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 at Andover War Memorial Hospital in April 2019.

As a result of the audit, the following things have been changed in Andover War Memorial Hospital:

  • Room schedules have been commenced
  • Limescale removed from water outflow taps
  • Decluttering and high level dusting improvements

An audit on Contraceptive Implant procedures was undertaken by Amanda Waite in July 2019.

No infections were reported for patients who had had contraceptive implants inserted or removed at the Hub locations.

As a result of the audit, no changes in procedures were deemed necessary.

Mid Hampshire Healthcare plan to undertake the following audits in 2020:

  • 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. October 2017 information

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).


Other examples

Curtains: The NHS Cleaning Specifications state the curtains should be cleaned or if using disposable curtains, replaced every 6 months. To this effect Andover War Memorial hospital use disposable curtains and ensure they are changed every 6 months. The window blinds are very low risk and therefore do not require a particular cleaning regime other than regular vacuuming to prevent build-up of dust. The modesty curtains although handled by clinicians are never handled by patients and clinicians have been reminded to always remove gloves and clean hands after an examination and before touching the curtains. All curtains are regularly reviewed and changed if visibly soiled.


Cleaning specifications, frequencies and cleanliness

Andover War Memorial Hospital have cleaning specification and frequency policy which their cleaners and staff work to. An assessment of cleanliness is conducted by the cleaning team and logged. This includes all aspects in the Hospital including cleanliness of equipment.

Hand washing sinks: The Hospital has clinical hand washing sinks in every room for staff to use. There is also liquid soap with wall mounted soap dispensers to ensure cleanliness.



All our staff receive annual training in infection prevention and control.

Clinical Staff undertook online training with Bluestream Academy within the first 3 months of employment.  An annual update training session will be delivered in April 2020 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.  The annual face to face training will be provided in the first Quarter of 2020 by Amanda Waite (Nurse Development and Quality Manager), based on resources from West Hampshire CCG.



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.



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


Review date

December 2021


Responsibility for Review

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

***Last Updated 21/09/21

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