INFECTION CONTROL ANNUAL STATEMENT 2021/2022

Purpose

This annual statement will be generated each year in December in accordance with the requirements of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance. It summarises:

Any infection transmission incidents and any action taken (these will have been reported in accordance with our Significant Event procedure)

Details of any infection control audits undertaken and actions undertaken

Details of any risk assessments undertaken for prevention and control of infection

Details of staff training

Any review and update of policies, procedures and guidelines

 

Infection Prevention and Control (IPC) Lead

Mid Hampshire Healthcare Lead for Infection Prevention and Control: Amanda Waite (Nurse Development and Quality Manager)

Amanda Waite has undertaken regular training and updates on IPC and also a member of the CCG IPC Lead Group keeping up to date on current infection prevention practice.

 

Infection transmission incidents (Significant Events)

Significant events (which may involve examples of good practice as well as challenging events) are investigated in detail to see what can be learnt and to indicate changes that might lead to future improvements. All significant events are reviewed in the quarterly manager’s team meeting and learning is cascaded to all relevant staff.

In the past year there have been no significant events raised that related to infection control.

 

Infection Prevention Audit and Actions

The Annual Infection Prevention and Control audit was completed by Amanda Waite in May/June 2021

As a result of the audit, the following things have been changed in Andover War Memorial hospital and or Badger Farm Surgery:

Descaling of the mixer taps in all rooms

Management of sharps bins

Safety management of clinical waste containers

Provision of Cleaners schedules

Practice cleaner reviews

 

An audit on the decontamination of rooms and equipment recordings were undertaken in January 2020.  There was 85% of documentation on the completing of decontamination by the clinicians recorded on the clinical system.

As a result of the audit, staff are reminded of the importance of documentation as evidence that the procedures are undertaken.  With the increase in decontamination procedures due to the COVID-19 pandemic, process and procedures have become embedded in the routines of clinical consultations but ensuring documentation is consistent is also important as evidence to the wider teams.

Mid Hampshire Healthcare plan to undertake the following audits in 2021:

Annual Infection Prevention and Control audit

Contraceptive Implant procedures

 

Risk Assessments

Risk assessments are carried out so that best practice can be established and then followed. In the last year the following risk assessments were carried out / reviewed:

Legionella (Water) Risk Assessment: The practice has conducted/reviewed its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors or staff. AWMH are changing contractors and have not had assessment completed while securing this process which has been delayed due to the COVID-19 pandemic, further update for 2022 will be established.

Immunisation: As an organisation we ensure that all of our staff are up to date with their Hepatitis B immunisations and offered any occupational health vaccinations applicable to their role (i.e. MMR, Seasonal Flu). MHH encourage all employees to have the COVID 19 vaccinations as recommended by the Department of Health for Primary Care.

 

Other examples

PPE provisions: with the increase need of PPE with COVID-19 pandemic MHH have secured access to the NHS PPE supplies to ensure that all staff are provided with sufficient resources to meet the changing needs due to the risk of exposure to COVID-19.  All staff have undertaken a health risk assessment and where identified at high risk staff will be protected from face to face contact with patients of medium or high risk of disease.

 

Cleaning specifications, frequencies and cleanliness

Both Hub locations have cleaning specification and frequency policy which their cleaners and staff complete. An assessment of cleanliness is conducted by the practice/hospital cleaning team and logged on schedules. This includes all aspects in the surgery including cleanliness of equipment and the responsibility of the property owners.

 

Training

All our staff receives annual training in infection prevention and control. Clinical Staff undertake online training with Bluestream Academy within the first 3 months of employment.  An IPC training session was delivered in 2021 by Amanda Waite (Nurse Development and Quality Manager) based on resources from West Hampshire CCG.

Non-Clinical Staff have undertaken online training with Bluestream Academy within the first 3 months of employment.  An IPC training session was delivered in 2021 by Amanda Waite (Nurse Development and Quality Manager) based on resources from West Hampshire CCG.

Anyone unable to attend received the shared slide resource.

 

Policies

All Infection Prevention and Control related policies are in date for this year.

Policies relating to Infection Prevention and Control are available to all staff and are reviewed and updated bi-annually, and all are amended on an on-going basis as current advice, guidance and legislation changes. Infection Control policies are circulated amongst staff for reading and discussed at meetings on an annual basis.

 

Responsibility

It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this.

 

Review date

December 2022

 

Responsibility for Review

The Infection Prevention and Control Lead is responsible for reviewing and producing the MHH Annual Statement.

***Last Updated 20/01/22

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