Infection Prevention and Control Annual Statement – May 2019


General Practice must meet the requirements of The Health and Social Care Act 2008 (updated 2015) and other related legislation. This statement is to demonstrate how Eynsham Medical Group (Eynsham and Long Hanborough surgeries) strives to meet these requirements by ensuring we have robust infection prevention and control (IPC) measures in place.

Infection Prevention and Control Lead Person (IPCLP)

The practice has named Infection, Prevention and Control Lead and Link Persons. Their role is to facilitate the practice in ensuring a clean and safe environment for staff, patients and any other members of the public attending the surgery.


  • To liaise between their clinical area and the OCCG IPCN.
  • To be directly responsible for liaising with the OCCG IPCN with regard to the working of infection prevention and control policies and procedures in their organisation.
  • To liaise with the person in charge of the organisation and the OCCG IPCN with regard to the implementation of infection prevention and control policies and procedures.
  • To provide information for care workers concerning infection prevention and control related problems.
  • To assist in the education of new and existing care workers in the principles of infection prevention and control as it relates to their organisation.
  • To carry out infection prevention and control audits and feedback results to the management team and highlight any problems that need to be discussed with the OCCG IPCN.
  • To participate in the writing, reviewing, updating and auditing of infection prevention and control procedures and standards in relation to the practice.
  • To inform the OCCG IPCN of any alert organisms/conditions/outbreaks to ensure appropriate infection prevention and control precautions are implemented and to ensure that there are mechanisms in place to ensure this happens in their absence.
  • To provide teaching for care workers on infection prevention and control.
  • To be knowledgeable regarding the purchase/introduction and use of equipment in their clinical area in relation to:-
    a) Infection prevention and control hazards;
    b) Care and maintenance;
    c) Decontamination and storage.

Practice Infection Prevention and Control Lead is: Leanda Rankin (Practice Nurse Manager); Practice Infection Prevention and Control Link is: Jinder Sidhu (Practice Nurse)

Significant Events

There have been no significant events regarding infection control at either surgery. A significant event related to infection control is regarded as a major outbreak of infection such as diarrhoea and vomiting or norovirus, etc.

Audits and Risk Assessments

The surgery carries out an infection control audit every year. This was last undertaken in March (2019) and the surgery was compliant in all but two areas.


  • Management and organisation
  • Dirty utility
  • Staff Kitchen
  • Hand hygiene
  • Personal protective equipment
  • Spillages
  • Waste disposal
  • Handling of sharps
  • Aseptic procedures

    Areas for consideration;

    1. Any new sinks to be without overflow and plugs.
    2. Staff to label their food containers left in the fridge
    3. Advice on what to do if staff sustain a human bite to be entered into needlestick
    protocol and protocol to be renamed to reflect this.
    4. Specific aseptic technique policy to be added to Intradoc rather than RCN guidance.

Partially compliant

General environment and equipment

Action required

1. Deputy practice manager to liaise with cleaning company regarding dusting high
and low surfaces including fans. Review date set.
2. Practice Manager informed of broken chair covers, plan to replace on a rolling basis
or repair if cost effective.
3. Couch curtain in Treatment room A to be replace, Nurse Assistant informed and will

Domestics room

Action required

1. Deputy practice manager to liaise with cleaning company to ensure floor is clean.
Review date set.

A hand hygiene audit using a light box was carried out on a cross section of practice staff. All participants met the required standard as recognised by NHS Infection, Prevention and Control teams.

Infection prevention and control training

All staff receive on-line infection and control training suitable for their role in the surgery annually.

In addition to this we also use the Infection Prevention and Control Policies and Safe Practice Guidance manual for Primary Care General Practice (developed by Infection Prevention Solutions) due for review in 2021. These documents are based on related infection control legislation and are available for staff to refer to on request.

Policies, protocols and guidelines

The surgery follows (where appropriate) the Infection, Prevention and Control guidance and resource pack developed by Oxfordshire Clinical Commissioning Group, the document is due to be reviewed in 2020. This document is used in conjunction with the IPC Core Policy documents.

Below is a list of all our policies relating to infection prevention and control. They are reviewed annually and any relevant amendments are made in line with national regulations and evidence based guidance.

  • Occupational Health Policy;
  • Regular Cleaning Plan- Eynsham Surgery/ Long Hanborough Surgery;
  • Clinical Waste Protocol;
  • Patient Isolation Policy;
  • Control of Substances Hazardous to Health (COSHH) Policy & Risk Assessments;
  • Decontamination Policy;
  • Disposable (Single Use) Instrument Policy;
  • Hand Hygiene Policy and Audit;
  • Infection Control Biological Substances Incident Protocol;
  • Infection Control Inspection Audit;
  • Identification, uniform including laundering policy
  • Local Laboratory Accreditation Statement – Outcome 8 – Criterion 8;
  • Needlestick Injuries Policy;
  • Patient Isolation Protocol;
  • Personal Protective Equipment (PPE) Policy;
  • Specimen Handling Protocol.