Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

POLICY PROFILE
2
SWBTB (2/10) 036 (a)
Overview
Key overall purpose of policy • To meet the statutory requirements as set out in ‘The Health
and Social Care Act 2008’.- Code of Practice for health and
adult social care on the prevention and control of infections
and related guidance’.
• To provide an efficient, cost effective infection control service
for the Trust
• To utilise, develop and promote infection control practices
which are cost effective, safe and efficient, minimising the
risk of patients acquiring infections during or as a result of
their stay in the hospital.
• To implement the annual Programme and polices and to be
responsible for providing advice to the Trust or hospital staff
on a 24 hour basis.
Principal target audience
All Staff [to include:- agency, locum and contractors], patients
and visitors
Application
All Staff [to include:- agency, locum and contractors], patients
and visitors
Accountable Executive Director
Author(s)
Impact Assessment
Resource implications
Training implications
Communications implications
Date of initial equality impact
assessment
Date of full equality impact
assessment (if appropriate)
NHSLA risk management
standards/ CQC core standards
Consultation and referencing
Key stakeholders
consulted/involved in the
development of the policy
Complementary Trust documents
for cross reference
Approvals and monitoring
Approving body
Chief Nurse
Dr. Beryl Oppenheim. Director of Infection Prevention and
Control.
Ms. Rebecca Evans. Head of Infection Control Nursing Services
None – updated policy.
None
None
02.02.2010
02.02.2010
Core Standards - C1- & C9
NHS LA Risk Assessment - 2.4.9 – Infection Control
• Infection Control Service
• Consultation via;-
o Infection Control Operational Committee
o Health and Safety
o Trust Management Board.
Infection Control policies to include:- Hand Hygiene Policy,
Induction, Statutory and Mandatory Training Policy, Waste
Policy, Occupational Health policies. Antibiotic Policy
Infection Control Operational Committee, Governance Board and
Trust Broad
Date of implementation
Monitoring and audit • Infection Control – through day to day practices and audit.
• Ward/Departmental managers, Matrons, Clinical directors,
Divisional Managers are responsible for ensuring
compliance against policy is met.