This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Infection Control

Annual Statement for Infection Prevention and Control (Primary Care)

It is a requirement of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance that the Infection Prevention and Control Lead produces an annual statement with regard to compliance with good practice on infection prevention and control and makes it available for anyone who wishes to see it, including patients and regulatory authorities.

As best practice, the Annual Statement should be published on the Practice website.

 

Infection Control Annual Statement

Purpose

This annual statement will be generated each year October time 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

The Hedge End Medical Centre has 1 Lead for Infection Prevention and Control: TINA WILSHAW (PRACTICE NURSE).  

The IPC Lead is supported by: ELIZABETH HOLLIDAY (LEAD NURSE) and JENNIE DOCK (PRACTICE MANAGER) and team.

The Infection Control Lead attends annual training needs and regular Infection Control Forums delivered by the Primary Care Quality Lead in Lead Infection Prevention and Control Specialist.

 

 

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 month of occurrence with management, partners and Nurse Lead attending these meetings and learning is cascaded to all relevant staff.

 

In the past year there have been 1 significant event related to infection control. Learning from these events included:

  • SRCL Delivery driver identified a sharps bin not locked properly. A possible sharps injury could have occurred.

As a result of this event, Hedge End Medical Centre has informed all staff to be extra cautious when locking and the disposal of sharps bins. The following must always be completed and signed on the sharps bins:

  • Department
  • Assembled by
  • Locked by
  • Disposed by

Infection Prevention Audit and Actions

The Annual Infection Prevention and Control audit was completed by TINA WILSHAW  

As a result of the audit, the following things have been changed in Hedge End Medical Centre:

  • Wall brackets on walls for sharps bins
  • Glove holders on walls
  • Completion of décor to all rooms requiring touch ups.

 

The following things are future changes on the agenda to be updated in Hedge End Medical Centre:

  • New elbow tap for Treatment Room 5
  • Fire retardant bins to all GP rooms (ongoing to be changed when required)
  • New train track for children area in waiting room
  • Furniture made impermeable and washable in waiting room areas when necessary
  • Legionella Risk Assessment
  • Primary care infection prevention and control policy currently under full review.

 

An audit on Minor Surgery was undertaken by Tina Wilshaw on 22nd September 2016.

No infections were reported for patients who had had minor surgery at the Hedge End Medical Centre.

As a result of the audit, the following things have been identified and in process of change:

  • New elbow tap for Treatment Room 5

 

An audit on hand washing was undertaken during the Minor Surgery audit by Tina Wilshaw on 22nd September 2016.

The correct hand hygiene technique was observed by all clinicians in the room on the day. No concerns reported.

Further hand washing audits of all staff will be actioned and completed throughout the coming year as part of their training needs.

 

The Hedge End Medical Centre plan to undertake the following audits during 2017.

  • Annual Infection Prevention and Control audit (including environment, sharps, waste, vaccines, clinical)
  • Minor Surgery outcomes audit
  • Domestic Cleaning audit
  • Hand hygiene audit
  • Phlebotomy 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: 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.

Immunisation: As a practice 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). We take part in the National Immunisation campaigns for patients and offer vaccinations in house and via home visits to our patient population.

Curtains: The NHS Cleaning Specifications state the curtains should be cleaned or if using disposable curtains, replaced every 6 months. To this effect we use disposable curtains and ensure that all clinical areas (treatment rooms/minor ops) are changed every 6 months. All curtains are regularly reviewed and changed if visibly soiled.

The windows 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.

Toys: NHS Cleaning Specifications recommend that all toys are cleaned regularly and we therefore provide only wipeable toys in waiting / consultation rooms.

Cleaning specifications, frequencies and cleanliness: We have added a cleaning specification and frequency policy poster in the waiting room to inform our patients of what they can expect in the way of cleanliness. We also have a cleaning specification and frequency policy which our 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. Some of our sinks do not meet the latest standards for sinks but we have removed plugs, covered overflows and reminded staff to turn of taps that are not ‘hands free’ with paper towels to keep patients safe. We have also replaced our liquid soap with wall mounted soap dispensers to ensure cleanliness.

Training

All our staff receives mandatory training in infection prevention and control.

The Infection Control Lead attends annual training needs and regular Infection Control Forums delivered by the Primary Care Quality Lead in Lead Infection Prevention and Control Specialist.

GPs have undertaken specialist training in Minor surgery, infection prevention and control and joint injections.

GP’s have undertaken specialist training in Sexual health with regards to Coil insertions and Implant insertions/removals.

GPs and Practice Nurses attend Target sessions and practice nurse forums that may include topics relating to infection control.

 

Policies

The following policies are currently being updated:

  • Primary care infection prevention and control policy currently under full review.

 

Policies relating to Infection Prevention and Control are available to all staff and are reviewed and updated currently 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. With the main policy in review this will move to 2 yearly updates when completed.

 

Responsibility

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

 

Review date

October 2017

 

Responsibility for Review

The Infection Prevention and Control Lead and Practice Manager are responsible for reviewing and producing the Annual Statement.

Jennie Dock

Practice Manager

For and on behalf of the Hedge End Medical Centre.



Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website