INFECTION CONTROL UPDATE Ppt Powerpoint Presentation slides-Medical Slideshow Infection Control Update

INFECTION CONTROL UPDATE

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Slide 1 :

INFECTION CONTROL UPDATE Donna Kinnair Director of Infection Prevention and Control

Slide 2 :

Key Issues and Priorities for Southwark re HCAIs Monitoring of MRSA and C.difficile rates at KCHFT Dulwich Intermediate Care Unit Care Homes and Care Homes with Nursing Community Services

Slide 3 :

Work In Progress or Completed Healthcare Act 2006 – Code of Practice - Gap analysis Infection Control and Minimum Standards for Premises Audits of all PCT and GP Practice Premises - completion end Nov 07 Mandatory Infection Control Training for all relevant staff on appointment and yearly thereafter All training required for Core Standards will be audited as part of 07/08 Core Standards Quality Assurance Plan Development of a Quick Reference Guide for Staff, Patients and Carers

Slide 4 :

Planned Work Nov 07 – April 08 Targeted work around standards of care Review of guidelines for the management of high risk patients DIPC and Senior Nursing Staff to work with front line staff Joint work with KCHFT & HPA to review the management of high risk patients transferring from acute to community setting Successful bids – NHS London reduction in incidence of HCAIs - £31,050.00 awarded - Infection control audits Care Homes - Infection Control Conferences 5th/18th Feb 2008

Slide 5 :

Healthcare Commission Investigation into outbreaks of Clostridium difficile at Maidstone and Tunbridge Wells NHS Trust October 2007 April 2004 – June 2006 Healthcare Commission estimates deaths definitely or probably due to C.difficile were between 47 and 127 Implications for PCT as both a provider of in-patient care, community care and as a commissioner of acute services and services from independent contractors.

Slide 6 :

Key Lessons Learnt Robust Governance systems Trust boards must be well informed Clear guidelines on the effective isolation of patients Guidance on risks of broad spectrum antibiotics High quality medical and nursing care

Slide 7 :

5 National Recommendations 1. The diagnosis of C.difficile needs to be regarded as a diagnosis in its own right, with proper continuity of management. 2. Further consideration needs to be given to the education and supervision of trainee doctors, with a view to improving the recording of C. difficile on death certificates. 3. Antibiotics should be targeted, of the narrowest spectrum possible, and used for the shortest possible time. 4. The NHS and HPA should agree clear and consistent arrangements for the monitoring of rates of C. difficile infection. 5. The board of every NHS Trust must understand the roles and responsibilities of the Director of Infection Prevention and Control (DIPC), and receive regularly, information about incidence and trends.

Slide 8 :

Specific Recommendations For PCT’s as Commissioners Communications between the PCTs and Trust must focus on the quality of care and not soley on numbers of patients treated and associated costs. Service Level Agreements must include indicators related to healthcare acquired infections and be monitored both at performance meeting between the PCT and Trust and by PCT Boards

Slide 9 :

The PCT DIPC is also a member of Kings Strategic Infection Control Committee, which is chaired by the King’s DIPC and provides ward level data regarding C.difficile and MRSA rates and reviews action plans for addressing these issues. The PCT DIPC’s role in these meeting is to receive this information, review processes in place within Kings and challenge issues of concern where appropriate. The DIPC reports back directly to the PCT Senior Management Team and the PCT Integrated Governance Committee. The Southwark PCT Board will receive a report on a quarterly basis. PCT DIPCI PCT SMT PCT BOARD PCT Integrated Governance ICCE Southwark PCT’s contract with Kings College Hospital Foundation Trust requires that all SUI’s be reported to the PCT via the Associate Director - Governance to the DIPC and the PCT Medical Director. SUIs are presented for review at the Senior Management Team and the Board. The PCT Medical Director is a member of Kings Governance Committee where all SUIs are discussed and progress against associated action plans is discussed. The Director of Nursing undertakes the role of the DIPC for Southwark PCT. The Infection Control Team leads on the work of the Infection Control and Clinical Environment Committee, which is chaired by the DIPCl. The Infection Control and Clinical Environment Committee (ICCE) reports to the Integrated Governance Committee and from Integrated Governance to the Board six monthly and via exception reporting when required. The DIPC is a member of both the Integrated Governance Committee and the Board. Minutes from the ICCE are also made available to the Board. KSICC DIPC The PCT also has an identified Non Executive Director who is briefed on matters of patient safety, which will include infection control. Southwark PCTs Serious Untoward Incident Policy September 2007, identifies reportable incidents associated with infections. NHS London issued guidance on SUI reporting in Oct 2007 with particular reference to C.diffcile and MRSA and the PCT policy will be updated to reflect this. PCT Governance Arrangements

Slide 10 :

Role of the Director of Infection Prevention and Control 1. Oversee local control of infection policies and their implementation be responsible for the Infection Control Team within the healthcare organisation 2. Report directly to the Chief Executive and the Board and not through any other officer 3. Have the authority to challenge inappropriate clinical hygiene practice as well as antibiotic prescribing decisions 4. Assess the impact of all existing and new policies and plans on infection and make recommendations for change 5. Be an integral member of the organisation's clinical governance and patient safety teams and structures 6. Produce an annual report on the state of healthcare associated infection in the organisation(s) for which he/she is reponsible and release it publicly.

Slide 11 :

Dulwich Intermediate Care Unit One case of MRSA – transfer from Acute Antibiotic prescribing reviewed and in line with guidance Clear guidelines in place management of patients with diarrhoea All staff receive yearly update on infection control Patient accommodation provided in single rooms – if isolating patient required Infection Control Audit completed yearly – action plan implemented Deep clean scheduled in line with DH recommendations

Slide 12 :

Targets, Monitoring and Surveillance MRSA set by NHS London reduction of 50% against 02/03 baselines Kings – target 4 cases per month/48 per annum Performance at Oct 07 22 cases equating to 3 below trajectory C.difficile set by PCT 3 year period from April 2007 – March 2010 10% reduction year on year Performance at Oct 07 228 cases against target of 178 equating to 50 above trajectory

Slide 13 :

KHCFT – C.difficle

Slide 14 :

KCHFT – MRSA

Slide 15 :

Infection MRSA London and Local Data - MRSA 2007/08

Slide 16 :

Infection MRSA London and Local Data - MRSA 2007/08

Slide 17 :

Infection MRSA London and Local Data - MRSA 2007/08

Slide 18 :

Infection MRSA London and Local Data - MRSA 2007/08

Slide 19 :

Self-Assessment Action Plan

Slide 20 :

Policy and Performance Indicators Tackling HCAIs prioritised in NHS Operating Framework PCT performance against all Core Standards for Infections Control 06/07 scored as compliant In view of national priorities the Core Standards for Infection Control, Clinical Waste and Well Designed and Maintained Environment for a more comprehensive review

eatedal on Jun 15, 2009 Says :

i need to have infection control slides

eatedal on Jun 15, 2009 Says :

thank you for your hlep

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