TOPIC | ACTION | LEAD | PROPOSED COMPLETION/TARGET DATE |
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Governance | The Board to set out its commitment to the Vale of Leven and how relevant services will be sustainable. | NHS Greater Glasgow & Clyde | October 2008 |
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Infection prevention and control policies to be reinforced and compliance monitored and audited at the Vale of Leven | NHS Greater Glasgow & Clyde | September 2008 |
The Board should define accountability and responsibility framework for HAI throughout organisation | NHS Greater Glasgow & Clyde | October 2008 |
The Board to highlight the Vale of Leven Hospital as a flag ship site for the implementation of the improvement programme "Time to Care". | NHS Greater Glasgow & Clyde | October 2008 |
Board to ensure consistency of documenting HAI as factor contributing to death | NHS Greater Glasgow & Clyde | December 2008 |
Follow up review of actions from Independent Review Team report to be carried by end of year | NHS Greater Glasgow & Clyde | December 2008 |
Facilities | The Board to detail an investment programme to address outstanding maintenance and modernisation issues at the Vale of Leven Hospital. | NHS Greater Glasgow & Clyde | October 2008 |
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The Board to review isolation facilities at the Vale of Leven maximising access | NHS Greater Glasgow & Clyde | November 2008 |
Clinical Leadership | Charge Nurses to be empowered to deliver against their responsibilities | NHS Greater Glasgow & Clyde | September 2008 |
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The senior charge nurse review recommendations to be implemented as early as possible at the Vale of Leven. | NHS Greater Glasgow & Clyde | October 2008 |
The Board to assess if the posts of Nursing and Medical Directors are appropriately focused and supported. | NHS Greater Glasgow & Clyde | September 2008 |
The Board to consider the need to establish fulltime post of Lead Infection Control Doctor | NHS Greater Glasgow & Clyde | September 2008 |
Surveillance | Vale of Leven local surveillance system based on standard template and guidance produced by Health Protection Scotland to be in place, including setting of control limits and trajectories for reduction of rates / incidence of HAI | NHS Greater Glasgow & Clyde | September 2008 |
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Board to carry out epidemiological review of cases between December 2007 and June 2008 | NHS Greater Glasgow & Clyde | September 2008 |
Education | HAI Education and training programme for all disciplines of staff, to be developed and delivered at the Vale of Leven | NHS Greater Glasgow & Clyde | November 2008 |
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Communication | Board to review communication processes by clinical staff to patients and relatives, ensuring delivery of consistent accurate information. This should involve the Patient Focus Public Involvement lead | NHS Greater Glasgow & Clyde | September 2008 |
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The Board should define the communication pathway and escalation process for reporting HAI outbreaks and incidents at all levels from ward to Government | NHS Greater Glasgow & Clyde | September 2008 |
Finance | Charge nurses to have access to resources to address urgent estates short comings and replacement of equipment, e.g. broken sinks | NHS Greater Glasgow & Clyde | April 2009 |
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