Table 2.

Summary of the Silver and Bronze team command functions

Command structure
Silver command	Bronze command
Develop the strategic response to the incident informed by hospital directives and national policies	Ensuring radiographic staffing levels were sufficient to meet service demands on a day-to-day basis, rostering staff as necessary to increase or decrease capacity
Develop and implement a new model of service delivery based on 24/7 working	Monitoring PPE stocks to ensure that supplies were adequate
Monitor activity levels across the department, turnaround times and quality assure service delivery to ensure patients’ needs were being met	Acting as a point of escalation for urgent operational and Covid-19 issues
Ensure that the working environment was safe for staff and that they worked within their clinical competencies	Promoting staff welfare and wellbeing
Develop new staffing models for the radiologists so there were resident consultants on-site 24/7 with inbuilt cover for sickness	Monitoring staff sickness and coordinating testing of symptomatic staff
Develop a new radiographic staff model to cover core inpatient and urgent outpatient imaging across all modalities in hours with increased staffing out of hours	Liaising with the ED and other departments (e.g. theatres/wards) to maintain the flow of patients throughout the imaging department
Establish satellite radiology services at other sites to support the continued delivery of cancer services	Attending daily site/ED operational meetings
Oversee the redeployment of non-essential staff to support the wider hospital response to the pandemic	Communicating service changes and updates to clinical practice/PPE guidance/SOPs to the imaging department

ED, Emergency department; PPE, Personal protective equipment; SOPs, Standard operating procedures.