Infection Control Annual Statement


This annual statement will be generated annually in July 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; and
  • Any review and update of policies, procedures and guidelines.

Infection Prevention and Control (IPC) Lead

Testvale Surgery has a Lead for Infection Prevention and Control: Sister Angela Palmer

The IPC Lead is supported by our Treatment Room lead doctor: Doctor Eve Davies

Sister Palmer has attended an IPC Lead training course in May 2016 and keeps updated on infection prevention practice.

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 reviewed in the quarterly significant event meetings, as well as every six months at Partners meetings. The learning from these meetings is cascaded to all relevant staff.

In the past year there has been one significant event raised that related to infection control. This was discussed at the Significant Event meeting on 26 May 2016. Learning from these events included:

  • Meeting with the cleaning team about disposal of sharps.

As a result of these events, Testvale Surgery has changed:

  • Re-cap training about sharps disposal;
  • Reminder about completing documentation appropriately and ensuring all sharps boxes are closed prior to disposal;

Infection Prevention Audit and Actions

The Annual Infection Prevention and Control audit was completed by Sister Angela Palmer in conjunction with West Hampshire CCG in March 2016. As a result of the audit, the following things have been changed at Testvale Surgery:

  • Improvements to the domestic and clinical cleaning regimes at the practice;
  • Planned review of antimicrobial prescribing commenced in conjunction with the practice medicines management lead and the West Hampshire CCG;
  • Better infection control signage;
  • Improvements to the practice’s induction programme for new staff members;
  • Review and update of cleaning specifications.

An audit on Minor Surgery was undertaken by Dr. Mike Zardis in June 2015.

The audit found that no postoperative infections or complications were reported for patients who had had minor surgery at the Testvale Surgery.

Despite the positive result, the practice has made some improvements to the clinical cleaning regime of the minor surgery room. This includes a regular deep clean of the surgical facility in addition to the routine cleaning undertaken.

Testvale Surgery plan to undertake the following audits in 2016/17:

  • Annual Infection Prevention and Control audit;
  • Domestic cleaning audit;
  • Water Safety audit; and
  • Venepuncture audit;

Risk Assessments

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

  • 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;
  • Immunisation: As a practice we ensure that staff are up to date with their Hepatitis B immunisations and offered any occupational health vaccinations applicable to their role (i.e. MMR, Seasonal Flu). We take part in the National Immunisation campaigns for patients and offer vaccinations in house and via home visits to our patient population.
  • Hand washing sinks: The practice has clinical hand washing sinks in every room for staff to use. Some of our sinks do not meet the latest standards for sinks but we have removed plugs, covered overflows and reminded staff to turn off taps that are not ‘hands free’ with paper towels to keep patients safe. We are in the process of replacing our liquid soap with wall mounted soap dispensers to ensure cleanliness.
  • 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.
  • Toys: NHS Cleaning Specifications recommend that all toys are cleaned regularly and we therefore provide only wipeable toys in waiting/consultation rooms. Magazines have been removed from the waiting room area.


All our staff receive annual training in infection prevention and control.

Members of our clinical and non-clinical staff undertook their Infection Control training in February 2016 through an on-site training presentation sourced through Wessex LMC. This was part of a comprehensive annual mandatory and refresher training programme.

Other ad-hoc training includes the Infection Control Lead/Practice manager attending the water safety for primary care training, attendance at Target and Locality meetings arranged by West Hampshire CCG as well as Practice Nurse Forum Sessions relating to infection prevention and control.


All Infection Prevention and Control related policies are in date for this year. There are no infection control related policies which are currently being updated.

Policies relating to Infection Prevention and Control are available to all staff and are reviewed and updated bi-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.

All policies and procedures are available to staff members on the desktop of each practice computer, so can be readily accessed if required.

Responsibilities and Review Date

The Infection Prevention and Control Lead and the Practice Manager are responsible for reviewing and producing the Annual Statement. The next review will take place in July 2017.

Angela Palmer, Nurse Practitioner

For and on behalf of Testvale Surgery