Infection prevention & control statement

The Health and Social Care Act 2008: Code of Practice on the prevention and control of infections and related guidance (Department of Health, 2015) requires that all organisations which provide health and adult social care to have in place policies, procedures and protocols which minimise the risk of infection. This Act came into force in April 2011 for ALL NHS care providers.

Hawthorn Drive Surgery has in place all the requirements for compliance under the Code of Practice and adheres to the 10 domains listed below:

Compliance criterion

What the registered provider will need to demonstrate


Systems to manage and monitor the prevention and control of infection. These systems use risk assessments and consider how susceptible service users are and any risks that their environment and other users may pose to them.


Provide and maintain a clean and appropriate environment in managed premises that facilitates the prevention and control of infections.


Ensure appropriate antibiotic use to optimise patient outcomes and to reduce the risk of adverse events and antimicrobial resistance.


Provide suitable accurate information on infections to service users, their visitors and any person concerned with providing further support or nursing/ medical care in a timely fashion.


Ensure prompt identification of people who have or are at risk of developing an infection so that they receive timely and appropriate treatment to reduce the risk of transmitting infection to other people.


Systems to ensure that all care workers (including contractors and volunteers) are aware of and discharge their responsibilities in the process of preventing and controlling infection.


Provide or secure adequate isolation facilities


Secure adequate access to laboratory support as appropriate.


Have and adhere to policies, designed for the individual’s care and provider organisations that will help to prevent and control infections.


Providers have a system in place to manage the occupational health needs of staff in relation to infection.

IPC Annual Statement 2023 - 2024

This practice is committed to the control of infection within the building and in relation to the clinical procedures carried out within it.  this statement has been produced in line with the Health and Social Care Act 2008 and details the practice compliance with guidelines on infection control and cleanliness between the dates of 1/4/22 and 31/3/23.

IPC lead for the practice is Dr De Silva, IPC deputy is Julie YAxley (Practice Manager), Antibiotic Lead is Dr Sheila Adefuye

From 2024 this statement will be generated in April each year and will summarise

  • Any infection transmission incidents and actions taken
  • Details of IPC audits/risk assessments undertaken and actions taken
  • Details of staff training
  • Details of IPC advice to patients
  • Any review/update of IPC policies and procedures

Staff Training - all staff have been allocated annual IPC training in 2023/24, with a 90% completion rate.  Any IPC issues are discussed the practice meetings.  Staff are encouraged to raise any IPC concerns with the Practice Manager.

Audits - infection control audit carried out with regards minor surgery

Hand Hygiene Audit - Staff are aware of the importance of hand hygiene in reducing healthcare associated infections.

Cleaning Audits - weekly self-managemtn cleaning audit on all clinical spaces.  Being reviewed with cleaning company

Cold Chain Review 

  • Cold Chain policy in place
  • Fridges have internal temperature reading inside the fridges and information avialable.
  • Cold box is available for the transportation of vaccine for home visits
  • Incident with electrical supply affecting flu vaccines - vaccines disposed of.

Legionella Annual Audit - complete, no actions necessary