Infection Control Annual Statement

MILLVIEW SURGERY

IPC Annual Statement Report

20th May 2024

Purpose 

This annual statement will be generated each year 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 organisation’s website.  It will summarise any infection transmission incidents and any action taken, details of any infection control audits undertaken and actions taken, details of any risk assessments undertaken for the prevention and control of infection, details of staff training, any review and updates of policies, procedures and guidelines.

Infection Prevention and Control (IPC) lead

The lead for infection prevention and control at Millview Surgery is Gail Hamilton, Lead Practice Nurse.

The IPC lead is supported by Kerry Walker, Practice Manager

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 in 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 which 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 staff meetings each month. 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 which related to infection control. There have also been 0 complaints made regarding cleanliness or infection control.

Infection prevention audit and actions

Method: Infection Control audits are carried out on a 6 monthly basis, by use of a robust organisational checklist.  A handwashing audit is completed by ALL staff yearly.

As a result of the 6 monthly audit a report of the findings are completed by the Infection Control Lead and any identified issues are discussed with the Practice Manager/GPs.  Any agreed action of change is  implemented.

Risk assessments 

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

New staff have joined the admin team – they have been updated on the Infection Control policy and completed Infection Control e-learning.

Privacy curtains are changed every 6months in line with Infection Control guidance.

Staff have either proved immunity or receive the MMR vaccine in line with Infection Control guidance due to a recent Measles outbreak.

Protective equipment is checked weekly to ensure that all clinical rooms have handwashing equipment, aprons and gloves.

Training

All staff undertake e-learning on an annual basis and complete an annual handwashing update within surgery.

Policies and procedures

All Infection Control and Prevention policies are updated annually and are in date for this year.  They are reviewed by the Infection Control Lead Nurse and the Practice Manager.

The policies are available to all staff.

Responsibility

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

Review

The IPC lead Gail Hamilton, Lead Practice Nurse and Kerry Walker, Practice Manager, are responsible for reviewing and producing the annual statement.

This annual statement will be updated on or before May 2025.

 

 

 

For and on behalf of Millview Surgery

 

 

 

 

 

 

 

 

 

 

GP Net earnings

All GP practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver NHS services to patients at each practice.

The average pay for GPs working in Millview Surgery in the last financial year was £58,489 before tax and National Insurance. This is for 7 part-time GPs who worked in the practice for more than six months.

Opt-Out Policy

Please Click Here to View Our Policy

Privacy Notice

Please click here to view our privacy notice

Research Practice

Millview Surgery is research active conducting high-quality clinical research helps us to keep improving NHS care by finding out whichtreatments work best.

In this practice, you might be asked to take part in a clinical research study. Alternatively, ask our staff about clinical studies suitable for you.  Taking part in a clinical research study is voluntary and can be a rewarding experience.

To find local clinical research studies, go to : www.ukctg.nihr.ac.uk

Millview Surgery is working in collaboration with the Clinical Research Network: East Midlands (CRN:EM). The CRN:EM is part of the National Institute for Health Research (NIHR) and is focused on enhancing and promoting research, ensuring that it is conducted in line with ethical procedures and for patient benefit. There is a local team working within Nottingham City and Nottingham County, facilitating research within primary care.

Millview Surgery can choose to be involved in appropriate and relevant research studies, focused on enhancing patient care and working on studies that are of particular interest and need for their patient population. The primary care team surpassed recruitment expectations in the financial year of 2014-2015 and this could not have been done without the support of local practices and the engagement from patients in these areas.

Patient Responsibilities

Please note that the surgery operates a zero tolerance policy towards violence, both physical and verbal.  The staff are here to help and advise you in obtaining the best possible service from the Practice.  We would appreciate you treating them with the respect they duly deserve.

Chaperone Policy

Please note if you are having an intimate examination a chaperone can be provided. This service is available to both male and female patients. Please ask a member of staff for details.

Information Sharing

YOUR ELECTRONIC PATIENT RECORD & THE SHARING OF INFORMATION

You can now choose to share your medical records with other care services.

You can now choose not to share your medical records with other care services.

Your record is now available to other NHS service providers who have involvement in your care.  However, your record will not be viewed unless you give explicit permission at the point of care.  If you have already decided not to share your record and completed the ‘Opt Out’ form it will not be made available.

please click here to view our poster.

Complaints Policy

Primary Care – GP, dentist, pharmacist or optician

From 1 July 2023, if you wish to make a complaint about primary care, please contact the service directly. Alternatively,

Email nnicb-nn.patientexperience@nhs.net

Telephone: 0115 8839570 or

By post: Patient Experience Team, Civic Centre, Arnot Hill Park, Nottingham Road, Arnold, Nottingham, NG5 6LU

 

Whilst we make every effort to give the best service possible to everyone who attends our practice, we are aware that things can go wrong resulting in a patient feeling that they have a genuine cause for complaint. If this is so, we would wish for the matter to be settled as quickly, and as amicably, as possible.

HOW DO I MAKE A COMPLAINT

To pursue a complaint please contact Kerry Walker, Practice Manager or Lorna Dixon, Reception Manager and they will deal with your concerns appropriately and try to resolve the issue. If your problem cannot be resolved at this stage and you wish to make a formal complaint, please let us know as soon as possible, ideally within a matter of days. This will enable the practice to get a clear picture of the circumstances surrounding the complaint. Your complaint will be acknowledged within 2 days. Complaint /comment forms are available from reception for you to detail your complaint.

We will aim to investigate the matter in detail and give you a full explanation and the opportunity of a meeting within 28 working days. Where deficiencies in our service are identified, we normally audit and document changes made and of course you will receive a full written apology.

If it is not possible to raise your complaint immediately, please let us have details of your complaint within the following timescales:

Within 6months of the incident that caused the problem

or

Within 6 months of discovering that you have a problem, ideally within 12months. The sooner things are flagged up the better, not only to help us give a clear explanation, but also in some cases to prevent another problem in the future.

WHAT WILL THE PRACTICE DO

When we look into your complaint we aim to:

•Acknowledge your complaint within two working days

•Find out what happened and what went wrong

•Make it possible for you to discuss the problem with those concerned if you would like this to happen

•Make sure you receive an apology where this is appropriate

•Identify what we can do to make sure the problem does not happen again

We will aim to have your complaint looked into within 10 working days and then be in a position to offer you an explanation or a meeting with the people involved.

Please click here to view our complaints procedure

WHAT IF I AM COMPLAINING ON BEHALF OF SOMEONE ELSE

We keep strictly to the rules of medical confidentiality. If you are complaining on behalf of someone else, we have to know that you have their permission to do so.

A note signed by the person concerned will be needed, unless they are incapable of providing this (because of a physical or mental illness).

We hope that, if you have a problem, you will use our practice complaints procedure.  We believe that this will give us the best chance of putting right whatever has gone wrong and the opportunity to improve our practice.

However, this does not affect your right to approach NHS England if you feel you cannot raise your complaint with us.  To contract NHS England:

You can also contact the Patient Experience Team, for confidential advice and support. To contact:

  • Telephone:  0800 0283 693 press option 1
  • Email:  NSHCCG.Pet-North@nhs.net
  • By Post:  Patient Experience Team, NHS Mansfield and Ashfield CCG, Balderton Primary Care Centre, Lowfield Lane, Balderton, Newark, Nottinghamshire, NG24 3HJ

 

You can get help with making a complaint from POhWER. Their website address is: http://www.pohwer.net/  Tel: 0300 456 2370.

POhWER /NHS Complaints Advocacy can help you to make a complaint about your NHS care or treatment. POhWER/NHS Complaints Advocacy is free, confidential and independent of the NHS.

They can:

•Support you to make a complaint about the service, care or treatment provided by the NHS, including complaints about your GP, dentist, local hospital, ambulance service or pharmacy,

•Support you with a complaint about health and social care,

•Support you to make an NHS complaint on someone else’s behalf, including if someone has died,

•Listen to your concerns,

•Signpost you to the right organisation if we think that someone else can be of more help than we can,

•Answer questions about the NHS complaints procedure and explain your options,

•Provide a step by step guide to making an NHS complaint and offer some tips,

•Provide you with a POhWER advocate, an experienced worker who can help you make your complaint and support you through the NHS complaints process,

•Support you to write a complaint letter, attend a complaint meeting, request access to medical records and refer your complaint to the Parliamentary and Health Service Ombudsman (PHSO) if the local service is unable to resolve your complaint.

WHAT IF I AM NOT HAPPY ABOUT THE OUTCOME OF YOUR INVESTIGATION?

If we are unable to resolve your complaint to your satisfaction you may appeal to the Parliamentary and Health Service Ombudsman. The Ombudsman can re-investigate your complaint and can investigate the way in which we have dealt with it.

You can contact the Ombudsman helpline on 0345 015 4033 or http://www.ombudsman.org.uk

Please be reassured that patients or their relatives will not be treated adversely as a result of making a complaint. We are continually striving to improve our service. Any helpful suggestions would be much appreciated and there is a suggestion box in the reception area for patients to leave comments/suggestions.

Summary Care Record

There is a new Central NHS Computer System called the Summary Care Record (SCR). It is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had.

Why do I need a Summary Care Record?

Storing information in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.

This information could make a difference to how a doctor decides to care for you, for example which medicines they choose to prescribe for you.

Who can see it?

Only healthcare staff involved in your care can see your Summary Care Record.

How do I know if I have one?

Over half of the population of England now have a Summary Care Record. You can find out whether Summary Care Records have come to your area by looking at our interactive map or by asking your GP

Do I have to have one?

No, it is not compulsory. If you choose to opt out of the scheme, then you will need to complete a form and bring it along to the surgery. You can use the form at the foot of this page.