ACTION | LEAD AGENCY
PARTNERS | STATUS |
|---|
DELIVERY AREA 1: HAND HYGIENE |
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1.1 Develop and launch a hand hygiene campaign for Scotland for: - the general public, including children;
- NHS staff, including the development and implementation of a national hand hygiene audit and monitoring methodology.
| HPS HAITF | Completed The next phase of this will continue under Action Area 2.7 in the 2008 - 2011 Plan |
DELIVERY AREA 2: IMPLEMENTATION AND PERFORMANCE |
|---|
2.1 Develop an HAI monitoring framework, including Key Performance Indicators. | SEHD, HAITF | Completed |
2.2 Review of the NHS Quality Improvement Scotland HAI infection control standards. | NHSQIS HPS | Completed |
2.3 Implement and monitor the organisational structures set out in HDL(2005)8, including the role of the infection control manager. | SEHD NHS Boards | Completed The next phase of this will continue under Action Area 6.1 in the 2008 - 2011 Plan |
2.4 Identify the monitoring required against each component of the HAITF Delivery Plan and implement appropriate monitoring. | SEHD, HAITF | Completed The next phase of this will continue under Action Area 4.12 in the 2008 - 2011 Plan |
DELIVERY AREA 3: EDUCATION |
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3.1 Cleanliness Champions Training Programme: - Promote inclusion of the cleanliness champions' programme in undergraduate nursing and medical courses;
- Promote and extend the Cleanliness Champions' Programme to healthcare professional and support staff.
| NES | Completed The next phase of this will continue under Action Area 4.12 in the 2008 - 2011 Plan |
3.2 Anti-microbial prescribing: - Develop antimicrobial prescribing resources for undergraduate medical students;
- Develop, pilot and launch educational programmes on prudent prescribing of antimicrobials.
| NES | Completed |
3.3 Develop a national framework for post-graduate/continuing professional development HAI education: - Promote the development of courses based on the NES interim prevention and control of infection curriculum.
- Review existing HAI educational programmes and define additional input required.
- Undertake a training needs analysis for infection control specialists and infection control managers.
- Develop an education and training programme for infection control managers.
- Support implementation of the education and training recommendations in the HAI Code of Practice
- Define systems to quality assure/monitor NHSScotland structures and processes for HAI education & training.
- Develop an education and training framework for domestic services
| NES HFS HPS NHS Boards PICT | Completed Elements of this action area will continue to develop under Delivery Area 2 : Education in the 2008 - 2011 Plan. |
3.4 Develop educational packages on specific topics - C.diff, antimicrobial resistance, MRSA, MSSA, ESBLs, venous access. | NES HPS | Completed The next phase of this will continue under Action Area 2.9 in the 2008 - 2011 Plan |
3.5 Provision of training programme in management of outbreaks and incidents. | NES HPS | Completed |
3.6 Identify leadership and development training for Infection Control professionals. | NES HPS, ICNA | Completed |
3.7 Produce proposals for increasing general HAI knowledge and awareness for NHS Chief Executives. | NES | Completed |
3.8 Determine workforce development requirements of Infection Control Teams. | NES HPS | Completed |
DELIVERY AREA 4: SURVEILLANCE |
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4.1 Completion of the National HAI prevalence survey. | HPS | Completed |
4.2 Review the national mandatory and voluntary programme of HAI surveillance and issue Health Department Letter setting out resulting changes. | HPS, SEHD | Completed |
DELIVERY AREA 5: PUBLIC INVOLVEMENT |
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5.1 Develop a work programme to meet public involvement commitments in the HAI Task Force Delivery Plan. | PICT HAITF | Completed |
5.2 Explore patient/public feedback mechanisms on HAI. | PICT | Completed |
5.3 Secure commitment to public involvement in monitoring compliance with the NHSScotland National Cleaning Services Specification. | HFS PICT, NHS Boards | Completed |
5.4 Explore the use of HAI as a topic area by the Scottish Health Council. | PICT, HAITF SHC | Completed |
5.5 Develop a national public information strategy in relation to HAI. | PICT SHC | Completed |
5.6 Develop mechanisms for engaging with Community Health Partnerships and Public Partnership Forums at a local level. | PICT, CHPs | Completed |
5.7 Secure public involvement in HAI-related publicity and awareness raising (e.g. hand hygiene and ICNA infection control week). | PICT, SEHD, ICNA, NHS Boards | Completed |
5.8 Hold a PICT induction workshop for new members. | PICT, NES | Completed |
DELIVERY AREA 6: HAI TASK FORCE DOCUMENTS |
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6.1 Review the existing Antimicrobial Scottish Strategy and Action Plan and prepare a consultation document. | Working Group HPS | Completed Implementation of successor Scot MARAP document will continue under Action Area 4.9 in the 2008 - 2011 Plan |
6.2 Ongoing development of Model Policies for Infection Control: - Development of support to assist stakeholders (including the independent sector) to implement the model policies;
- Development of model policies on transmission based precautions (i.e. when infection probable or confirmed).
| HPS | Completed The next phase of this will continue under Action Areas 4.1 and 4.2 in the 2008 - 2011 Plan |
DELIVERY AREA 7: PATIENT SAFETY |
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7.1 Develop incident and 'near miss' reporting using HAI as a "tracer" to test methodology developed. | NHSQIS | Completed This will continue under Action Area 1.7 in the 2008 - 2011 Plan |
7.2 Develop and pilot HAI incident reporting linked to the HAITF document on risk methodology. | NHSQIS | Completed This will continue under Action Area 1.7 in the 2008 - 2011 Plan |
7.3 Use HAI as a "pathfinder" theme in implementation of the Australian/New Zealand risk assessment matrix | NHSQIS | Completed |
7.4 Work with Risk Managers in NHS Boards to raise awareness and implement the risk matrix with specific regard to HAI. | NHSQIS NHS Boards | Completed |
DELIVERY AREA 8: IDENTIFY & SHARE BEST PRACTICE IN INFECTION PREVENTION AND CONTROL |
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8.1 Develop a practical methodology for sharing & implementing best practice that can be used throughout NHSScotland. | HPS | Completed |
8.2 Develop a network for Infection Control Managers. | HPS | Completed |
DELIVERY AREA 9: RESEARCH |
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9.1 Support and encourage HAI research via establishment of virtual & electronic networks. | HAIRNET HPS, NES | Completed |
DELIVERY AREA 10: INFORMATION MANAGEMENT & TECHNOLOGY (IM&T) |
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10.1 Implement feedback of infection rates to relevant hospital staff, including surgical site infections and MRSA bacteraemias. | HPS | Completed |
10.2 Assess operation of IT system developed for NHSScotland National Cleaning Services Specification Monitoring Tool. | HFS | Completed |
DELIVERY AREA 11: CLEANING AND HYGIENE |
|---|
11.1 Implementation throughout NHSScotland of the monitoring framework for the NHSScotland National Cleaning Services Specification. | HFS PICT, ADM, HPS, NHS Boards | Completed |
11.2 Develop and consult on a national uniform code | SEHD HPS | Passed to Workforce Directorate |
11.3 Drive the adoption throughout NHSScotland of the: - education and training framework for domestic assistants;
- the role of the ward housekeeper, including arrangements for networking and sharing good practice.
| NES, HFS NHS Boards, ADM, PICT | Completed The next phase of this will continue under Action Area 5.6 in the 2008 - 2011 Plan |
DELIVERY AREA 12: ESTATES, FACILITIES AND ENVIRONMENT |
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12.1 Promote specification of new builds as fit for purpose for HAI. | HFS.Universities, SEHD, NHS, Professional bodies | Completed |
12.2 Implement HAI Scribe risk control system. | HFS.NHS, Professional bodies | Completed |
12.3 Define the HAI Task Force role in the implementation and monitoring of Scottish Health Facilities Note 30. | HFS SEHD | Completed |
12.4 Develop proposals for HAI education and training for private sector companies providing building & facilities services to the NHS. | HFS NES, Professional bodies | Completed |
12.5 Develop proposals to build HAI issues into contracts with private sector companies providing building & facilities services to the NHS. | HFS NES, Professional bodies | Completed This will continue under Action Area 5.6 in the 2008 - 2011 Plan |
DELIVERY AREA 13: COMMUNITY AND INDEPENDENT SECTORS, PRIMARY CARE |
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13.1 Promote and encourage the integration of prevention and control of infection within Community Health Partnerships. | HPS HAITF, PICT | Completed This will continue under Action Area 1.10 in the 2008 - 2011 Plan |
13.2 Define HAITF role relating to healthcare provided in patients' homes and other community settings. | HAITF, Care Comm.NES, HPS | Completed This will continue under Action Area 1.6 in the 2008 - 2011 Plan |
13.3 Define HAITF role in the effective implementation of the Infection Control in Adult Care Home sector standards. | HAITF, Care Comm.HPS, NES | Completed |
13.4 Ensure the inclusion of HAI requirements (e.g. compliance with HAI Code of Practice) in local primary care contracts. | HAITF, SEHD, NHS Boards | Completed |
DELIVERY AREA 14: SPECIFIC ORGANISMS |
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14.1 Develop and consult on a National MRSA Control Strategy. | HAITF.NHSQIS, HPS, NES, HFS | Completed |
14.2 Develop and implement standard operating procedures for diagnosis of key organisms: C. difficile. | SMF HPS, NES | Completed |
14.3 Deliver and consult on the Health Technology Assessment on MRSA screening. | NHSQIS | Completed |
14.4 Develop programmes for the reduction of surgical site infection, C difficile and MRSA. | HPS | Completed |
14.5 Carry out and report on an HAITF funded study of specific admission isolation policies to reduce norovirus infection. | GGNHSB SEHD | Completed |
14.6 Develop further programmes to support the reduction of specific organisms e.g. community acquired MRSA and norovirus. | HPS NES | Completed |