Infection Control Annual Statement


During this Pandemic phase of COVID 19 we are instituting extra cleaning and infection control measures including; screening all patients for symptoms before or on arrival at the practice, wiping down door handles, reception counter and check-in screen every 30 minutes while we are open, and the removal of the magazines and children's toys from the waiting rooms. 

Our team have all had recent handwashing training and have been provided with suitable personal protective equipment (PPE) for their role and exposure levels.

Where possible we will try and transfer your appointment to a telephone or video call to save you having to leave your home.

Please do not be offended if we ask you not to attend the surgery, or ask you to leave the building, this is to protect our staff, our other patients and you! If our staff are exposed to this virus the surgery will have to close for cleaning and the staff exposed will have to go into isolation meaning we are unable to provide the usual healthcare services to our patients.

Thank you for your understanding at this critical time.


Annual Infection Control Annual Statement


This annual statement will be generated each year in January.  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 staff training

·         Any review and update of policies, procedures and guidelines


This Protocol applies to all staff employed by the practice

IC Lead

The Practice Manager, Sally Oldbury, is our IC lead supported by the Nursing Team.


Sally has attended an Infection Control Lead training course in 2016 and keeps up to date with IC policy and provides update training to the rest of the practice team at our Clinical Governance meetings annually. Sally attended a refresh of this course early in 2019. Staff who are unable to be present at the in-house training are given a copy of the minutes and the training presentation is stored on our practice shared drive in the training section available to all staff. Bluestream also provides elearning for clinical and non-clinical infection control which staff complete. The team had infection control, cold chain and hand hygiene training at the protected learning time in February 2020.


As a practice we ensure that all of our clinical staff are up to date with their Hep 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.


·         Our contract cleaner works to cleaning specifications laid out in their contract along with frequencies and an annual audit takes place to ensure these are being met. Cleaning equipment is stored in accordance with the NHS Cleaning Specifications.

·         We provide minimal toys to help entertain children whilst they are in the waiting room and during consultations.  NHS Cleaning Specifications recommend that all toys are clean regularly and we therefore provide only wipeable mounted toys in both waiting rooms.

·         The surgery has various material curtains and blinds both at the windows and in consulting rooms.  All curtains to windows will be cleaned as per NHS cleaning specifications, blinds will be cleaned as per our contract cleaning specification.  In the Doctor’s room the modesty screen has been changed to plastic wipeable curtains rather than fabric and the  curtains in the Treatment Room around the examination couch are disposable and replaced every 6 months or more often if necessary.

·         Spill kits for blood, vomit or urine are provided in the reception office and treatment room complete with all necessary PPE.

·         Our Air conditioning units are serviced annually to prevent any legionella build up in line with our Legionella Risk Assessment.


The practice provides PPE for all members of the team in line with their role.

·         Clinical staff are provided with aprons, several different types and sizes of gloves and goggles/face shields

·         Reception staff are provided with gloves for the handling of sample pots and sharps bins


·         Clinical waste is categorised and stored in line with our waste management policy and collected weekly from an external locked bin, waste transfer sheets are stored and archived for 5 years.

·         Domestic waste is disposed of via a commercial wheelie bin commissioned form the local council. Collections take place weekly.



Fixtures, Fittings & Furniture

Where possible all decorating, renewals and repairs will be made in line with infection control guidelines;

·         Where planned renewals of fixtures such and sinks and taps will ensure complaint items are installed where they are not currently at full spec.

·         A rolling plan of redecoration is in place and where performed wall coatings will be in line with infection control guidelines.

·         The seating and exam couches in the clinical rooms have recently been replaced (2015) to ensure they are in good repair and of wipeable materials.

·         The seating in the waiting rooms were recovered in wipeable vinyl in Dec 2016.

·         The Flooring in ground floor consultation room was replaced in May 2018 due to damage

·         The ground floor consulting room was redecorated in Oct 2018

·         The Exam couch in the ground floor waiting room was renewed in Oct 2018 due to damage from footwear.

·         The ground floor waiting room, hallway, landing and stairs were repaired and redecorated in Dec 2018.


In April 2018 an Infection Prevention and Control in General practice audit was completed by the Healthcare Assistant & Practice Manager. Some policies and procedures have now been updated and a sign off sheet instigated for clinical staff to sign they are aware of the IC policies contained in the folder.  There have not been any infection control incidents.

Our Post Minor Surgery Infection Re-Audit was competed in May 2016 and showed no areas of concern and high levels of patient satisfaction as it included a Patient Experience Survey. In May 2019 we repeated of the Infection Prevention and Control in General Practice self-assessment toolkit.


Policies relating to Infection Prevention and Control are stored in the Clinic Room Policies and Procedures Folder in the Treatment room and on the Practices Shared Drive. These are reviewed and updated annually as appropriate. However, all are amended on an on-going basis as current advice changes.



It is the responsibility of each individual to be familiar with this Statement and their roles & responsibilities under this. It is also the responsibility of the Practice Manager to ensure staff are familiar with the contents.

Review date

Original written Nov12, reviewed: 12M, version: 8, Due for review: Jan21

Responsibility for Review

The Practice Manager is responsible for reviewing the Statement.

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