A multifaceted approach to enhancing hospital security
Bollards.

The Perimeter Security Suppliers Association explains the wide-range of measures that can be implemented to boost hospital security and protect staff, patients and visitors.

Increasing hospital security is a multifaceted challenge that requires a comprehensive approach to effectively mitigate risks and ensure the safety of patients, staff, and visitors.

The PSSA (Perimeter Security Suppliers Association) emphasises the integration of HVM (Hostile Vehicle Mitigation) measures and ACT (Action Counters Terrorism) training as key strategies in this effort.

These procedures can significantly reduce the risks associated with vehicle-borne threats and lone-wolf terrorist attacks, equipping hospital staff with the necessary skills to identify and respond to potential terrorist activities.

HVM focuses on preventing and mitigating the impact of vehicle-borne threats. This involves the installation of impact-rated barriers, such as bollards, at critical entry points, emergency exits, and around essential infrastructure like emergency departments and main entrances. These barriers are designed to withstand significant force, preventing unauthorised vehicles from breaching sensitive areas.

Perimeter fencing plays a crucial role in HVM by preventing unauthorised vehicle access. Robust, well-maintained fences should be erected around the hospital perimeter to ensure they are tall and strong enough to deter breaches. 

Controlled access points with security checkpoints for vehicle screening are essential for maintaining tight security. Automated gate systems with barriers that can be quickly deployed in emergencies provide an added layer of security. Creating buffer zones between the perimeter and hospital buildings allows space to inspect approaching vehicles and delay potential threats.

Staff training

ACT Security e-Learning offers specialised counter-terrorism awareness training that provides up-to-date knowledge to help security operatives prepare for and respond to terrorist incidents.

ACT training is designed to equip hospital staff with the knowledge and skills to identify and respond to potential terrorist threats. Recognising suspicious activity is the first step in this process. 

Staff must be trained to notice signs of unusual or suspicious behaviour and items, such as unattended bags or erratic actions. 

Establishing clear reporting protocols ensures that staff know exactly what to do when they identify a potential threat, including how to communicate directly with security personnel and local law enforcement. 

Developing and training staff on emergency response procedures, including lockdowns, evacuations, and shelter-in-place protocols, is critical. Regular drills and exercises help ensure that staff are familiar with these procedures and can respond quickly and effectively in an emergency.

Security procedures 

Combining HVM measures and ACT training with other security procedures creates a comprehensive security approach. Surveillance systems, such as CCTV cameras installed throughout the hospital, particularly at  entry points, parking areas, and critical infrastructure, provide real-time monitoring by trained personnel. 

This constant vigilance is crucial for maintaining security. Implementing electronic access control systems for hospital buildings using ID badges, key cards, or biometric scanners restricts access to authorised personnel only, further improving security.

Maintaining close collaboration with local police can also help hospitals stay informed about potential threats and coordinate responses effectively. Public awareness campaigns to educate patients and visitors about security measures and encourage them to report suspicious activities are also vital.

The ‘Power of Hello’ is a simple yet effective way to enhance security through proactive engagement and awareness. Encouraging staff, security personnel, and the general public to greet and engage with individuals encourages a sense of community and vigilance. 

This approach can help deter potential threats and improve overall safety in hospital settings. Key components include training staff to notice unusual behaviour, teaching friendly ways to greet and engage with individuals, and ensuring they know how to report suspicious activities promptly and discreetly.

Placing signs in common areas to encourage greetings and vigilance, conducting workshops with staff to reinforce proactive engagement and situational awareness, and integrating this practice into daily operations all contribute to its effectiveness. 

Security personnel regularly patrolling public areas and greeting individuals create a visible presence that can deter suspicious behaviour. Encouraging everyone in the hospital to be mindful of their surroundings and report any concerns to security personnel helps build a supportive and vigilant environment.

Recently, a disturbing incident occurred on the Clifton Suspension Bridge where a man was acting suspiciously with a pair of suitcases. Alert passers-by, noticing his odd behaviour, approached and asked if he was alright. 

This simple act, showing the ‘Power of Hello’, startled the man, causing him to flee and abandon the suitcases on the bridge. 

Upon inspection, the suitcases were found to contain human remains. Thanks to the vigilance and proactive engagement of the public, these suitcases were prevented from being thrown into the river, where strong currents could have carried them away, potentially hindering the discovery of the bodies and the capture of the perpetrator. 

Yostin Andres Mosquera has since been caught and charged with their murders. This incident highlights the effectiveness of the ‘Power of Hello’ in improving community safety and awareness.

Cost considerations 

While implementing comprehensive security measures such HVM and extensive surveillance  systems can significantly improve hospital security, they often require substantial budgets, which are not always available. 

Recognising these financial constraints, it becomes crucial to focus on cost-effective solutions like staff training. Fortunately, Action Counters Terrorism (ACT) training, ACT Awareness, and ACT Security e-Learning are available for free on the ProtectUK platform.

The ACT Security course takes approximately 1 hour and 15 minutes to complete, with a flexible delivery option that allows users to pause and save their progress. 

When taken together with the ACT Awareness e-Learning, it covers the entire counter-terrorism content required for SIA licence-linked qualifications and top-up training. For those interested in enhancing their counter-terrorism knowledge and skills without incurring additional costs, the ProtectUK e-Learning hub offers a valuable resource.

The PSSA also urges any organisation involved in security in the hospital sector to engage with See, Check and Notify (SCaN), a free training programme from the National Protective Security Authority designed to help people correctly identify suspicious activity and take appropriate action when they do.

SCaN isn’t about allocating more funds for security measures or hiring additional security personnel. It’s about implementing straightforward adjustments and utilising the resources you currently possess more efficiently. The improved customer experience will undoubtedly benefit your organisation.

Run, hide, tell 

Should you be involved in a terror attack in a hospital environment, remember the principles of the NaCTSO’s (National Counter Terrorism Security Office) guidance RUN, HIDE, TELL to ensure your safety and the safety of others.

Firstly, if there is a safe route, leave the hospital immediately. Encourage others to come with you, but do not let their hesitation slow you down. Leave all personal belongings behind and avoid gathering at designated meeting points, as these could also be targeted by attackers.

If it is not possible to leave, find a secure  place within the hospital to hide. This could be  a locked room or an area that can be barricaded. Make sure to silence your phone and other devices, switching them to silent mode, and stay away from windows and doors. Remain as quiet as possible to avoid drawing attention.

Once you are in a safe location, call the police by dialling 999. Provide detailed information to the operator, including your precise location within the hospital, a description of the attackers, and the number of people with you. Follow any instructions given by emergency services to ensure your safety and the safety of those around you.

Improving hospital security is essential and requires a balanced approach. Combining Hostile HVM measures, effective ACT training, and promoting community vigilance through the ‘Power of Hello’ can greatly enhance safety. 

Utilising cost-effective solutions like free training on the ProtectUK platform, along with practical measures such as perimeter fencing and surveillance systems, strengthens hospital security. It’s important for all staff and stakeholders to stay alert, proactive, and ready to respond to any threats, ensuring the safety of everyone in the hospital.