Infection Control Statement 2020-2021


This annual statement will be generated in January each year. It will summarise:

  • Any infection transmission incidents and action taken (if appropriate these will be reported in accordance with out significant event procedure)
  • Details of any Infection Control audits and any subsequent action taken
  • Details of any Infection Control risk assessments and any subsequent action taken
  • Staff training
  • Any review and update of policies, procedure or guidance

Infection Control Leads

The practice lead for Infection Prevention & Control (IPC) is Dr Mark Longley. He is supported by Rachel Tait (practice nurse) who is the designated link for IPC, Mrs Fay Johnson (Practice manager) and Tania Houghton (Operations Coordinator).

Rachel Tait will be attending the quarterly IPC meetings arranged by the West Hampshire Clinical Commissioning Group (CCG). She also carries out regular audits and maintains the IPC folder.  Any information gleaned through this role she cascades back to practice staff via staff meetings and email.

*(IPC meetings currently not going ahead in view of the covid19 pandemic.)

The Operations Coordinator organises staff training.

Significant Events

There have been 2 significant events which were related to sharps management in the last year. These were dealt with by the management team and discussed at the monthly partners meeting. The significant events lead then reported the incidents via the external ‘DATIX’ portal.


A cold chain audit it completed on a monthly basis for which we have brought in the following changes;

  • 1 nurse to take the lead in fridge checking on a daily basis
  • Regular stock rotation and moving between fridges if large orders of stock, e.g. delivery of flu vaccines

A monthly decontamination of equipment audit is also carried out.

On a quarterly basis an audit is conducted for both the phlebotomy environment and clinical practice. Findings from this audit are then passed down to the clinical lead for the phlebotomy department.

On an annual basis the infection control annual statement is updated. A full annual audit of the surgery is also conducted and any issues highlighted will be discussed between the infection control team.

For all new members of staff infection control and hand hygiene training is provided and an annual hand hygiene audit is conducted.

Risk Assessments

Risk assessments are carried out so that best practice can be established and followed.  In the last year the following risk assessments were carried out/reviewed:

Legionella (Water) Risk Assessment

The Practice has reviewed its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors or staff.  The legionella inspection/policy is held in the Operations Manager’s office.  Legionella testing was undertaken on 27th August 2020 by an external contractor which demonstrated that Legionella bacteria was not isolated in our water supply.  Monthly water testing is also undertaken in-house to ensure our water supply meets requirements set out by the Health & Safety Executive.  Any excursions are reported and action taken accordingly.

Staff Training

All practice staff will have training during their induction. Annual Infection Control training is set by mandatory Blue Stream Training.

All doctors and nurses have been instructed to undertake an online IPC training unit. Records show that the vast majority have completed it.

Review of Policies, Procedures and Guidance

The following policies have been reviewed and updated:

  • Policy & Procedure for Maintaining the Vaccine Cold Chain

Copies of all are available from the practice.