Action Area | Links With | Lead Agency | Target Completion Date |
|---|
2008/09 | 2009/10 | 2010/11 |
|---|
DELIVERY AREA 1: PATIENT SAFETY, PRACTICE AND CULTURE |
|---|
1.1 | Continuing development of care bundles | 1.2; 1.3; 1.4 | HPS | March 2009 | | |
1.2 | Implementation of care bundles | 1.1; 1.3; 1.4 | SPSA/ Health Boards/ HPS | | March 2010 | |
1.3 | Monitoring of compliance with implementation | 1.1; 1.2; 1.4 | SPSA/ Infection Control Managers | | | March 2011 |
1.4 | Evaluation of care bundle approach | 1.1; 1.2; 1.3 | SPSA/ HPS | | | |
1.5 | Support for Care Commission - care of older people and early years | 2.13 | SGHD | | | |
1.6 | Support HPS in the delivery of expertise in decontamination | | SGHD | March 2008 | | |
1.7 | Develop and pilot a methodology to improve learning and develop solutions with regard to endoscope incidents | | NHSQIS | Commence 01/04/08 | Complete 31/03/10 | |
1.8 | Public Involvement programme | 1.9 | SGHD | | | |
1.9 | Contribute to healthcare associated infection elements of patient experience | 1.8 | SGHD | | | |
1.10 | Community Health Partnerships further development | | HPS | | Dec 2009 | |
DELIVERY AREA 2: EDUCATION |
|---|
2.1 | Establish and address workforce development requirements of Infection Control Teams | 5.7 | NES | | | |
2.2 | Development of a programme to support Infection Control Nurse career progression (e.g. from ICN to Nurse Consultant Role) | | NES | | Jan 2009 | |
2.3 | Develop a programme to support the developmental and educational needs of Infection Control Doctors | | NES | | Jan 2009 | |
2.4 | Develop a programme to support the developmental and educational needs of Microbiologists | 3.8; 4.9 | NES | | Jan 2009 | |
2.5 | Development of an educational programme on caring for patients in isolation (inclusion of developmental and educational needs for Infection Control Managers and surveillance nurses) | 2.5; 2.11 | NES | July 2008 | | |
2.6 | Development of an educational package on pressure ulcers (inclusion of developmental and educational needs for Infection Control Managers and surveillance nurses) | 2.6; 2.11 | NES | | Jan 2009 | |
2.7 | Further development of the national hand hygiene programme | | SGHD/ HPS | | | 2010 |
2.8 | Cleanliness Champions Training Programme: promote inclusion of the cleanliness champions' programme in undergraduate nursing and medical course and promote and extend the cleanliness champions' programme to healthcare professional and support staff | | NES | | | |
2.9 | Develop topic specific packages relating to HAI and the SPSA | | NES | | | |
2.10 | Implementation of Outbreak Management programme | 4.11 | NES | | | |
2.11 | Education programme for Surveillance Nurses | 2.5; 2.6 | NES | | Sept 2009 | |
2.12 | Development of a Neonatal Vascular Access programme | | NES | March 2009 | | |
2.13 | Development of an educational package on presentation of infectious diseases in the elderly | 1.5 | NES | March 2009 | | |
DELIVERY AREA 3: SURVEILLANCE, INFORMATION AND AUDIT |
|---|
3.1 | Continued development of Surgical Site Infection Surveillance (e.g. hips and c section) | | HPS | | | |
3.2 | Further development of catheter associated urinary tract infection ( CAUTI) surveillance in particular targeting medicine, surgical (and orthopaedics), care of the elderly and in long term care etc. | | HPS | | | March 2011 |
3.3 | Further exploration as to reasons for variation in Staphylococcus aureus bacteraemia ( SAB) rates | | HPS | March 2009 | | |
3.4 | Implementation of Intensive Care Unit surveillance of Ventilator Associated Pneumonia and Central Venous Catheter infections | | HPS | | March 2010 | |
3.5 | Repeated targeted prevalence surveillance | | HPS | | | Jan 2011 |
3.6 | Development and implementation of the 2nd National Point Prevalence Survey | 3.5 | HPS/ SGHD | | | March 2011 |
3.7 | Vascular catheter surveillance | | HPS | | Dec 2010 | |
3.8 | Surveillance of Antimicrobial Resistance | 2.4; 4.9 | HPS | | | Mar 2011 |
3.9 | Surveillance of use of antimicrobial resistance drugs | | NHS Information Services Division/ HPS | | | |
3.10 | Further development of bacteraemia surveillance ( ECOSS interface) | | HPS | Dec 2008 | | |
3.11 | Develop a prevalence methodology for pressure ulcers (linked to the national approach to tissue viability) | | HPS | March 2009 | | |
3.12 | Knowledge management of HAI outbreaks | | HPS | March 2009 | | |
3.13 | Explore care home surveillance | 3.1 - 3.12 | HPS/ SGHD/ Care Commission | March 2009 | | |
DELIVERY AREA 4: GUIDANCE AND STANDARDS |
|---|
4.1 | Development of supporting materials for implementation of the model policies for transmission based precautions | 4.2; 4.13 | HPS | | March 2010 | |
4.2 | Developing further new model policies | 4.1; 4.13 | | | | |
4.3 | Pilot study of the recommendations in the MRSA Health Technology Assessment | 4.4 | HPS/ NHSQIS/ SGHD | Feb 2009 | | |
4.4 | Full implementation of MRSA screening programme following the pilot if indicated | 4.3 | Health Boards/ SGHD | | | |
4.5 | Implementation of the MRSA control strategy | | NHS Health Boards | | | |
4.6 | Following finalisation of the NHSQIS standards and self assessment tool, work with the service to support implementation of the standards, particularly in relation to information/data requirements and how to embed this within routine practice. | 4.7 | NHSQIS | 01/04/08-31/03/09 | | |
4.7 | Formal review of new NHSQISHAI infection control standards | 4.6 | NHSQIS | | Commence 01/04/09 | Complete 31/10/10 |
4.8 | Develop national guidelines on taking samples for diarrhoeal patients (including Clostridium difficile) | 4.10 | HPS | June 2008 | | |
4.9 | Implementation of SCOTMARAP recommendations, including addressing the educational recommendations | 3.8; 2.4 | Scottish Medicines Consortium | | | |
4.10 | Continue to develop standard operating procedures for testing of key organisms | 4.8; 4.11 | Scottish Microbiology Forum | | | |
4.11 | Outbreak management guidance, e.g. development of outbreak specific tools for optimum actions) | 4.10 | HPS | Dec 2008 | | |
4.12 | Rolling programme for reviewing existing national programmes | | SGHD/ HPS/All Stakeholders | | | March 2011 |
4.13 | Evaluation model policies | 4.1; 4.2 | HPS | | March 2010 | |
DELIVERY AREA 5: PHYSICAL ENVIRONMENT |
|---|
5.1 | Further development of the monitoring framework for the NHSScotland National Cleaning Services Specification | | HFS | | March 2009 | |
5.2 | Promote specification of new builds as fit for purpose for HAI prevention | | HFS | | | |
5.3 | Innovations Research Project - Phase 2: The wider view and the impact on HAI | 5.5; 5.6 | HFS | Aug 2008 | | |
5.4 | Develop an Education and Training Framework for all staff groups within facilities services to include:- A: Framework B: Competencies | | HFS | Soft Facilities Oct 2008 | Hard Facilities Mar 2009 | |
5.5 | Study programme on cleaning regimes, methods to increase standards and productivity | 5.3 ; 5.6 | HFS | Nov 2008 | | |
5.6 | A Housekeeping pilot scheme will be hosted by HFS early 2008 to identify if the housekeeper role contributes to improving cleaning standards and reduces HAI. This study will also identify associated costs of implementing Housekeepers throughout Scotland. | 5.3; 5.1 | HFS | Sept 2008 | | |
5.7 | Develop training package for Infection Control teams specifically around areas of mechanical services e.g. ventilation, water systems | 2.1 | HFS | | | |
5.8 | Develop training package for HAI guidance for NHS Health Boards | | HFS | | | |