Infection Control Annual Statement Report
09.02.24
Purpose
This annual statement will be generated each year in January 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 practice 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 undertaken 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
Infection Prevention and Control (IPC) lead
The lead for infection prevention and control at Chorleywood Health Centre is Dr Edin Lakasing, Senior Partner. The Infection Control Link Worker is Joanna Fursse, Practice Manager
- 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 of 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 that 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.
As a result of these events, Chorleywood Health Centre has:
- Continued with an infection control update for both clinical and non-clinical staff.
- Ensured infection Control Guidance remains accessible to all staff.
- Infection prevention audit and actions
Chorleywood Health carries out an Infection Control Audit Annually or sooner in the event of any Significant events or changes to current practice or premises.
Chorleywood Health Centre carries out a 6 monthly cold chain audit or sooner in the event of any significant events or changes to current practice.
Herts & West Essex carried out an external Infection Control Audit in the 1st Qtr 2023.
- 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:
- General IPC risks – Annually or sooner in the event of any significant events or changes to current practice
- Covid Secure Risk Assessment – 6 monthly or sooner in the event of any significant events or changes to current practice
- COSHH –- Annually
- Cleaning standards – Weekly / Monthly / Annually
- Premises Inspections – 6 monthly
- Staff BAME Risk Assessment – on all new staff members and / or where there are changes
- Water Quality Testing – 6 monthly
- Cold Chain Audit – 6 monthly
- Emergency Drug Risk Assessment – Annual
- Demand and Capacity Risk Assessment – carried out on the 06.12.22 in response to the exception levels of demand on the service and to ensure health and safety of staff and patients.
In the next year, the following risk assessment will also be reviewed:
- General IPC risks
- Respiratory Risk Assessment
- Measles Risk Assessment
- Covid Secure Risk Assessment
- COSHH
- Cleaning standards
- Premises Inspections
- Staff BAME Risk Assessment – on all new staff members and / or where there are changes
- Legionella Risk Assessment
- Water Quality Testing
- Cold Chain Audit
- Emergency Drug Risk Assessment
.
- Training
In addition to staff being involved in risk assessments and significant events, at Chorleywood Health Centre all staff and contractors receive IPC induction training on commencing their post. Thereafter, all staff receive refresher training annually.
Various elements of IPC training in the previous year have been delivered at the following times:
Clinical IPC training – for clinical staff
Non Clinical IPC Training – for non-clinical staff
IPC Link Practitioner Training – 2 day training for IPC Link Practitioners
Quarterly IPC Update Training
- Policies and procedures
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 annually. Additionally, all policies are amended on an ongoing basis as per current advice, guidance and legislation changes.
- Responsibility
It is the responsibility of all staff members at Chorleywood Health Centre to be familiar with this statement and their roles and responsibilities under it.
- Review
The IPC lead and the Practice Manager are responsible for reviewing and producing the annual statement.
This annual statement will be updated on or before 28.02.2025
Signed by
Dr Edin Lakasing – Senior Partner
Joanna Fursse – Practice Manager
For and on behalf of Chorleywood Health Centre
