Compliance Standards – Infection Control Report

Infection Control Annual Statement – Lister House Surgery MAR 2018-MAR 2019


In line with the Health and Social Care Act 2008: Code of practice on prevention and control of infection and its related guidance, this annual statement will be generated each year. It will summarise:

 Any infection transmission incidents and any lessons learnt and action taken

 Details of any infection prevention and control audits ( IPC) undertaken and any subsequent actions taken arising from these audits

 Details of any issues that may challenge infection prevention and control including risk assessment undertaken and subsequent actions implemented as a result

 Details of staff infection prevention and control training

 Details of review and update of PIC policies, procedures and guidance.


The Infection Control Lead (Caroline Welch) will enable the integration of Infection Control principles into standards of care within the practice, by acting as a link between the surgery and Taunton and Somerset NHS Trust.

Practice Infection Control Lead – Caroline Welch (Lead Practice Nurse) Cleaning and Decontamination Lead – Emma Spiller (Practice Manager)

They will be the first point of contact for practice staff in respect of Infection Control issues. They will help create and maintain an environment which will ensure the safety of the patient/client, carers, visitors and health care workers in relation to Healthcare Associated Infection (HCAI). The Infection Control Lead will carry out the following within the practice:

 Increase awareness of Infection Control issues amongst staff and clients

 Help motivate colleagues to improve practice

 Improve local implementation of Infection Control policies

 Ensure that practice based Infection Control audits are undertaken  Assist in the education of colleagues

 Help identify any Infection Control problems within the Practice and work to resolve these, where necessary in conjunction with the local Infection Control team

 Act as a role model within the practice

 Disseminate key Infection Control messages to their colleagues within the Practice


There have been no significant events reported regarding infection control issues in the period covered by this report.

4. AUDITS The following audit was carried out in the practice:

The following actions were taken as a result of the feedback/ outcome of the audit:

 We have updated some posters around our clinical areas to provide better information on sharps/needlestick injuries/ infection control contacts

 Infection control policy was reviewed

 All sharps boxes are now wall mounted

 Safety data sheet displayed in dirty utility room


The following members of staff have attended Infection Control training within the last 12 monthss:

Kim Burt – HCA Sept 2017


We have updated and consolidated our infection control policies and protocols and amalgamated most of the important aspects into one clear document ‘infection control policy’.

We have also updated the following information within our practice infection control folder:

 Standard infection control precautions

 Isolation of service users with an infection – included in staff training and protocol made for staff to follow

 Prevention and management of occupational exposure to blood and body fluids including sharps injuries. Spillage kit and mercury spillage kit located in dirty utility

 Reporting of infections to Health Protection Agency or local authority

 Deep cleaning schedule updated and daily cleaning schedules revised

Date of report 16/03/2018 Author Caroline Welch

NHS staff, patients and visitors must continue to wear face coverings in healthcare settings, unless they are exempt.

Please help us reduce the risk of infection for our staff and patients by following this guidance.