Annual Infection Control Audit March 2021

Infection Prevention and Control Annual Statement March 2021


Infection Control Annual Statement



This annual statement will be generated each year in March in accordance with the requirements of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance. It summarises:

  • Any infection transmission incidents and any action taken (these will have been reported in accordance with our Significant Event procedure)
  • Details of any infection control audits undertaken and actions undertaken
  • Details of any risk assessments undertaken for prevention and control of infection
  • Details of staff training
  • Any review and update of policies, procedures and guidelines


Infection Prevention and Control (IPC) Lead

Crondall New Surgery has one Lead for Infection Prevention and Control: Rachel Jarrett-Kerr (Lead practice Nurse)

The IPC Lead is supported by: Andrea Butler (Practice Sister)

Rachel Jarrett-Kerr has attended an IPC Lead training course in 2021 and keeps updated on infection prevention practice.


Infection transmission incidents (Significant Events)

Significant events (which may involve examples of good practice as well as challenging events) are investigated in detail to see what can be learnt and to indicate changes that might lead to future improvements. All significant events are reviewed in the practice meetings and learning is cascaded to all relevant staff.

In the past year there have been no significant events raised that related to infection control.

Infection Prevention Audit and Actions

The Annual Infection Prevention and Control audit was completed by Rachel Jarrett-Kerr in March 2021.

As a result of the audit, the following things have been changed in Crondall New Surgery:

  • Ordered plastic wipe clean chairs for patients
  • New Cleaning company
  • Looking to build shelves in storage cupboard



An audit on hand washing was undertaken in March 2021. This was discussed at the practice meeting.

Crondall New Surgery plan to undertake the following audits in 2021:

  • Annual Infection Prevention and Control audit
  • Monthly Infection Control and Cleaning audits
  • Domestic Cleaning audit
  • Hand hygiene audit
  • Vaccine Audit


Risk Assessments

Risk assessments are carried out so that best practice can be established and then followed. In the last year the following risk assessments were carried out / reviewed:

Legionella (Water) Risk Assessment: The practice has conducted/reviewed its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors or staff.

Immunisation: As a practice we ensure that all our staff are up to date with their Hepatitis B immunisations and offered any occupational health vaccinations applicable to their role (i.e. MMR, Seasonal Flu). We take part in the National Immunisation campaigns for patients and offer vaccinations in house and via home visits to our patient population.

Curtains: The NHS Cleaning Specifications regarding curtains have changed and state the curtains should be cleaned or if using disposable curtains, replaced when visibly dirty. To this effect we use disposable curtains and ensure they are inspected regularly. The window blinds are very low risk and therefore do not require a particular cleaning regime other than regular vacuuming to prevent build-up of dust. The modesty curtains although handled by clinicians are never handled by patients and clinicians have been reminded to always remove gloves and clean hands after an examination and before touching the curtains. All curtains are regularly reviewed and changed if visibly soiled.

Hand washing sinks: The practice has clinical hand washing sinks in every room for staff to use. Some of our sinks do not meet the latest standards for sinks but we have removed plugs and reminded staff to turn of taps that are not ‘hands free’ with paper towels to keep patients safe. We have also replaced our liquid soap with wall mounted soap dispensers to ensure cleanliness.



All our staff receive annual training in infection prevention and control.

Clinical and non-clinical staff training includes Hand Hygiene, use of Personal Protective Equipment, Handling Specimens, Waste Management, Sharps Injuries and Spills

In addition, Clinical staff will have additional training on Handling Sharps, Asepsis and Cleaning (clinical).

This is conducted annually by our Infection Control Lead Rachell Jarrett-Kerr and supported by Andrea Butler (Practice Sister)

It is next due to take place in April 2021



All Infection Prevention and Control related policies are in date for this year and have been reviewed.

Policies relating to Infection Prevention and Control are available to all staff and are reviewed and updated annually, and all are amended on an on-going basis as current advice, guidance and legislation changes. Infection Control policies are circulated amongst staff for reading and discussed at meetings on an annual basis.



It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this.



Review date

March 2022


Responsibility for Review

The Infection Prevention and Control Lead and the Practice Manager – Victoria Hawkins are responsible for reviewing and producing the Annual Statement.

Rachel Jarrett-Kerr

Lead Practice Nurse

For and on behalf of the Crondall New Surgery






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