Infection Control Statement

Introduction

The Chorley Surgery is committed to the control of infection within the building and in relation to the clinical procedures carried out within it. This statement has been produced in line with the Health and Social Care Act 2008 and details the practice’s compliance with guidelines on infection control and cleanliness between the dates of October 2020 and August 2021.

The author of this statement is Michelle Brisco.

This annual statement will be generated each September.  It summarises:

  • Any infection transmission incidents and any action taken (Significant Events)
  • Details of any infection control audits and any actions taken
  • Details of staff training
  • Any review and update of policies, procedures and guidelines

Scope

This protocol applies to all staff employed by The Chorley Surgery.

Infection Control Lead

The Chorley Surgery’s clinical leads for infection control are Claire Corbishley and Linda Caunce, Practice Nurses.

The practice’s non-clinical lead for infection control is Michelle Brisco, Practice Manager.

Significant Events related to Infection Control

There have been zero significant events relating to infection control at the practice between the dates of October 2020 and August 2021

Audits relating to Infection Control

An annual Infection Prevention and Control in General Practice audit was completed by the Practice Nurses in September 2021.

Practice Policies, Procedures and Guidance relating to Infection Control

The Practice maintains the upkeep of the following policies, procedures and guidance related to infection control. These policies, procedures and guidance are reviewed and updated annually as well as being amended on an ongoing basis to keep up with changes in regulation etc:

  • Aseptic Techniques Policy
  • Cleaning Plan
  • Control of Substances Hazardous to Health (COSHH) Policy
  • Hand Washing & Hygiene Protocol
  • Health & Safety Policy
  • Infection Control Inspection Checklist
  • Infection Control – Specimen Handling & Biological Substances
  • Infection Prevention & Control Policy
  • Isolation of Patients Protocol including Contagious Illnesses Policy
  • Legionella Management Policy
  • Personal Protective Equipment Policy
  • Spirometer Cleaning and Decontamination Policy
  • Waste Management/ Disposal Protocol

Training relating to Infection Control

All Chorley Surgery staff members have received instruction, information or training relating to Infection Prevention and Control.  We provide annual online training as well as training as required delivered by our Infection Control Lead nurses during the practice education meetings. 

All staff have also completed ‘Preventing Infection’ workbook and guidance, general practice 2nd edition.

Immunisation

As a practice we ensure that all our clinical staff are up to date with their Hepatitis B immunisations and offered any occupational health vaccinations applicable to their role.  We take part in the National immunisation campaigns for patients and we offer vaccinations in house and via home visits to our patient population.

Cleaning

Our cleaning contractor, SMC Premier, work to cleaning specifications laid out in their contract along with frequencies and an annual audit takes place to ensure these are being met. Cleaning equipment is stored in accordance with the NHS Cleaning Specifications.

The surgery has blinds at the windows and in consulting rooms. All blinds will be cleaned as per our contract cleaning specification. In the doctor’s room the modesty screens are paper type material and changed six monthly.

Spill kits for blood, vomit or urine are provided in the reception area complete with all necessary PPE.

Our Air conditioning units will be serviced annually to prevent any Legionella build up in line with our Legionella Risk Assessment.  This was last completed on 8th June 2021

PPE (Personal Protective Equipment)

The Chorley Surgery provides PPE for all members of the team in line with their role

  • Clinical staff are provided with aprons and several different types and sizes of gloves
  • Reception staff are provided with gloves for the handling of sample pots

Waste

Clinical waste is categorized and stored in line with our waste management policy and collected weekly, waste transfer sheets are stored and archived for 5 years.

Domestic waste is disposed of via a commercial wheelie bin commissioned from the local council. Collections take place weekly.

Fixtures, Fittings & Furniture

All decorating, renewals and repairs will be made in line with infection control guidelines.

The seating and exam couches in the clinical rooms have recently been replaced and are in good repair and of wipeable materials.

Responsibility

It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this. It is also the responsibility of the Practice Manager to ensure staff are familiar with the contents.

Additional Measures – Covid19

During COVID 19 we are instituting extra cleaning and infection control measures to reduce the risk and minimise transmission of infections, including wiping down of workstations before and after use and operating a zoning system for face to face appointments, to reduce the amount of movement around the surgery   The staff have all been provided with suitable personal protective equipment (PPE) for their role and exposure levels.

  • Routine Appointments – Both telephone and face to face appointments are available for our patients.  All patients will be assessed prior to their attendance at the surgery for Covid related symptoms.  All patients and visitors will be requested to wear a face covering when attending the surgery, and to come alone (or with one parent if a child).
  • 2 metre social distancing is in place throughout the surgery (where possible) and all staff wear a face covering when moving about the practice or where the 2 metre rule cannot be applied. Alcohol gel is available at the entrance of the building and outside all clinical rooms.  Both staff and patients are encouraged to apply this before entering the surgery/clinical rooms
  • Emergency appointments – where Covid-19 symptoms may be displayed by a patient, a separate, isolated clinic has been set up.  Patients will attend only when this is arranged by the Duty Doctor. Specific instructions would be given to the patients in this situation. A policy has been drawn up for the operation of these specially designated clinics (there is a SOP or Standard Operating Procedure) in conjunction with PHE (Public Health England) and NICE (the National Institute for Health and Care Excellence)

Version 1.5. Dated September 2021. Next Review August 2022