Infection Prevention and Control Annual Statement Report

12th July 2023


This annual statement will be generated each year in July 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. The report will be published on the practice website and will include the following summary:

  • 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 the prevention and control of infection
  • Details of staff training
  • Any review and update of policies, procedures, and guidelines

Infection Prevention and Control (IPC) lead

The lead for infection prevention and control at Chastleton Medical Group is Vikki Reed Practice Manager.

The IPC lead is supported by Sheila Thexton, Practice Nurse.

  • Infection transmission incidents (significant events)

Significant events involve examples of good practice as well as challenging events.

Positive events are discussed at meetings to allow all staff to be appraised of areas of best practice.

Negative events are managed by the staff member who either identified or was advised of any potential shortcoming. This person will complete a Significant Event Analysis (SEA) form that commences an investigation process to establish what can be learnt and to indicate changes that might lead to future improvements.

All significant events are reviewed and discussed at monthly meetings. Any learning points are cascaded to all relevant staff where an action plan, including audits or policy review, may follow.

In the past year there have been 0 significant events raised that related to infection control. There have also been 0 complaints made regarding cleanliness or infection control.

  • Infection prevention audit and actions

The practice was audited by the Infection Prevention Control Team in August 2022.  This will be repeated in August 2023.

Staff complete annual Infection Prevention Control Training.

A handwashing audit took place in April 2023.

  • Risk assessments

Risk assessments are carried out so that any risk is minimised to be as low as reasonably practicable. Additionally, a risk assessment that can identify best practice can be established and then followed.

In the last year, the following risk assessments were carried out/reviewed:

  • Cleaning standards
  • Privacy curtain cleaning or changes
  • Water safety
  • Training

In addition to staff being involved in risk assessments and significant events, at Chastleton Medical Group all staff and contractors receive IPC induction training on commencing their post. Thereafter, all staff receive refresher training annually.

  • Policies and procedures

The infection prevention and control related policies and procedures that have been written, updated, or reviewed in the last year include, but are not limited, to:

Infection Control Policy

Policies relating to infection prevention and control are available to all staff and are reviewed and updated annually. Additionally, all policies are amended on an ongoing basis as per current advice, guidance, and legislation changes.

  • Responsibility

It is the responsibility of all staff members at Chastleton Medical Group to be familiar with this statement and their roles and responsibilities under it.

  • Review

The IPC lead and Dr David Clifford, Senior Partner are responsible for reviewing and producing the annual statement.

This annual statement will be updated on or before 12th July 2024.

Signed by

Dr David Clifford


Vikki Reed

For and on behalf of Chastleton Medical Group