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DELIVERY AREA 1: PATIENT SAFETY, PRACTICE AND CULTURE
Action Area | Links
With | Lead Agency | Target Completion Date |
|---|
2008/09 | 2009/10 | 2010/11 |
|---|
1.1 | Continuing development of care bundles | 1.2; 1.3; 1.4 | Health Protection Scotland | March 2009 | | |
1.2 | Implementation of care bundles | 1.1; 1.3; 1.4 | Scottish Patient Safety Alliance/ Health Boards/ Health Protection Scotland | | March 2010 | |
1.3 | Monitoring of compliance with implementation | 1.1; 1.2; 1.4 | Scottish Patient Safety Alliance/ Infection Control Managers | | | March 2011 |
1.4 | Evaluation of care bundle approach | 1.1; 1.2; 1.3 | Scottish Patient Safety Alliance/ Health Protection Scotland | | | |
1.5 | Support for Care Commission - care of older people and early years | 2.13 | Scottish Government Health Directorate | | | |
1.6 | Support Health Protection Scotland in the delivery of expertise in decontamination | | Scottish Government Health Directorate | March 2008 | | |
1.7 | Develop and pilot a methodology to improve learning and develop solutions with regard to endoscope incidents | | NHS Quality Improvement Scotland | Commence 01/04/08 | Complete 31/03/10 | |
1.8 | Public Involvement programme | 1.9 | Scottish Government Health Directorate | | | |
1.9 | Contribute to healthcare associated infection elements of patient experience | 1.8 | Scottish Government Health Directorate | | | |
1.10 | Community Health Partnerships further development | | Health Protection Scotland | | Dec 2009 | |
DELIVERY AREA 2: EDUCATION
Action Area | Links
With | Lead Agency | Target Completion Date |
|---|
2008/09 | 2009/10 | 2010/11 |
|---|
2.1 | Establish and address workforce development requirements of Infection Control Teams | 5.7 | NHS Education for Scotland | | | |
2.2 | Development of a programme to support Infection Control Nurse career progression ( e.g. from ICN to Nurse Consultant Role) | | NHS Education for Scotland | | Jan 2009 | |
2.3 | Develop a programme to support the developmental and educational needs of Infection Control Doctors | | NHS Education for Scotland | | Jan 2009 | |
2.4 | Develop a programme to support the developmental and educational needs of Microbiologists | 3.8; 4.9 | NHS Education for Scotland | | Jan 2009 | |
2.5 | Development of an educational programme on caring for patients in isolation (inclusion of developmental and educational needs for Infection Control Managers and surveillance nurses) | 2.5; 2.11 | NHS Education for Scotland | July 2008 | | |
2.6 | Development of an educational package on pressure ulcers (inclusion of developmental and educational needs for Infection Control Managers and surveillance nurses) | 2.6; 2.11 | NHS Education for Scotland | | Jan 2009 | |
2.7 | Further development of the national hand hygiene programme | | Scottish Government Health Directorate/Health Protection Scotland | | | 2010 |
2.8 | Cleanliness Champions Training Programme: promote inclusion of the cleanliness champions programme in undergraduate nursing and medical course and promote and extend the cleanliness champions programme to healthcare professional and support staff | | NHS Education for Scotland | | | |
2.9 | Develop topic specific packages relating to HAI and the Scottish Patient Safety Alliance | | NHS Education for Scotland | | | |
2.10 | Implementation of Outbreak Management programme | 4.11 | NHS Education for Scotland | | | |
2.11 | Education programme for Surveillance Nurses | 2.5; 2.6 | NHS Education for Scotland | | Sept 2009 | |
2.12 | Development of a Neonatal Vascular Access programme | | NHS Education for Scotland | March 2009 | | |
2.13 | Development of an educational package on presentation of infectious diseases in the elderly | 1.5 | NHS Education for Scotland | March 2009 | | |
DELIVERY AREA 3: SURVEILLANCE, INFORMATION AND AUDIT
Action Area | Links
With | Lead Agency | Target Completion Date |
|---|
2008/09 | 2009/10 | 2010/11 |
|---|
3.1 | Continued development of Surgical Site Infection Surveillance ( e.g. hips and c section) | | Health Protection Scotland | | | |
3.2 | Further development of catheter associated urinary tract infection ( CAUTI) surveillance in particular targeting medicine, surgical (and orthopaedics), care of the elderly and in long term care etc. | | Health Protection Scotland | | | March 2011 |
3.3 | Further exploration as to reasons for variation in Staphylococcus aureus bacteraemia ( SAB) rates | | Health Protection Scotland | March 2009 | | |
3.4 | Implementation of Intensive Care Unit surveillance of Ventilator Associated Pneumonia and Central Venous Catheter infections | | Health Protection Scotland | | March 2010 | |
3.5 | Repeated targeted prevalence surveillance | | Health Protection Scotland | | | Jan 2011 |
3.6 | Development and implementation of the 2nd National Point Prevalence Survey | 3.5 | Health Protection Scotland/ Scottish Government Health Directorate | | | March 2011 |
3.7 | Vascular catheter surveillance | | Health Protection Scotland | | Dec 2010 | |
3.8 | Surveillance of Antimicrobial Resistance | 2.4; 4.9 | Health Protection Scotland | | | Mar 2011 |
3.9 | Surveillance of use of antimicrobial resistance drugs | | NHS Information Services Division/ Health Protection Scotland | | | |
3.10 | Further development of bacteraemia surveillance ( ECOSS interface) | | Health Protection Scotland | Dec 2008 | | |
3.11 | Develop a prevalence methodology for pressure ulcers (linked to the national approach to tissue viability) | | Health Protection Scotland | March 2009 | | |
3.12 | Knowledge management of HAI outbreaks | | Health Protection Scotland | March 2009 | | |
3.13 | Explore care home surveillance | 3.1 - 3.12 | Health Protection Scotland/ Scottish Government Health Directorate/ Care Commission | March 2009 | | |
DELIVERY AREA 4: GUIDANCE AND STANDARDS
Action Area | Links
With | Lead Agency | Target Completion Date |
|---|
2008/09 | 2009/10 | 2010/11 |
|---|
4.1 | Development of supporting materials for implementation of the model policies for transmission based precautions | 4.2; 4.13 | Health Protection Scotland | | March 2010 | |
4.2 | Developing further new model policies | 4.1; 4.13 | | | | |
4.3 | Pilot study of the recommendations in the MRSA Health Technology Assessment | 4.4 | Health Protection Scotland/ NHS Quality Improvement Scotland/Scottish Government Health Directorate | Feb 2009 | | |
4.4 | Full implementation of MRSA screening programme following the pilot if indicated | 4.3 | Health Boards/Scottish Government Health Directorate | | | |
4.5 | Implementation of the MRSA control strategy | | NHS Health Boards | | | |
4.6 | Following finalisation of the NHS Quality Improvement Scotland standards and self assessment tool, work with the service to support implementation of the standards, particularly in relation to information/data requirements and how to embed this within routine practice. | 4.7 | NHS Quality Improvement Scotland | 01/04/08-31/03/09 | | |
4.7 | Formal review of new NHS Quality Improvement Scotland HAI infection control standards | 4.6 | NHS Quality Improvement Scotland | | Commence 01/04/09 | Complete 31/10/10 |
4.8 | Develop national guidelines on taking samples for diarrhoeal patients (including Clostridium difficile) | 4.10 | Health Protection Scotland | June 2008 | | |
4.9 | Implementation of SCOTMARAP recommendations, including addressing the educational recommendations | 3.8; 2.4 | Scottish Medicines Consortium | | | |
4.10 | Continue to develop standard operating procedures for testing of key organisms | 4.8; 4.11 | Scottish Microbiology Forum | | | |
4.11 | Outbreak management guidance, e.g. development of outbreak specific tools for optimum actions | 4.10 | Health Protection Scotland | Dec 2008 | | |
4.12 | Rolling programme for reviewing existing national programmes | | Scottish Government Health Directorate/Health Protection Scotland/All Stakeholders | | | March 2011 |
4.13 | Evaluation model policies | 4.1; 4.2 | Health Protection Scotland | | March 2010 | |
DELIVERY AREA 5: PHYSICAL ENVIRONMENT
Action Area | Links
With | Lead Agency | Target Completion Date |
|---|
2008/09 | 2009/10 | 2010/11 |
|---|
5.1 | Further development of the monitoring framework for the NHSScotland National Cleaning Services Specification | | Health Facilities Scotland | | March 2009 | |
5.2 | Promote specification of new builds as fit for purpose for HAI prevention | | Health Facilities Scotland | | | |
5.3 | Innovations Research Project - Phase 2: The wider view and the impact on HAI | 5.5; 5.6 | Health Facilities Scotland | Aug 2008 | | |
5.4 | Develop an Education and Training Framework for all staff groups within facilities services to include: A: Framework B: Competencies | | Health Facilities Scotland | Soft Facilities Oct 2008 | Hard Facilities Mar 2009 | |
5.5 | Study programme on cleaning regimes, methods to increase standards and productivity | 5.3; 5.6 | Health Facilities Scotland | Nov 2008 | | |
5.6 | A Housekeeping pilot scheme will be hosted by Health Facilities Scotland early 2008 to identify if the housekeeper role contributes to improving cleaning standards and reduces HAI. This study will also identify associated costs of implementing Housekeepers throughout Scotland. | 5.3; 5.1 | Health Facilities Scotland | Sept 2008 | | |
5.7 | Develop training package for Infection Control teams specifically around areas of mechanical services e.g. ventilation, water systems | 2.1 | Health Facilities Scotland | | | |
5.8 | Develop training package for HAI guidance for NHS Health Boards | | Health Facilities Scotland | | | |
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