Infection Control Policy - Devon Partnership NHS Trust

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3. Duties 3.1. Board of Directors and Chief Executive – The Board of Directors, via the Chief Executive, are responsible for: • Ensuring there are effective and adequately resourced arrangements for infection control within the organisation. • Identifying a Board level lead for infection control. • Ensuring that the role and functions of the Director of Infection Prevention and Control are satisfactorily fulfilled by appropriate and competent persons as defined by DH, (2004b) • Approving the infection prevention and control annual programme, receiving the DIPC’s annual report and any other reports regarding the state of infection control within the organisation. • Ensuring that appropriate systems are in place for: o reviewing reports and statistics on the incidence of alert organisms (e.g. MRSA, Clostridium difficile) and conditions, outbreaks and Serious Untoward Incidents • ensuring that clinical responsibility for infection prevention and control is effectively devolved to: o o All professional clinical groups in the Trust Clinical Directorates and matrons where appropriate. 3.2. Director of Infection Prevention and Control – The DIPC will: • Oversee local control of infection policies and their implementation. • Be responsible for the Infection Prevention and Control Team within the healthcare organisation. • Report directly to the Chief Executive and the Board of Directors and not through any other officer. • Challenge inappropriate clinical hygiene practice as well as antibiotic prescribing decisions. • Assess the impact of all existing and new policies and plans on infection and make recommendations for change. • Be an integral member of the organisation's clinical governance and patient safety teams and structures, providing regular reports and decision briefings to the Safety and Risk Committee. • Produce an Annual Report on the state of healthcare associated infection in the organisation(s) for which he/she is responsible and release it publicly. Infection Control Policy Approved by Infection Control Committee: 20 th October 2011 Review date: October 2013 Page 4 of 11
3.3. Infection Prevention and Control Team – The IPCT is responsible for: • Ensuring advice on infection control is available on a 24-hour basis. • Formulating an annual Infection Prevention and Control Programme in full consultation with the Infection Control Committee (ICC), health professionals and senior managers. The programme will include surveillance of infection and audit of the implementation of and compliance with selected policies. • In liaison with other relevant staff preparing, reviewing and updating evidence-based policies and guidelines in line with relevant Department of Health notifications and/or national guidelines, when available and applicable (see Appendix 1). • Identifying and controlling outbreaks in collaboration with the Consultant for Communicable Disease Control and outbreak control group as appropriate. • Ensuring the provision of education to all grades of staff working within the scope of this policy (see Section 6). • Liaising with the Occupational Health Department, Consultant in Communicable Disease Control, the Health Protection Agency and other external services or agencies where applicable. 3.4. The Infection Control Committee – Responsibilities of the ICC include: • Advising and supporting the IPCT. • Drawing to the attention of the Chief Executive, either through the DIPC or, if necessary, directly, any serious problems or hazards relating to infection control. • Considering reports on infections and infection control problems. • Discussing and endorsing a plan for the management of outbreaks in the Trust and monitoring its implementation. • Discussion and endorsement of a plan for the Trust’s response to major outbreaks in the community – the Major Incident (outbreak) Plan – and monitoring of its implementation. • Collaborating with the IPCT to develop the Annual Infection Prevention and Control Programme, monitor its progress, assist in its effective implementation and review the annual report. • Providing advice regarding the most effective use of resources available for implementation of the programme and for contingency requirements. • Creating, reviewing and monitoring the Infection Control Assurance Framework (see Section 5.0 and Appendix 2). • Advising on and approving all infection control policies before their submission to the Chief Executive for approval, and review of their implementation. • Promoting and facilitating the education of all grades of staff in infection control procedures. Infection Control Policy Approved by Infection Control Committee: 20 th October 2011 Review date: October 2013 Page 5 of 11
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Infection Control Policy - Devon Partnership NHS Trust

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