Infection Prevention and Control


Leeds Teaching Hospitals NHS Trust: Development of a water safety training and assurance package within a haemato-oncology unit: a nurse-led initiative

Cases of multi-resistant Pseudomonas aeruginosa (MRPA) increased on the trust’s haemato-oncology unit so a new way of working was needed to keep patients safe from the likely reservoirs, namely the water. The nursing team led an initiative to improve the ward environment, educate all team members in the area and develop an assurance process for water safety. A training package was developed for all staff and daily huddle updates were undertaken, along with matron-led monthly water safety assurance walkarounds. A water safety leaflet was designed to deliver key messages to all patients and visitors. There has been no case of MRPA since 2021.


Ashford and St Peter’s Hospitals NHS Foundation Trust and Central Surrey Health: North West Surrey Alliance integrated infection prevention and control team

A new team of specialist infection prevention and control (IPC) nurses was set up to provide consistent IPC advice and education for all North West Surrey Alliance providers. By raising the profi le of the new team, provider engagement increased, IPC standards were boosted and support for care homes and community services has been enhanced.

HCA Healthcare: Infection control link programme

To strengthen local cultures of infection prevention and create local subject matter experts/champions, the infection prevention and control (IPC) team developed a programme for IPC links including a two-day course. Speakers provide IPC expertise to the IPC links so the links can then act as leaders and experts, and share their improved knowledge in IPC. The programme was rolled out to all six HCA Healthcare hospitals and primary care services

Health Education and Improvement Wales: Infection prevention and control training, learning and development framework

A framework was developed to improve existing infection prevention and control practice and training across Wales. It sets out the standards that should be used to inform practice of all members of care delivery teams in the health, social care, early years and childcare sectors. Resources, including a new used to inform practice of all members of care delivery teams in the health, social care, early years and childcare sectors. Resources, including a new course, to reinforce best practice were produced and mandatory training was reviewed and refreshed. Attendees of the new course said it was beneficial.

Leeds Community Healthcare NHS Trust: I-Spy sepsis and I-Spy deterioration: a community journey

The project aimed to improve staff and the public’s understanding of sepsis and deterioration among adults in community settings. A branded approach to identifying the ‘soft’ signs of deterioration was implemented, and the delivery of RESTORE2, a physical deterioration and escalation tool for care/nursing homes, was supported. Both interventions improved care home staff’s recognition of deterioration and saved lives.

NHS Black Country ICB: Reducing cross-contamination risks during an outbreak in care homes

Education on infection prevention and control education at a place-based level and outbreak management support varied across care homes. As such, outbreaks could be prolonged in some areas, which could cause severe inequality and disruption to patient flow. Staff received extra training on the chain of infection, standard infection control precautions and outbreak management. Confidence improved as did system-wide working.

Royal Free Hospital NHS Foundation Trust: Reducing hospital-acquired infections on 7 West ward

7 West, a 32-bed vascular ward, was placed in special measures after multiple infection outbreaks. A new team was developed to ensure the ward stayed infection free for 90 days. Practices that required improvement were identified, weekly meetings were held, cleaning checklists were provided for staff and audits were increased. Compliance improved and the 90-day infection-free target was not only met, but exceeded.

The Royal Marsden NHS Foundation Trust: Gram-negative bloodstream infection and the cancer patient (Project Frank)

Project Frank was a retrospective review of all the gram-negative bloodstream infections (GNBSIs) at The Royal Marsden in 2022–23. It was undertaken to ascertain the primary focus of the infection and correlate this to the cancer type with the highest incidence of a bacteraemia. The review revealed that patients with haematology and gastrointestinal or colorectal cancers are more likely to develop a GNBSI. The word ‘cancer’ and its risks should be included in the NHS GNBSI reduction strategy.

University Hospitals Plymouth NHS Trust: Digital urinary catheter assessment and monitoring tool

The infection prevention and control (IPC) biomedical device specialist nurse and IPC matron led a project to digitise the urinary catheter assessment and monitoring tool to reduce infection risk. The e-tool was designed to provide clear sight of all catheters in situ, a dwell time alert system, documentation of care, resources to support care, and be able to draw out reports for feedback. Follow-up audit showed that 93% of catheterised patients had been moved to the e-tool.