Infection Control Annual Statement 2015 -2016
Beggarwood Practice
Infection Control Annual Statement 2015- 2016
Purpose
The annual statement will be generated each year in June. It will summarise the
following :
1. Any infection transmission incidents and action taken. These will be reported in
accordance with our significant events procedure.
2. Details of any infection control audits undertaken and any subsequent actions taken
as a result.
3. Infection control risk assessments undertaken and any subsequent actions taken as
a result.
4. Details of staff training.
5. Any reviews and updates of policies, procedures, and guidelines.
6. Details of infection control advice given to patients.
Background
Nurse Practitioner Alison Hullah is the Practice Lead for Infection Control supported by
Davina Mason Practice Manager.
Alison Hullah attends the infection control link meetings held by Jacky Hunt Infection Control
Lead Nurse for North Hampshire CCG & Southern Health Trust on a quarter yearly basis
and cascades the information back to the practice team & patients where appropriate.
Annual or CCG lead audits are conducted by Nurse Practitioner Alison Hullah and cascaded
at practice meetings.
Date Published – 28/5/15 By Alison Hullah
Review – 28/5/16
Significant Events
There has been no significant event regarding infection control in the last year (June 2014 15).
Audits
The following audits have taken place in the last 12 months.
1. Phlebotomy – June 2014
2. Hand Hygiene Facilities Audit – September 2014
3. Decontamination & Cleaning – December 2014
4. Management of Specimens & Sharps – March 2015
5. Hand Hygiene ( including bare below the elbow) – May 2015
Following these audits our procedures have been reviewed and action plans implemented to
ensure best practice in light of the results. These action plans are available in the CQC and
Infection Control files.
The following audits will take place in the first quarter of 2014:
1. Decontamination & Cleaning - July 2015
2. Standard Precautions – November 2015
3. CQC IPC Checklist – February 2016
Our GP's involved in Minor Surgery continue to keep a personal audit of any infections for
revalidation purposes.
We aim to share information with our patients and a copy of the annual statement will be
published on our practice website. We will continue to notify our patients of any seasonal
outbreaks via our practice website along with a public health initiates in relation to infection
containment.
Date Published – 28/5/15 By Alison Hullah
Review – 28/5/16
Policies & Procedures
Our infection Prevention & Control Policies are reviewed annually in April or if current advice
changes. These are accessible to staff via the CQC polices or Infection Control file in
reception. We have adopted the Policies set out by Southern Health Foundation Trust as a
guide to our procedures.
Risk Assessments
Regular risk assessments are undertaken to minimise the risk of infection and to ensure the
safety of patients & staff. The following risk assessments have taken place in the last year
and the appropriate actions taken.
1. Children's Toy's
2. Control of Substance Hazardous to Health (COSHH).
3. Clinical waste & sharps disposal
4. Isolation of contagious patients
5. Needle stick injury
6. Personal Protection Equipment
7. Surgery fixtures & fittings
8. Cleaning specifications for equipment
Toys, books & Magazines
We provide minimal toys to help entertain children whilst they are in the waiting however we
need to minimise the risk associated with these toys. We have removed all toys from the
consultation rooms. NHS Cleaning specifications recommend that all toys are inspected for
damage and cleaned regularly. In line with this we have allocated a member of
administration staff to be responsible for this task and to keep an audit log for inspection. We
would encourage parents to bring their own toys or books to entertain their children where
possible and we will put posters up to advertise this in the waiting room.
Date Published – 28/5/15 By Alison Hullah
Review – 28/5/16
Modesty Curtains & Covers
The practice has implemented the use of disposable curtains which will changed
every 6 months as per practice policy. The use of modesty blankets has been
replaced by the use of disposable blue roll & disposable pillow cases are in use.
Cleaning Specifications & Cleanliness of Equipment
The Beggarwood Surgery retains the use of Elite Cleaning services who are responsible for
regular audits of the services they provide. The practice has adopted their cleaning policy in
all medical areas, fixtures and fittings and administration areas. Elite are responsible for
monthly cleaning audits and are required to supply the surgery with a copy of these
audits and an action plan as appropriate
The nursing staff are responsible for cleaning patient contact treatment areas &
equipment between patients. Protective equipment policies are in place along with
COSSH guidance on cleaning materials used. A daily schedule is kept for the
cleaning and checking of equipment
Patients
Patients who suspect they have an infection that maybe contagious such as Chicken
Pox will be asked to wait in a designated room rather than waiting in the main waiting
room.
All Patients requiring dressings who are known to have an infection such as MRSA
are treated at the end of the nurse list so that the room can be prepared before &
cleaned afterwards. The need for these precautions is shared with the individual
patients as part of their care plan. There have been no reported cases of MRSA in
the blood stream in the practice in the last year.
Patients are encouraged to use alcohol gel on entering & leaving the practice. These
are made available throughout the practice areas.
Date Published – 28/5/15 By Alison Hullah
Review – 28/5/16
Staff Training
Alison Hullah attends the regular link nurse meetings throughout the year. Nurse Alison Blow
has attended an infection control update in December 2013 and this training was cascaded
to the nursing team in its team meeting in December 2013. Alison Hullah will be attending an
infection control update in September 2014. All Nursing staff have completed an online
infection control educational tool.
Last year (2014) Nurse Practitioner Alison Hullah completed the annual competence
for Aseptic technique for those clinical staff involved in wounds care and minor
surgery. These will be completed for all new members of clinical staff during the
induction period.
Review
This annual statement has been completed by Alison Hullah & agreed with the practice
team. It will be reviewed in May 2016 by A. Hullah
Date Published – 28/5/15 By Alison Hullah
Review – 28/5/16