Stamford Hill Group Practice
Infection Control Annual Statement 2013-14
The practice is committed to the control of infection within the building and in relation to the clinical
procedures carried out within it.
Purpose
This Annual Statement will be generated each year in December. It will summarise:
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Any infection transmission incidents and any action taken (these will have been reported in
accordance with our Critical Event procedure).
Details of any infection control audits undertaken and any subsequent actions taken as a
result.
Details of any infection control risk assessment undertaken and any subsequent actions
taken as a result.
Any review and update of policies, procedures and guidelines.
The statement will be made available to patients on our web site and on noticeboards within the
practice.
Infection Control Leads
Practice Nurse Amanda Swain is the Practice lead for infection control at Stamford Hill Group
Practice. Samantha Baxter, Assistant Practice Manger is the non-clinical lead for infection control.
Amanda Swain undertakes regular training and cascades the information back to the whole
Practice Team.
Overall responsibility for compliance is held by Dr Clifton Marks.
Regular Infection Control audits are carried out.
Significant Events January 2014 to December 2014
There have been no significant events regarding infection control issues in the period.
There have been no infection transmission incidents in the period.
Audits
Regular infection control audits are carried out. The most recent was carried out in July 2014 by
Inam Ramsahye, Primary Care Infection Control Specialist from the Commissioning Support Unit.
The findings of the audit showed that weekly cleaning schedules for medical equipment should be
made available and displayed in appropriate areas. High level areas should be kept clear of dust.
Sink plugs and overflows should be removed from all clinical areas and disinfectant wipes should
be made available in every room. Cleaning equipment was not stored as per guidelines as mops
were left in their buckets to dry following use.
As a result the following changes were made formal
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Weekly Cleaning schedules for medical equipment have been created and displayed.
Dust removed from high level areas, this will be maintained on a regular basis.
Sink plugs removed from clinical areas.
Disinfectant wipes made available in all clinical rooms.
Mops left to dry head up in buckets as per guidelines.
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Stamford Hill Group Practice
It was agreed as per recommendations that the Practice would remove and replace all carpeted
clinical spaces with vinyl flooring and all non-compliant taps in consulting rooms would be replaced
with compliant elbow or wrist lever operated mixer taps. These action points are included as part
of the practices ongoing refurbishment plans and will be acted upon as soon as funding is made
available.
Overall the audit was very positive with us scoring a national average of over 70% in The
management of infection prevention and control in general management, Staff Health and hand
hygiene.
We scored a national average of 100% in the following areas Personal protective equipment,
Prevention and management of spillages of blood & high risk body fluids, Management of
specimens, safe handling and disposal of sharps, waste management policy and procedures and
Notification of infectious diseases and contamination.
The practice was visited by the Care Quality Commission on December 24 th 2013 and found to be
meeting required standards. The report of this visit is available the practice website and also the
CQC website.
Risk Assessments
Regular Health and Safety Risk Assessments are carried out within the practice.
Staff Training
Infection control lead Amanda Swain undertook a level 2 Infection Control Update in January
2015. All clinicians keep up to date with the latest infection control guidelines and attend training
when appropriate. Non clinical staff undertake regular infection control training. Infection control
training is included as part of the induction process for new staff.
Policies, Protocols and Guidelines
The following policies related to infection control are in use at the Practice. These are reviewed
annually:
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Infection Control Policy
Waste Management
Hand Washing Guidelines
Handling Samples Protocol
Single Use Items Policy
Cleaning Schedule
Needlestick Injuries Protocol
Critical event Policy
If you have a query relating to infection control please contact the duty manager via
reception or if you would prefer you can use the suggestion box at reception.
Jane Telfer, Practice Manager
December 2014
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