Purpose:
The Annual Statement will be generated each year in April 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 infected transmission incidents and any actions taken. These will have been reported in accordance with our significant event procedure.
· Details of any infection control audits undertaken and actions taken
· Details of any risk assessments undertaken for prevention and control of infection
· Details of staff training
· Staff immunisations
· Review of update policies, procedures and guidelines
IPC Lead:
The Lead for Infection Prevention Control at Springfield Surgery is
Practice Nurse Michelle Morris.
Michelle is supported by The Practice Manager Anne Gregory.
IPC Lead Training:
Michelle has attended a full 2 day Infection Prevention Control (IPC) training course in 2018 and Completes annual mandatory training.
IPC forums are regularly held throughout the year which she also attends and shares updated guidance and information with the Springfield Team.
Staff training
In the past year Springfield Surgery have introduced an IPC induction for all new members of the team.
All Clinical Staff are required to complete Infection Prevention Control Training.
Non clinical staff are required to complete IPC Training 3 yearly or revisit earlier if any update training required.
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 Meetings and learning is cascaded to all relevant staff. Samples 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.
In the past year there have been 2 significant events raised that related to infection control both of these have been external and investigated and appropriate actions taken to reduce the risk of further transmission.
Infection Prevention audits
Springfield Surgery have carried out a bi-annual and Annual Infection Prevention Control Audits within the last year (03/24) and any areas identified have either been actioned upon or are currently being actioned upon. All actions will be carried out on a priority basis to ensure safety of our patients and staff.
Sharps safety audits are carried out 3 monthly
Hand hygiene audits are completed on an adhoc basis and ongoing
Monthly room audits are completed.
Cold chain audits monthly
For the coming year Springfield Surgery will continue with above audits and plan to include
Monthly cleaning spot checks
Monthly waste audits
Risk assessments
Risk assessments are carried out so that any risk is minimised to be as low as 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:
· Legionella (Water) Risk Assessments: The practice reviews its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors or staff and then followed.
· Immunisation: As a practice we ensure that all our staff are up to date with all immunisations and vaccinations applicable to their role (i.e. MMR, Seasonal Flu). A risk assessment will be carried out to ensure Staff and patient safety is not compromised.
· Curtains: Disposable curtains are used in clinical rooms and are changed every 6 months. All curtains are regularly reviewed and changed more frequently if damaged or soiled.
· 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 mitigated this by: removing plugs.
· COSHH
Policies and procedures
The Infection and control policy has been reviewed and updated in the past year.
Review
The Infection Prevention and Control Lead Michelle Morris is responsible for reviewing and producing the Annual Statement for and on behalf of Springfield Surgery.
Review date
April 2025