Monitoring Framework for NHSScotland
National Cleaning Services Specification and Estates
HAI Issues
The NHSScotland Domestic Monitoring Tool
(DMT)
Chris Everden
Project Manager - HFS
Context
“Healthcare Associated Infection (HAI) remains a
priority issue for NHSScotland both in terms of
safety and well being of patients, staff and the
public”
Background
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HAI Task Force issued “NHSScotland Code of Practice
for the Local Management of Hygiene and HAI” and the
“NHSScotland National Cleaning Services Specification”
in May 2004;
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NHSScotland Health Facilities Scotland establishes a
Working Group to produce a Framework for monitoring
cleaning services across Scotland.
Principles of Framework
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based on continuous improvement;
compliance with NHSScotland Cleaning Services
Specification;
local ownership and accountability of results;
results should be provided quarterly;
accountability up to Board level;
results to be published by The Scottish Government;
benchmarking across Scotland.
Scope of Framework
• standardised monthly template;
• service monitoring as an integral part of the day to day
provision of the cleaning services;
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audit activity centring on the review of
systems, policies and procedures required to
effectively manage the
cleaning services;
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benchmarking to assist Operating Divisions
of NHS
Boards identify how and where they
can improve cleaning services.
Key Elements of reporting since 2007
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based on RAG system
Green over 90%-pass
Amber 70%-90%-fail
below 70%-fail with significant risk
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the average score from 2007 to date is 95.9%
only 3 Boards have ever reported an amber
Developments since 2007
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establishment of HEI in Scotland;
independent audits of DMT system by external auditors;
2010 HAI Taskforce required the cleaning monitoring to
include estates fabric and furnishings issues to be
monitored, DMT developed;
changes to the monitoring tool in April 2011 included the
inclusion of the 5 x 5 risk matrix for the estates issues.
Current Challenges
• paper based and time consuming monitoring
procedures;
• inconsistencies between HEI comments and published
scores;
• inconsistent number of auditable areas;
• Estates issues affecting cleaning standards.
Developments of DMT
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procurement of electronic hand held monitoring tool;
inclusion of estates reporting in new model;
inclusion of monitoring of all areas in the estate;
rectification reporting.
Benefits to NHS Boards
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more efficient monitoring;
more accurate monitoring;
increased awareness of estates issues;
monitoring data held electronically within the Boards
for trend analysis and auditing;
• increased reporting capability through the procured
system;
• more accurate results.
Benefits to NHSScotland
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more accurate reporting;
increased cleaning performance standards;
increased service efficiency;
increased staff confidence in the service;
increased public confidence in the service;
improved estates data;
more proactive response from the estates departments.
Programme Update
The preferred Provider is…
I will now hand you over to ……… who will give us an
overview of the new system