This annual statement will be generated each year 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 New Milton Health Centre has one Lead for Infection Prevention and Control: Dr Elizabeth Fowler, GP partner.
The IPC Lead is supported by: Sister Liz O’Neil, Lead Nurse
Lead practice nurse attends regular IPC Lead training courses run by the West Hampshire CCG (WHCCG) and keeps updated on infection prevention practice. The WHCCG Infection Prevention Specialist nurse undertook an IC review in September 2017, which also included training on statutory requirement for the IC Lead.
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 monthly practice partner meetings and learning is cascaded to all relevant staff.
In the past year there have been one significant events related to infection control, which was a needle stick injury following a vaccination. We check health status of patient and advise this has occurred. The nurse, under Occupational Health, has regular blood tests for a specific period of time. This is standard practice following any such incident to ensure no cross infection has occurred.
Infection Prevention Audit and Actions
The Annual Infection Prevention and Control audit was completed by Sister Liz O’Neil and WHCCG Specialist IP nurse in September 2017.
As a result of the audit, the following things have been changed in New Milton Health
• Chairs replaced in nurse rooms for washable
• Isolation room to have hand wash facilities and clinical waste bin
• KY jelly tubes to be replaced with single use sachets
• Cleaning schedules updated
An audit on Minor Surgery was undertaken by Clare Donnelly in February 2018.
No infections were reported for patients who had had minor surgery at the New Milton Health.
An audit on hand washing will be undertaken in April
The New Milton Health has undertaken the following audits during the year.
• Annual Infection Prevention and Control audit
• Minor Surgery outcomes audit
• Domestic Cleaning audit
• Hand hygiene audit
• Phlebotomy Audit
• Death Analysis Audit quarterly
• Vulnerable Adults Audit quarterly
• Chaperone Audit
• Cancer Diagnosis Audit
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 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 clinical 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 in our clinical rooms and ensure they are changed every 6 months. 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. All curtains are regularly reviewed and changed if visibly soiled. The few remaining cloth curtains are laundered 6 monthly.
Toys: NHS Cleaning Specifications recommend that all toys are cleaned regularly and we therefore provide only wipeable toys in waiting / consultation rooms.
Cleaning Specifications: Our cleaning specification and frequency are listed in our Infection Control Policy which our cleaners and staff work to. We have several cleaning schedules which the staff and cleaning staff follow. 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 labelled 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 off 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.
All our staff receive annual training in infection prevention and control.
All staff have training in all NHS mandatory required courses
Both face to face and on-line training is available to all staff and GP’s within the practice.
Dr. Karen Bentley has undertaken specific training in Minor Surgery and joint injections
Dr. Will Howard has undertaken specific training in joint injections
Dr. Paul Campbell has undertaken specific training in joint injections
Dr. Bridget Cracknell and Dr. Dominique O’Carroll-Bailey have undertaken specific training in IUD implants.
Dr. James Goodman has undertaken specific training in joint injections
Dr. O’Carroll-Bailey has undertaken specific training in minor operations
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.
It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this.
Responsibility for Review
The Infection Prevention and Control Lead and the Practice Manager are responsible for reviewing and producing the Annual Statement.
Mrs Ceri Olsen
For and on behalf of the New Milton Health Centre