Infection Control Annual Statement
Leacroft Medical Practice
Annual Infection Control Statement
2024-25
This annual statement will be generated each year 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 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 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 Leacroft Medical Practice has one Lead for Infection Prevention and Control: Stephie Oliva, Practice Nurse
The IPC Lead is supported by the practice nursing team, including healthcare assistants, and the GP partners.
Stephie Oliva attended an IPC training course in 2023 and keeps updated on infection prevention practice.
Vaccine Management Lead
The named vaccine management lead is Sarah Dance. She is deputised by Wendy Owen.
Decontamination Lead
The named medical device decontamination lead is Stephie Oliva, deputised by Eve Fretwell.
Cleaning Lead
The named Cleaning Lead is Stephie Oliva, deputised by Eve Fretwell.
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 discussed in partners meetings and the monthly practice meetings and learning is cascaded to all relevant staff.
In the past year there have been no significant events raised that related to infection control.
Infection Prevention Audit and Actions
The last Annual Infection Prevention and Control audit was completed by Infection Prevention Solutions in August 2023.
As a result of the audit, the following things have been changed in Leacroft Medical Practice
- Vaccine fridges plug sockets have been labelled to prevent them being accidentally switched off.
- Cleaning schedule has been placed in the cleaning supplies room for ease of access.
- Sussex Dermatology have been asked to provide evidence of a decontamination schedule for their medical equipment.
- Mop holders have been installed to better allow for storing inverted.
An audit on hand washing using a light box was last undertaken in June 2023.
The Leacroft Medical Practice plan to undertake the following audits in 2024-25:
- Annual Infection Prevention and Control audit
• Cleaning audit
• Hand hygiene audit
• Annual clinical waste audit
• Quarterly sharps bin audit
• Weekly cleaning spot checks
Risk Assessments
Risk assessments and/or inspections are carried out or reviewed annually.
Legionella (Water) Risk Assessment: The practice has conducted/reviewed its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors, or staff. The most recent inspection was carried out in July 2023.
Immunisation: As a practice we ensure that all our staff are up to date with their MMR and DTP vaccinations, and Hepatitis B immunisation when required by their role. All staff are offered seasonal influenza and Covid vaccinations. We take part in the National Immunisation campaigns for patients and offer vaccinations in house and via home visits to our patient population.
Curtains: The NHS Cleaning Specifications state the curtains should be cleaned or if using disposable curtains, replaced every 6 months. To this effect we use disposable curtains and ensure they are changed every 6 months. The window blinds are very low risk and therefore do not require a particular cleaning regime other than regular vacuuming to prevent build-up of dust. The modesty curtains although handled by clinicians are never handled by patients and clinicians have been reminded to always remove gloves and clean hands after an examination and before touching the curtains. All curtains are regularly reviewed and changed if visibly soiled
Cleaning specifications, frequencies, and cleanliness: We have a cleaning specification and frequency policy to which our cleaners and staff work. An assessment of cleanliness is conducted by the cleaning team supervisors and logged. This includes all aspects in the surgery including cleanliness of equipment.
Hand washing sinks: The practice has clinical hand washing sinks in every room for staff to use.
Training
• All our staff receive annual training in infection prevention and control and clinical waste management.
• IPC lead should attend IPC Lead Practice Nurse forums if and when they are organised by ICB
Policies
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 and all are amended on an on-going basis as current advice, guidance and legislation changes. Infection Control policies are circulated amongst staff for reading and discussed at meetings on an annual basis.
Responsibility
It is the responsibility of everyone to be familiar with this Statement and their roles and responsibilities under this.
Review date
April 2025
Responsibility for Review
The Infection Prevention and Control Lead Stephie Oliva is responsible for reviewing and producing the Annual Statement for and on behalf of the Leacroft Medical Practice
Date published: 30th April 2024
Date last updated: 30th April 2024