This annual statement will be generated each year in June.
It will summarise:
- 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 control risk assessments undertaken
- Details of staff training
- Any review and update of policies, procedures and guidelines
Uppingham Surgery has one lead for Infection, Prevention and Control, our Practice Nurse Cheryl Swain, supported by Simon Dobb our Practice Manager and Dr Anu Kalra, GP.
Nurse Swain keeps updated on infection control and shares necessary information with the team at appropriate team meetings. If there is any action needed this is added as AOB in monthly clinical quality meeting and senior staff meeting.
The nurse last updated the team after her infection control course on June 2016 and there were lots of changes made within the practice.
There is annual infection control audit undertaken by Nurse Swain and the Practice manager. Last audit done was done in January 2016 for Uppingham Surgery and all the branch surgeries.
All nurses and HCA keep an eye on infection control policy and procedure and discuss in their weekly nursing meeting. This would be now as a set agenda for these meetings. It would also be a set agenda for clinical quality meeting held every month.
All new staff has infection control training at the start as part of their induction.
There is annual training for all staff at the in house PLT and last was done on 8/3/2016.
The nurses and HCA also make sure Uppingham Surgery and the branch surgeries are in compliance with infection control and do regular checks.
In the past year there were 2 cases of clostridium difficile and these has been discussed in SEA meetings. Apart from these there have been no significant events raised that related to infection control.
An audit on Minor Surgery was undertaken in December 2015 and then again from first quarter April 2016. An overall infection rate of 0% in the first one and 1.1% in the second one was reported, which was dealt with as appropriate.
Policies and procedures have now been finalised and are operational. Some inadequacies were noted and these are being worked upon to ensure compliance. We will aim to do more to share information with our patients and will therefore place a copy of this Annual Statement on our practice website and will notify patients of any seasonal outbreaks that they may need to be aware of via posters in the surgery and on our website.
We will also incorporate more spot checks and record these as these are happening in the practice but not always recorded. This would be undertaken by the practice manager randomly at least quarterly.
Training in hand hygiene took place on 10/3/16. Spot checks would take place and would be formally recorded.
Infection Control is currently not set agenda in our clinical meetings but plan now is that it becomes a regular agenda item in our monthly clinical/practice meetings.
There is an infection control sheet in all treatment rooms and the designated staff of that room does these daily. The checking of these sheets would be part of spot checks for infection control. We have reviewed our sharps bin policy and they would now be changed as per NHS.UK guidance when they are filled just below the mark or every 3 months whichever is sooner.
All equipment in Uppingham surgery and branch surgeries are checked weekly and recorded and this would also be part of spot check. Toilets are cleaned daily and recorded.
Risk assessments are carried out so best practice can be established. The last risk assessment was in December 2015 and would be done annually. They are usually done under following headings
- Cleaning schedule update
- Staff training
- Infection control annual audit and regular spot checks
Policies, Procedures and Guidelines
Policies relating to Infection Prevention and Control are reviewed and updated annually if appropriate. However, all are amended on an on-going basis as current advice changes.
Our main policy of infection control is available on our website and we invite our patients to continue to use alcohol hand gel, to report any incidence of spillages or waste or any concerns regarding infection control to the practice manager.
Dr Kalra Uppingham Surgery