Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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SWBTB (2/10) 036 DOCUMENT TITLE: SPONSORING DIRECTOR: AUTHOR: TRUST BOARD IFC: Infection Control Policy SWBH\COI\001 Rachel Overfield – Chief Nurse DATE OF MEETING: 25 February 2010 Dr Beryl Oppenheim – Director of Infection Prevention and Control Rebecca Evans – Head of Infection Control nursing services SUMMARY OF KEY POINTS: The Infection Control Policy revised and updated: • All staff within the organisation are responsible for ensuring the prevention and control of infection. • All staff are responsible for ensuring they adhere to the correct policies and procedures. • It is the responsibility of staff to ensure patients are risk assessed and warded appropriately dependent on type of organism and transmissibility The policy is one of those identified as needing Trust board approval within the Policy on the Development, Management and Approval of policies. PURPOSE OF THE REPORT (Indicate with ‘x’ the purpose that applies): Approval Receipt and Noting Discussion X ACTIONS REQUIRED, INCLUDING RECOMMENDATION: The Trust Board is asked to approve the revised policy. Page 1
SWBTB (2/10) 036 ALIGNMENT TO OBJECTIVES AND INSPECTION CRITERIA: Part of the Trust Infection Control Programme 2010 Strategic objectives Annual priorities NHS LA standards Core Standards 2.4.9 – Infection Control C1 & C9 Auditors’ Local Evaluation IMPACT ASSESSMENT (Indicate with ‘x’ all those that apply in the second column): Financial Business and market share Clinical X Workforce Environmental Legal & Policy X Equality and Diversity Patient Experience Communications & Media X X Risks Failure to approve policy may result in an incorrect/ poor practice, misunderstanding of role responsibility and media attention. PREVIOUS CONSIDERATION: • Infection Control Service • Consultation via;- o Infection Control Operational Committee o Health and Safety Governance Board approved the policy at its meeting on 5 February 2010. Page 2
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SWBTB (2/10) 026 AGENDA Trust Board
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SWBTB (2/10) 026 18 Any other busin
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MINUTES approved as true and accura
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MINUTES expectation that there woul
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MINUTES however the structure would
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MINUTES which was reported to be un
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MINUTES Mr Cash asked which communi
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MINUTES Mr Seager presented an upda
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SWBTB (2/10) 025 (a) Next Meeting:
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SWBTB (2/10) 035 TRUST BOARD DOCUME
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SWBTB (2/10) 035 PREVIOUS CONSIDERA
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SWBTB (2/10) 035 (a) Contents Page
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SWBTB (2/10) 035 (a) 2. Methodology
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SWBTB (2/10) 035 (a) 2.3 Reach 780
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SWBTB (2/10) 035 (a) 7
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SWBTB (2/10) 035 (a) 3. Option Pref
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SWBTB (2/10) 035 (a) Table 3 Comple
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SWBTB (2/10) 035 (a) • A number o
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SWBTB (2/10) 035 (a) • Satisfied
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SWBTB (2/10) 035 (a) • Bad experi
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SWBTB (2/10) 035 (a) Table 5 Focus
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SWBTB (2/10) 035 (a) Some women kne
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SWBTB (2/10) 035 (a) • Reputation
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SWBTB (2/10) 035 (a) Young people p
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SWBTB (2/10) 035 (a) Table 7 Showin
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SWBTB (2/10) 035 (a) home birth wou
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SWBTB (2/10) 035 (a) Black Caribbea
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SWBTB (2/10) 035 (a) White and Blac
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SWBTB (2/10) 035 (a) • Labour Par
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SWBTB (2/10) 035 (a) Role Number of
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SWBTB (2/10) 035 (a) Appendix 1 Foc
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SWBTB (2/10) 035 (a) Appendix 2 Pro
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SWBTB (2/10) 035 (a) Postcode Area
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SWBTB (2/10) 035 (a) Chart 2: Women
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SWBTB (2/10) 035 (a) Chart 6: Women
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SWBTB (2/10) 035 (a) Chart 10: Wome
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SWBTB (2/10) 035 (a) Appendix 5 Com
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SWBTB (2/10) 035 (a) Appendix 7 Bir
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Page 79 and 80: SWBTB (2/10) 045 IMPACT ASSESSMENT
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Page 109 and 110: SWBTB (2/10) 045 (a) 11.2 Activity
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Page 113 and 114: SWBTB (2/10) 045 (a) 15. JOINT HEAL
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Page 117 and 118: SWBTB (2/10) 045 (a) APPENDIX 7 DOC
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Page 123 and 124: Sandwell & West Birmingham Hospital
Page 125 and 126: Risk Register APPENDIX 7 Version 1
Page 127 and 128: Risk Register APPENDIX 7 Version 1
Page 129: Risk Register Impact Narrative Poss
Page 133 and 134: POLICY PROFILE 2 SWBTB (2/10) 036 (
Page 135 and 136: Contents page SWBTB (2/10) 036 (a)
Page 137 and 138: Infection Control Surveillance Nurs
Page 139 and 140: 5.4.5 Infection Control Surveillanc
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Page 145 and 146: 12.0 Monitoring Effectiveness SWBTB
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Page 153 and 154: SWBTB (2/10) 037 TRUST BOARD DOCUME
Page 155 and 156: SWBTB (2/10) 037 (a) 1 Introduction
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Page 177 and 178: SWBTB (2/10) 037 (a) • Procedures
Page 179 and 180: SWBTB (2/10) 037 (b) 1 Appendix A 1
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Appendix A: Consent Form 1 - Right
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SWBTB (2/10) 037 (b) You should alw
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Appendix A: Consent Form 2 - Right
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SWBTB (2/10) 037 (b) appointed guar
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SWBTB (2/10) 037 (b) Form 3 guidanc
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Appendix A: Consent Form 4 - Left h
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SWBTB (2/10) 037 (b) Appendix A: Co
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SWBTB (2/10) 037 (b) Second opinion
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SWBTB (2/10) 037 (b) Appendix C San
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SWBTB (2/10) 037 (b) The young pers
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SWBTB (2/10) 037 (b) Appendix D Fun
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SWBTB (2/10) 037 (b) Appendix E How
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SWBTB (2/10) 037 (b) Appendix G THE
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SWBTB (2/10) 037 (b) Appendix G3 Tr
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SWBTB (2/10) 037 (d) Sandwell and W
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SWBTB (2/10) 037 (d) Introduction T
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SWBTB (2/10) 037 (d) What are the m
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SWBTB (2/10) 037 (d) How do I begin
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Frequently asked Questions SWBTB (2
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SAPG OCT 09 - 11 - SWBTB (2/10) 037
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SWBTB (2/10) 037 (d) Q5) Who was in
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SWBTB (2/10) 037 (d) Appendix B San
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SWBTB (2/10) 037 (d) 4d The EIA rev
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SWBTB (2/10) 037 (d) Date: Contact
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SWBTB (2/10) 037 (e) KEY TASKS ISSU
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KEY TASKS ISSUES IDENTIFIED ACTION
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SWBTB (2/10) 029 ALIGNMENT TO OBJEC
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SWBTB (2/10) 038 ALIGNMENT TO TRUST
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SWBTB (2/10) 038 (a) From 2010/11 M
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SWBTB (2/10) 038 (a) Median rate 2.
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SWBTB (2/10) 038 (a) Audit and Trai
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SWBTB (2/10) 046 (a) Compliance Cri
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3 Provide suitable and sufficient i
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8 Have and adhere to appropriate po
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SWBTB (2/10) 027 (a) PEAT Expendit
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SWBTB (2/10) 027 (a) A study was co
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SWBTB (2/10) 039 (a) Theme Triggers
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SWBTB (2/10) 029 (a) INTRODUCTION S
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In terms of affordability the follo
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SMOCS Sandwell PEC HoBt PEC Childre
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As reported last month, the date fo
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Les Williams Programme Director 201
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Respiratory The Project Lead post h
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SWBTB (2/10) 029 (b) Sandwell and t
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With the revised activity / afforda
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SWBTB (2/10) 041 (a) • Release 4
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SWBTB (2/10) 041 (a) • Rotawatch
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SWBGB NEW REF SWBTB (2/10) 030 (a)
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SWBTB (2/10) 031 (a) Financial Perf
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SANDWELL AND WEST BIRMINGHAM HOSPIT
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Exec Lead RK R0 Readmission Rates I
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Exec Lead RK RK YTD 09/10 No. 6388
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SWBTB (2/10) 042 (a) SANDWELL AND W
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SWBTB (2/10) 043 DOCUMENT TITLE: SP
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SWBTB (2/10) 043 (a) DEVELOPING THE
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SWBTB (2/10) 043 (a) • Merge the
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SWBFC (1/10) 010 Finance and Perfor
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SWBFC (1/10) 010 this be adopted as
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SWBFC (1/10) 010 The Committee was
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SWBFC (1/10) 010 8.2 Actions and de
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Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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