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Journal of Public Health Advance Access originally published online on June 29, 2006
Journal of Public Health 2006 28(3):238-241; doi:10.1093/pubmed/fdl015
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© The Author 2006, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.

A Delphi-based consensus study into planning for biological incidents



Nina Brown, Senior House Officer in Emergency Medicine

Ian Crawford, Specialist Registrar in Emergency Medicine

Simon Carley, Consultant in Emergency Medicine

Kevin Mackway-Jones, Professor of Emergency Medicine
Emergency Medicine Research Group, Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

Address correspondence to Professor Kevin Mackway-Jones, E-mail: kevin.mackway-jones{at}man.ac.uk

Objective Biological incidents present a significant threat to health services in the UK. The objective of this study was to achieve consensus in all phases of biological incident planning and response.

Methods A three-round Delphi study was conducted using a panel of 23 experts from specialities involved in the management of biological incidents. The consensus and non-consensus outcomes from the Delphi study were subsequently presented for discussion in four syndicate groups at a one-day consensus conference funded by the Health Protection Agency.

Results The results of each syndicate group discussion were presented at a subsequent plenary session at the end of the conference. Further iteration of both the consensus and the non-consensus outcomes of the Delphi study resulted in the endorsement, modification, integration or rejection of individual statements. 125 consensus statements were produced.

Conclusions The 125 synopsis consensus statements that all phases of biological incident planning and response. These can be used to inform policy decisions and translated into practical guidance for emergency planners and first responders at local, regional and national levels.

Keywords: emergency care, health protection


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