IPC Annual Statement 2024

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IPC Annual Statement 2024

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
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Infection Prevention and Control (IPC) Lead

The lead for infection prevention and control at Consett Medical Centre is Deborah Ronsdale, Practice Nurse.

The IPC Lead is supported by Jill Emmerson-Bell, Practice Performance 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 in 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 that related to infection control. There have also been 0 complaints made regarding cleanliness or infection control.

 Infection prevention audit and actions

Infection Prevention Society Audit Tool was completed in June 2023 and resulted in the following actions;

Reviewed current waste streams and implemented the standard use of Tiger Striped bags (offensive waste) as per NHSE and Improvement Guidelines.

New waste stream infographics and posters created and displayed in all clinical rooms.

 All staff have undergone annual Infection Prevention Control training.

Dressing Trolleys made available for all Treatment rooms.

Plaster damage to some walls have been filled and re painted.

Reminder to staff that all sharps’ boxes must be signed and dated.

Risk Assessments

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

In the last year the following risk assessments were carried out/reviewed:

  • Clinical Waste Streams
  • COSHH (In progress)

In the next year, the following risk assessment will also be reviewed:

  • Water Safety
  • General IPC Risks
  • Staff Training
  • Legionella visit due.

Training

In addition to staff being involved in risk assessments and significant events, at Consett Medical Centre we have implemented all staff receive IPC induction training on commencing their post. Thereafter, all staff receive refresher training annually the level of training is dependent on the staff members role and responsibilities.
Various elements of IPC training in the previous year have been delivered via online training supported by E Learning for Health.

Policies and procedures

The infection prevention and control related policies and procedures which have been written, updated, or reviewed in the last year include, but are not limited, to:

Infection Prevention Control Policy

Hazardous/Clinical Waste Management policy

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 Consett medical Centre to be familiar with this statement and their roles and responsibilities under it.

Review

The IPC Lead and the Registered Manager are responsible for reviewing and producing the annual statement.

This annual statement will be updated on or before 21st January 2025

Signed by

Jill Emmerson-Bell, Practice Performance Manager