INFECTION CONTROL ANNUAL STATEMENT

Infection Control Annual Statement 2018

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: Dr Tamsin Courtney (GP) and 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 Vivienne O’Connor in December 2018.

As a result of the audit, the following things have been changed in Badger Farm Branch Surgery:

  • New electronic soap dispensers in all rooms, with single use cartridges
  • Full review of domestic cleaning schedule and facilities
  • Implementation of latest recommendations on clinical and non-clinical waste disposal procedures

An audit on Contraceptive Implant procedures was undertaken by Amanda Waite in December 2018.

No infections were reported for patients who had had contraceptive implants inserted or removed at the Badger Farm Hub in the last 6 months.

As a result of the audit, no changes in procedures were deemed necessary.
Mid Hampshire Healthcare plan to undertake the following audits in 2019:

  • Annual Infection Prevention and Control audit
  • Contraceptive Implant procedures
  • Hand hygiene audit

 

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: Landlords of our service locations are responisble for carrying out water test alhough we request evidence for our own assurance. HHFT carried out the water safety checks at AWMH and the last Water risk assessment was conducted in 2017 and will be due a further review in October 2019.

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 Badge Farm 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

Badger Farm 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 surgery including cleanliness of equipment.

Hand washing sinks: The practice 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.

 

Training

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 training session will be delivered in January 2019 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 2019 by Amanda Waite (Nurse Development and Quality Manager), based on resources from West Hampshire CCG.

 

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 2019
Responsibility for Review
The Infection Prevention and Control Lead is responsible for reviewing and producing the Annual Statement.

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