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Infection Control Policy - Devon Partnership NHS Trust

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Appendix 2 – <strong>Infection</strong> <strong>Control</strong> Assurance Framework<br />

Regularity<br />

• Monthly<br />

• Quarterly<br />

• Six monthly<br />

• Annually<br />

• Bi-yearly meetings<br />

• Ad hoc meetings<br />

• Monthly,<br />

Quarterly<br />

(full report)<br />

• Quarterly<br />

• As required<br />

• As required<br />

INFORMATION<br />

TREE<br />

TREE<br />

<strong>Trust</strong> Board<br />

of Directors<br />

DIPC/CE<br />

Safety & Risk<br />

Committee<br />

<strong>Infection</strong> <strong>Control</strong><br />

Committee<br />

Clinical Directorates<br />

IC<br />

Error!<br />

Reporting<br />

• Monthly performance report<br />

• DIPC annual report<br />

• Key issues<br />

• Instant reporting of any<br />

emerging HCAI issues<br />

• <strong>Infection</strong> control report<br />

• Assurance report<br />

• Outbreak report<br />

• Quarterly infection control<br />

minutes<br />

(with details of all HCAI)<br />

• Root cause analyses<br />

• Outbreak reports<br />

• PEAG/Matron’s meetings reports<br />

Reports: Hand hygiene compliance charts<br />

Audit reports<br />

RESPONSE TO<br />

VARIANCE<br />

For example:<br />

If an outbreak<br />

occurs, it is<br />

discussed with<br />

DIPC and relevant<br />

managers who are<br />

updated daily. Ad<br />

hoc outbreak<br />

meetings called as<br />

required.<br />

Outbreak reports<br />

are circulated and<br />

reports taken to<br />

the <strong>Infection</strong><br />

<strong>Control</strong> committee<br />

and Quality and<br />

Safety committee.<br />

Performance<br />

Reports to the<br />

Board.<br />

Healthcare associated infection reporting mechanisms<br />

Page 10 of 11

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