Infection Prevention & Control Annual Statement

Purpose

This annual statement will be generated each year in February, 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. The report will be published on the organisation’s website and will include the following summary:

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 carried out and actions undertaken
Details of any risk assessments undertaken for the prevention and control of infection
Details of staff training
Any review and update of policies, procedures and guidelines

Commitment of the Practice

All staff at Jubilee Medical Practice are committed to minimising the risk of infection and ensuring patient safety.

Infection Prevention and Control (IPC) Lead

The lead for infection prevention and control at Jubilee Medical Practice is Dr Blount.

The IPC lead is supported by Nurse Taylor.

a. Infection transmission incidents (significant events)

Significant events involve examples of good practice as well as challenging events.

Positive events are discussed at meetings to allow all staff to be appraised in areas of best practice.

Negative events are managed by the staff member who either identified or was advised of any potential shortcoming. This person will complete a Significant Event Analysis (SEA) form which commences an investigation process to establish what can be learnt and to indicate changes that might lead to future improvements.

All significant events are reviewed and discussed at several meetings each month. Any learning points are cascaded to all relevant staff where an action plan, including audits or policy review, may follow.

In the past year, there have been 0 significant events raised which related to infection control. There have also been 0 complaints made regarding cleanliness or infection control.

b. Infection prevention audit and actions

At Jubilee Medical Practice’s last CQC inspection, there were no concerns raised in relation to our infection and prevention control.

Our Buildings and Estate’s Manager carries out the annual infection control environmental audit inline with NHSE National Standards of Healthcare Cleanliness.

The following audits/assessments were carried out in the past 12 months:

Hand hygiene
Room cleanliness
Monthly room checks
Uniform compliance

Currently outstanding:

Aseptic technique audit

COSHH audit.

Antibiotic prescribing is monitored and audited.

c. Risk assessments

Risk assessments are carried out so that any risk is minimised and made to be as low as is reasonably practicable. Additionally, a risk assessment that can identify best practice can be established and then followed.

In the last year, the following risk assessments were carried out/reviewed: As mask wearing no longer mandatory, individual risk assessments are to be carried out for those at increased risk.

Mask wearing is the individual’s choice.

Masks remain available to all our patients.

Members of staff experiencing certain gastrointestinal acute illness continue to have to be free of illness for a 48-hour period before they return to work.

As per NHS England recommendation, all substantive members where offered a course of the combine measles, mumps and rubella vaccination.

All staff offered the annual influenza vaccine.

Monthly RSV clinics.

In line with Governmental Health and Safety changes, sharps bins no longer need to be disposed of after 90 days. Now only when three thirds full.

Legionella risk assessment carried out by the Building and Estates team.

d. Training

In addition to staff being involved in risk assessments and significant events, at Jubilee Medical Practice all staff and contractors receive IPC induction training on commencing their post.

IPC is classed as mandatory.

Nurse Taylor has attended a two-day IPC course and receives regular updates and support from the ICB Lead Rob Pride.

e. Policies and procedures

All IPC policies are reviewed two yearly.

Additionally, all policies are amended on an ongoing basis as per current advice, guidance and legislation changes.

f. Responsibility

It is the responsibility of all staff members at Jubilee Medical Practice to be familiar with this statement and their roles and responsibilities under it.