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Health Secretary Unveils New Infection Control Strategy, UK
Every hospital trust in England will be able to recruit two infection
control nurses, two isolation nurses and an antimicrobial pharmacist
with millions of pounds of extra investment for infection control in
the NHS, Health Secretary Alan Johnson announced recently.
New stringent requirements outlined today in the Government's
strategy to tackle healthcare associated infections (HCAIs) also mean
that NHS Foundation Trust applications will not be supported by the
Secretary of State unless trusts are consistently hitting local
targets on both MRSA and C. difficile.
'Clean, safe care' draws together current HCAI initiatives and
details new areas where the NHS should invest the extra funding of
£270 million per year by 2010/11 to support infection control and
cleanliness in the NHS.
This funding will allow local organisations to invest up to £45m on
additional specialist staff*, who play a crucial role in cleanliness
and infection prevention & control.
Alan Johnson said:
"We have gone from what has been described by the HPA as 'a seemingly
unstoppable rise in MRSA bloodstream infections throughout the 1990s'
to a 10% fall in cases of MRSA, thanks to the hard work and
dedication of NHS staff, but we know that there is still more to be
done.
"The investment of an extra £270 million and this strategy will help
the NHS to continue the good work going forward. Patients have my
assurance that the Government will not take its foot off the pedal
and will continue to do all we can to tackle infection."
From February 2008, a new nationwide campaign will be launched to
remind the public, GPs and other doctors that using antibiotics is
not effective on many common ailments. The campaign will also
highlight that inappropriate use of antibiotics can increase the
emergence of antibiotic-resistant strains of infections and that
prudent prescribing is therefore required.
Alan Johnson continued:
"Healthcare associated infections are everyone's responsibility from
NHS cleaning and care staff to me as Secretary of State - and I take
that responsibility seriously.
"The past 60 years have seen great advances in healthcare and
medicine. For example, the use of antibiotics have saved countless
lives, but antibiotics do not work on most coughs, colds and sore
throats and their unnecessary use can leave the body susceptible to
gut infections like Clostridium difficile. The new pharmacists that
trusts will be able to recruit will be key to ensuring proper
antibiotic prescribing on wards."
As well as recently announced initiatives including a new 'Bare Below
the Elbows' dress code and every hospital to have undergone a deep
clean by March 2008, the Strategy outlines further areas that the
Department is leading on to support the NHS in the fight against
HCAIs. These include:
Hospitals will receive more money earmarked to tackle infection - The
national tariff uplift includes a specific element to tackle
infection, meaning that trusts have additional resources at their
disposal Additional fines for trusts not improving infection rates -
as set out in December's Operating Framework for 2008/09, the new
national contract will allow PCTs to fine Trusts that are not hitting
local targets on Clostridium difficile improvement. This is over and
above the fines that the new Care Quality Commission will be able to
place on Trusts that are in breach of the hygiene code.
Promoting innovations - a range of programmes designed to accelerate
the development and uptake of new technologies
Guidance on HR procedures to be developed in conjunction with Trade
Unions - including the importance of induction and training on
infection prevention and control for staff
A cleaning summit held by the NHS Chief Executive - focussing on
cleaners as part of the solution to infections and cleanliness and
not part of the problem
Chief Nursing Officer Christine Beasley said:
"Healthcare associated infections and cleanliness in hospitals are
often linked, and rightly so. We know that patients do not want to
receive care in a dirty hospital. A clean environment is extremely
important its own right, as well being the best platform from which
to tackle HCAIs.
"Preventing infections requires a range of measures, from prudent
antibiotic prescribing to implementing best practice in chronic wound
management and only a comprehensive approach will succeed in driving
down numbers."
Notes:
1. 'Clean, safe care' sets out where there are national expectations
and requirements for the NHS in tackling HCAIs- but also guides NHS
organisations as to the actions and investment that will be most
effective in continuing to tackle infection and improve cleanliness
in their local area. The document is also written with patients,
public and staff in mind. It can be found at http://www.dh.gov.uk.
2. The recent Comprehensive Spending Review (CSR) set an investment
of £270 million per year by 2010/11 to support continued progress in
tackling HCAIs and improving cleanliness. This included £130m for the
introduction of MRSA screening and a further £140m by 2010-11 to
reduce C. difficile infections.
The CSR investment was reflected in a 5.5% increase in PCT
allocations and the 2.3% uplift to the national tariff in 2008/09.
3. *The CSR settlement allows for local organisations to invest up to
£45m on additional specialist staff. These include:
Infection control nurses: The infection control nurse is a key member
of infection control teams in trusts alongside infection control
doctors and medical microbiologists. Investment in this area would
include training and development of existing staff as well as
recruitment of new staff. Antimicrobial pharmacists: Pharmacists are
extremely important in promoting good prescribing practice. Investing
in pharmacy teams will allow pharmacists to work proactively with
other clinical staff - such as medical microbiologists, and
infectious disease specialists - and free up time to undertake other
key activities such as clinical audits. Isolation nurses: Following
best practice in managing patients with HCAIs will mean more
isolation and cohorting of infected patients. Investment in
additional nursing staff will therefore be needed to ensure that
patient care is not compromised by increased isolation.
4. There are 173 Acute Trusts in England.
5. As set out in the NHS Operating Framework for 2008/09, improving
cleanliness and reducing healthcare associated infections is one of
the NHS's top priorities. NHS organisations will have to maintain the
annual number of MRSA bloodstream infections at less than half the
number in 2003/04 and by 2011 there will need to be a 30% national
reduction in C. difficile infections from 2007/08 numbers.
6. Health Protection Agency (HPA) data published on 1 November 2007
showed a 10% fall in cases of MRSA in England from the previous
quarter, from 1,447 between January 2007 to March 2007 to 1,303
between April 2007 and June 2007.
HPA figures for C. difficile for the quarter April to June 2007 show
a reduction of 7% in the 65 and over age group compared with the same
quarter in 2006.
7. Recently announced initiatives include:
Introducing screening for all elective patients by March 2009 and for
all emergency patients as soon as possible over the next three years;
Annual infection control inspections of all acute Trusts by the
Healthcare Commission using teams of specialist inspectors;
A new bare below the elbows dress code; and
Every hospital to have undergone a deep clean by March 2008; 5,000
matrons in place in the NHS by May 2008.
http://www.dh.gov.uk
Sanatate Secretarul de infectare Unveils Noua strategie de control, Marea Britanie - Health Secretary Unveils New Infection Control Strategy, UK - articole medicale engleza - startsanatate