NOTE OF MEETING OF HAI STAKEHOLDERS HELD ON TUESDAY 22 MAY 2007 IN ST ANDREW'S HOUSE

Present

Stakeholders

Hazel Borland, NHS Quality Improvement Scotland (NHS QIS)

Hilary Davison, NHS Quality Improvement Scotland (NHS QIS)

Liz Gillies, NHS Education for Scotland (NES)

Jacqui Reilly, Health Protection Scotland (HPS)

SEHD

Margaret Tannahill, Nursing Adviser HAI and Communicable Disease (Chair)

Linda Middleton, HAI Team

Callum Percy, HAI Team

1. WELCOME

1.1 Margaret welcomed the members to the meeting and introduced Callum Percy as the new Policy Lead of the HAI Team. She also advised that Uriel Jamieson Head of Nursing Directorate would be joining the meeting later. Apologies were noted from Paul Kingsmore and Peter Christie.

2. APPROVAL OF NOTE OF LAST MEETING

2.1 Margaret advised members that interviews for a new information scientist, to support the HAI Team, were scheduled for Monday 4 June 2007.

2.2 Jacqui advised that she had contacted Wilma about the HAI e-portal and that training would be arranged.

2.3 Liz advised that NES is undertaking a survey of some selected documents published as a result of the HAI Task Force and the HAI Initiative. Liz also commented on the positive feedback that she had had in relation to the HAI e-portal.

2.4 The note of the last meeting was agreed.

Action: Secretariat to issue NES HAI e-portal information to Hazel.

3. MATTERS ARISING

Root Cause Analysis: Training

3.1 Hazel advised members that Root Cause Analysis training for Infection Control Teams in Aberdeen, Glasgow and Edinburgh had been arranged during May and June 2007. She also advised that one training seminar had been arranged for Risk Managers. If necessary NHS QIS would consider a further training seminar in September 2007. Hazel advised that she would confirm with the National Patient Safety Association (NPSA) that annual root cause analysis training would be provided.

Action: Hazel to confirm with NPSA that annual root cause analysis training would be provided.

Funding Allocations

3.2 Callum advised members that allocation letters had been sent to all Stakeholders. During discussion, a number of discrepancies were highlighted and Callum agreed to check and reconfirm allocations. He also agreed that Jacqui Reilly should be copied into all correspondence with HPS.

Action: Callum to check allocations and confirm with members in due course.

Action: Callum to ensure that all correspondence is copied to or sent directly to Jacqui.

Colour coding of cleaning materials

3.3 Linda gave an update on this item on behalf of Paul Kingsmore. She advised that a steering group had been established and a scoping exercise is underway to establish ways of standardising the coding of cleaning materials across Scotland. She further advised that it is thought that only a small number of NHS Boards will be required to change practices. David Bedwell, Assistant Director to take this item forward on behalf of HFS.

Care Bundles

3.4 Jacqui said that she would discuss under item 6.

4. PATIENT SAFETY

4.1 Hazel advised members that interviews for the appointment of an external partner for the Scottish Patient Safety Alliance (SPSA) were held last week. NHS QIS is at present developing roles and responsibilities for the SPSA and will work with the external partner and NHS Boards towards implementation. It is proposed to establish regional teams to help support NHS Boards. Comparison of incident reporting will be carried out when the external partner has been appointed. A sustainability plan will be progress over the summer and the programme is due to commence in October 2007. Hazel further advised that the patient safety programme would align with four topic areas in the CMO patient safety plan. It was noted that HPS had not been included in the CMO patient safety launch and it was agreed that this omission should be rectified.

Action: Secretariat to ensure that HPS are included as a key stakeholder on the Scottish Patient Safety Alliance - National Advisory Board.

5. STRATEGY/OPTIONS FOR CONTINUATION OF A NATIONAL HAI PROGRAMME

5.1 Jacqui advised that she had already provided suggestions from HPS. She also advised that the remit of the National HAI surveillance group has been expanded and is now also focussing on HAI reduction. To reflect this expanded remit NES and NHS QIS have been invited to join the group. Liz agreed that she would develop an option appraisal for the NES HAI initiative including options for the continuation the Cleanliness Champions Programme. Hazel advised that the way forward for NHS QIS will include work on the NHS QIS infection control standards and through the Scottish Patient Safety Alliance. Margaret advised that options for the continuation of a national HAI programme would be on the agenda for the next HAI Task Force meeting on 26 June 2007. Callum advised that until the new administration had bedded in we would not know the new ministerial priority areas. The point prevalence survey due to be published at the beginning of July, would if accepted, be the basis of the continued work of the HAI Task Force.

Action: NES to submit option paper to secretariat.

6. HAI TASK FORCE DELIVERY PLAN PROGRESS

Update paper on key delivery areas

HPS

6.1 Delivery area 6.2 - Development of model policies. Jacqui advised that joint funding for HPS/NES of a further £15K would be requested. Callum advised that funding had been agreed in principle and requested that Jacqui email details of the requirements to Secretariat. Letter of confirmation would be issued in due course.

Action: Jacqui to email details of required funding to Secretariat.

Action: Secretariat to issue confirmation of funding to HPS.

6.2 Delivery area 8.2 - Develop a network for Infection control Managers. Jacqui advised that an agenda had been prepared for the next ICM meeting and that she would provide feedback at the next stakeholder meeting. She further advised that the "shared space" is being well used. Margaret advised that Maggie McCowan and John McKinnon would be invited to meet with Margaret, Peter and Callum to discuss interdependencies for other members of infection control teams.

Action: Secretariat to arrange meeting with Maggie McCowan and John McKinnon in their new roles as chair and vice chair of the ICM network.

6.3 Delivery area 9 - Support and encourage HAI research via establishment of virtual and electronic networks. Jacqui advised that the SIRN (Scottish Infection Research Network) has been established and that an administrator had been appointed. HPS plan to submit an outline bid of £3m for HAI from the consortium by October 2007. Full applications, agreed in partnership with stakeholders, to be submitted by summer 2008 with grants awarded in autumn 2008.

6.4 Delivery area 10 - Information Management and Technology. Jacqui advised that the project has been hampered by a change in NSS policy on the use of business objects and may be heading into the "red" area.

6.5 Delivery Area 6.2 - Development of model policies on transmission based precautions. This PID was agreed in principle with further discussion on the additional funding required. HAI secretariat will follow up with Jacqui.

Action: Secretariat to follow up with Jacqui.

6.6 Delivery area 13.1 - Project Initiation Document - Promote and encourage the integration of prevention and control of infection within Community Health Partnerships. Copies of this PID were issued to members. Jacqui advised that the objective was to carry out a survey of practitioners working with CHPs. It is then proposed to hold an event to establish a network.

Action: Secretariat to email Jacqui stating that PID had been agreed.

6.7 Delivery area 14.4 - Care bundles - addition to full PID - Develop programmes for the reduction of (surgical site infection) Clostridium difficile (and MRSA) and the HASA PID. Jacqui advised that the care bundles were discussed and agreed at the HAI improvement strategy meeting and that final content of the evidence based bundles including MSSA would be finalised in June. The HASA PID was accepted in principle with the comment that the format of this one differed from other HPS PIDs. The additional PID would be discussed further between Jacqui and HAI Secretariat.

Action: Secretariat to further discuss the HASA PID with Jacqui.

6.8 Jacqui provided a copy of the report "Output from the ICM Symposium to establish the ICM Network". Margaret agreed that Secretariat would review the report and include as an agenda item for the next stakeholders meeting.

Action: Secretariat to review report and feedback at next stakeholder meeting.

NHS QIS

6.9 Delivery area 2.2 - Review of the NHS Quality Improvement Scotland HAI Infection Control Standards. Hilary advised that the next meeting was scheduled for 29 May 2007 and that the draft standards would soon be ready to issue for the 3 month consultation period. NHS QIS is considering venues and dates for open meetings. NHS Lanarkshire have agreed to pilot the standards and NHS QIS is now also looking for a rural site to pilot.

6.10 Delivery areas 7.1. - Develop incident and 'near miss' reporting using HAI as a "tracer" to test methodology developed and 7.2 - Develop and pilot HAI incident reporting linked to the HAITF document on risk methodology. Hazel advised that she had made amendments to WG 12 document and returned to secretariat at the end of March 2007. She asked for an update on the current position. She also advised that a 'Safer today and tomorrow' meeting focusing on endoscopy was planned for next week and the NHS QIS were looking for a pilot site. Margaret agreed to provide the name of an endoscopy nurse involved in national endoscopy decontamination group for the NHS QIS endoscopy group and advised Hazel in due course.

Action: Margaret to provide name of endoscopy nurse and pass details to Hazel.

Action: Secretariat to advise Hazel on current position on WG 12 document.

6.11 Delivery Area 7.3 - Use HAI as a "pathfinder" theme in implementation of the Australian/New Zealand risk assessment maitrix and 7.4 - Work with Risk Managers in NHS Boards to raise awareness and implement the risk maitrix with specific regard to HAI. Hazel advised that a review of the maitrix should be complete by October 2007 and that raising awareness training for Risk Managers is in progress. Consideration is being given as to how the maitrix could be used to grade the number of instances noted in risk registers linked with NES education training.

NES

6.12 Liz advised that all delivery areas were progressing. She advised that the Cleanliness Champions programme was under review and the programme had been launched in Wales.

6.13 Liz advised that online evaluation had been built into the antibiotic prescribing for foundation year doctors programme and that 700 had already completed the course and that provision to roll out to the wider community is under provision.

6.14 Liz advised that the Domestic Services Framework national workbook, which is competency based and was mapped against VQ1, is now being progressed to align with SQA. She advised that the managers' guide would soon be diseminated by HFS. She further advised that discussions were underway on further education for training the trainer.

6.15 Liz advised that work on vascular access was fairly well progressed and it was hoped to circulate in early June with wider consultation thereafter.

6.16 Liz advised that the formal report from the Incident Management workshop with Lothian would be available within the next two to three weeks.

6.17 Liz advised that a workshop is planned for 11 June to explore the customised development of a leadership programme for Infection Control professionals.

6.18 Liz advised that development of e-learning packages for C.diff, antimicrobial resistance, MRSA, MSSA, ESBLs, venous access is underway and progressing.

Action: Liz to confirm if funding for NES in 2007/08 is still required.

HFS

6.19 Members were advised that the next cleaning monitoring report was due for issue on 29 May 2007.

6.20 Members were advised that, if an HDL to encourage the use of HFS building notes is to be developed by the SE, HAI secretariat would be involved.

SEHD

6.21 Delivery Area 5 - Public Involvement and Communication Team (PICT). Callum advised that this area of work was slightly behind schedule but that a meeting had been arranged with the Chairman next week to progress.

6.22 Callum advised that the nursery pack campaign for hand hygiene was progressing and Ministerial approval was awaited.

6.23 Uriel advised that the new Ministerial team had been announced and that instead of Ministers we now have Cabinet Secretaries and instead of Deputy Ministers we now have Ministers. She further advised that Nicola Sturgeon had been appointed as Cabinet Secretary for Health and Wellbeing and Shona Robison had been appointed as Minister for Public Health.

7. DATE OF NEXT MEETING

7.1 Margaret reminded members that the next meeting is scheduled for Tuesday 24 July 2007, from 10.30 to 12.30 in Room GR.08 SAH

8. AOCB

8.1 Hazel advised members that the second clinical safety patient event had been arranged for 23 and 24 January 2008, where 12 workshops would be held over the two days. Abstracts would be requested in June 2007.

HAI Team

July 2007