking about this time which, if any, of the following actions did you personally take?
Tick all that apply.
Communicate heatwave alerts to other staff (1) [managers only]
Ensure other staff are aware of their responsibilities in local heatwave plan (2) [managers only]
Ensure sufficient staffing to cope with any potential needs (3) [managers only]
Implement business continuity (4) [managers only]
Check indoor temperature (5)
Record where patients/clients usually spend most time (6) Ensure cool areas are below 26 degrees Celsius (7) Review and prioritise high-risk patients/clients (8) Ensure sufficient cold water/ice/lollies available (9)
Reschedule physio/other activities to cooler hours in the day (10)
Other actions (please type in) (12) _________________________________________
Not applicable, as I was not working during the alert period (11) None of these (14)
Can’t recall/unsure (13)
If Q2.1 = 1,3 and Q1.2 = 2 and Q1.5 = 2-9
Q2.10 A level 3 heat-health alert is when temperature levels have been reached in your region requiring specific actions targeted at high-risk individuals.
There was a level 3 heat-health alert issued in your region on $[e://Field/Level3] 2018.
Thinking about this time which, if any, of the following actions did you personally take?
Tick all that apply.
Visit or telephone high-risk patients/clients (1)
Ensure patients/clients and their carers have the required information on how to protect themselves as described in the Heatwave Plan (such as staying out of the heat, cooling self down, keeping environment cool) (2)
Advise carers to contact GP if they have concerns about patient/client’s health (3) [paediatrics /childcare/early years only]
Protect children from heat (such as providing cool water, sunscreen, hats) (9) [paediatrics /childcare/early years only]
Maintain appropriate environment (such as adequate ventilation, shading) (10) [paediatrics /childcare/early years only]
Closed school/nursery if too hot (11) [paediatrics /childcare/early years only]
Other actions (please type in) (6) __________________________________________
Not applicable, as I was not working during this alert period (4) None of these (8)
Can’t recall/unsure (7)
If Q2.1 = 1,3 and Q1.2 = 1,6 and Q1.5 = 2-9
Q2.11 A level 3 heat-health alert is when temperature levels have been reached in your region requiring specific actions targeted at high-risk individuals.
There was a level 3 heat-health alert issued in your region on $[e://Field/Level3] 2018.
Thinking about this time which, if any, of the following actions did you personally take?
Tick all that apply.
Check indoor temperature recorded frequently during hottest period where patients/clients spend most of their time (1)
Reduce internal temperature through shading (2) Turn off unnecessary lighting/electrical equipment (3) Cool building at night by opening windows (4)
Ensure any discharge planning takes home temperature and support into account (5) Other actions (please type in) (7) __________________________________________
Not applicable, as I was not working during this alert period (6) None of these (9)
Can’t recall/unsure (8) If Q1.7 = 1-3
Q2.12 During the summer alert period (1st June to 15th September), did you carry out any medication reviews of patients/clients who were considered to be at risk during periods of severe hot weather?
Yes (1) No (2)
Not applicable/not part of my role (3) Can’t recall (4)
If Q1.7 = 1-3 and Q2.12 = 2-4
Q2.13 Were you aware of any colleagues who carried out medication reviews during the summer alert period?
Yes (1) No (2)
Can’t recall (3) If Q1.7 = 5-7
Q2.14 During the summer alert period (1st June to 15th September), did you, or any colleagues, carry out medication reviews of patients/clients who were considered to be at risk during periods of severe hot weather?
Yes (1) No (2)
Can’t recall (3)
Q2.15 Compared with a typical working day, to what extent did your workload increase or decrease during spells of severe hot weather this summer?
Increased a lot (1) Increased a little (2) Did not change at all (3) Decreased a little (4) Decreased a lot (5)
Can’t say/varied too much to say (6) If Q2.1 = 1 and Q1.5 = 1
Q2.16 In your region, there were spells of hotter weather this summer, most recently around late June and early July. Did you do anything differently at work during that most recent spell of hotter weather? Tick all that apply.
Yes, I followed my organisation’s local heat plan (1)
Yes, I followed national guidance as in the national heatwave plan (2) Yes, I made sure my patients/clients were protected and hydrated (3) Not applicable, as I did not work during that hot weather spell (5) No, I did not do anything differently (4)
Other actions (please type in) (6) __________________________________________
Can’t recall/unsure (7) If Q2.1 = 2 or Q1.5 = 1
Q2.17 Earlier you said you did not recall any hot weather alerts being issued this summer in your region, but there were spells of hotter weather, including in late June and early July. Did you do anything differently at work during that spell of hotter weather? Tick all that apply.
Yes, I followed my organisation’s local heat plan (1)
Yes, I followed national guidance as in the national heatwave plan (2) Yes, I made sure my patients/clients were protected and hydrated (3) Not applicable, as I did not work during that hot weather spell (5) No, I did not do anything differently (4)
Other actions (please type in) (6) __________________________________________
Can’t recall/unsure (7)
Q3.1 How confident would you say you were in recognising patients/clients with heat related illnesses?
Very confident (1) Fairly confident (2) Not very confident (3) Not at all confident (4) Can’t say (5)
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