Infection Control

Infection Prevention Control Annual Statement

September 2021


This annual statement will be generated each year in January 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. 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 any risk assessments undertaken for prevention and control of infection
  • Details of staff training with regards to infection prevention & control
  • Any review and update of policies, procedures and guidelines

 Infection Prevention and Control (IPC) Lead

Grange Surgery has a Lead for Infection Prevention and Control:  Julie Port.

This team keeps updated with infection prevention & control practices and share necessary information with staff and patients throughout the year.

Infection transmission incidents (Significant Events)

Significant events (which may involve examples of good practice as well as challenging events) are investigated in detail to see what can be learnt and to indicate changes that might lead to future improvements. All significant events are reviewed in the weekly Practice Meetings and learning is cascaded to all relevant staff.

As a result of these events, whilst The Grange Surgery has not had any significant events concerning infection control this year, has:

  • Continued with an annual infection control update for both clinical and non-clinical staff
  • Ensured Infection Control Guidance remains accessible to all staff.


Infection Prevention Audit and Actions

The Annual Infection Prevention and Control audit was completed by JP/LW in July 2021.

As a result of the audit, the following things have been changed:

  • Staff are up to date with required vaccinations
  • IP&C is now included in al staff induction packs
  • Waiting chairs/seating separated by 2 metres and occupancy monitored by reception staff
  • Alcohol hand sanitiser is readily available for patients and staff and laminated instruction posters displayed within the practice
  • Regular cleaning regimes are in place for all rooms in the building
  • PPE protection readily available within each clinical room
  • Facemasks and latex free gloves provided for patients if required
  • Clear signage displayed throughout the practice of the importance of hand hygiene
  • One way flow around the building to safeguard staff and patients
  • All IP&C policies updated and easily accessible to staff, staff have been informed of where to access these

An audit on Minor Surgery was undertaken in Jan-Apr 2019 with the second audit run for Jan-Apr 2020 to evidence improvements in coding.

An audit on hand washing was undertaken in September 2020 – January 2021. This was discussed at the Practice meeting.

Audits for aseptic technique for nurses were conducted and completed September 2019.

The Practice plan to undertake the following audit in 2021:

  • Infection Prevention and Control Covid-19 GP Practice audit

Risk Assessments

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

Fire and Legionella (Water) Risk Assessments: The practice has conducted/reviewed its fire/water safety risk assessment to ensure that the fire risks and water supply does not pose a risk to patients, visitors or staff.

Immunisation: As a practice we ensure that all of our staff are up to date with their Hepatitis B, i MMR, Seasonal Flu and Revaxsis immunisations applicable to their role. We take part in the National Immunisation campaigns for patients and offer vaccinations in house and via home visits to our patient population. 

Curtains: Disposable curtains are used in clinical rooms and are changed every 6 months according to manufacturer instruction.  All curtains are regularly reviewed and changed more frequently if damaged or soiled.  Pillow cases are changed weekly in clinical rooms.

A COSHH (Control of Substances Hazardous to Health) risk assessment was completed and appropriate action taken


All staff receive annual training for infection prevention & control relevant to their role via TeamNet Clarity and recently introduced training manual.

All new staff receive infection control and hand washing training within the first week of employment, included in induction pack.

Infection Control Leads have a bi-annual update.  Information is then disseminated to all staff via SDrive and clinical meetings.

Infection Control Advice to Patients

Patients are encouraged to use the alcohol hand sanitiser dispensers that are available throughout the surgery

Information is available via leaflet given individually as requested on:

         MRSA as required/by request (in IPC folder)




The importance of immunisations


All Infection Prevention and Control related policies are in date for this year.

Policies relating to Infection Prevention and Control are available to all staff and are reviewed and updated annually, and are amended on an on-going basis as current advice, guidance and legislation changes. Infection Control policies are circulated amongst staff for reading and discussed at meetings on a regular basis.


It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this.

Review date

September 2022

Responsibility for Review

The Infection Prevention and Control Lead and the Practice Manager are responsible for reviewing and producing the Annual Statement.

Julieanne Page (Practice Manager)

Julie Port (Clinical Nurse Manager)

For and on behalf of The Grange Surgery