Select Committee on Public Accounts Minutes of Evidence


Annex A

TOWARDS CLEANER HOSPITALS AND LOWER RATES OF INFECTION: A SUMMARY OF ACTION—ANNOUNCED BY THE SECRETARY OF STATE FOR HEALTH

  The proposals, as announced by the Secretary of State in his press notice, [15]fall into six areas:

  Being open to the public about this issue; Measures to involve patients in monitoring the situation in their local hospital; measures to give staff at ward level the tools and encouragement to put cleanliness and infection control a top priority; moves to ensure consistent national standards of reporting; measures to ensure that lessons are learned from the best at home and abroad; and moves to ensure science makes the maximum contribution to tackling this problem.

  In particular:

    (i)   Ensuring every hospital publishes and displays its infection rates and trends, as patients have the right to know. Patients will have a choice of hospitals by the end of next year, and this could become a factor in their decision;

    (ii)   NHS patients should demand the highest standards of hygiene, and since human contact is a major way infection spreads in hospital, to feel happy to ask staff if they've washed their hands;

    (iii)   Patients' forums to conduct cleanliness inspections four times a year, using a checklist drawn up by infection control nurses and the results will be made public;

    (iv)   As bedside phones are introduced, they should have a pre-programmed housekeeping button so patients and visitors can be put through to the hospitals cleaning service straight away;

    (v)   Matrons and nurses at ward level should have the power to ensure high standards are maintained; putting matrons in charge of cleaners, and having alcohol rubs at all staff patient contact points;

    (vi)   Putting cleanliness at the heart of the NHS inspection regime and introducing a new target to cut MRSA, ensuring that the whole NHS gives the issue the same high priority as the public does;

    (vii)   Because MRSA rates vary from hospital to hospital, the whole NHS should learn from the best at home and abroad. Experts are to be flown in from other countries with low MRSA, and an MRSA summit will be held in the autumn;

    (viii)   New research into testing cleanliness levels and a science summit of leading experts to advise us on the best avenues for research into hospital infection.


15   Department of Health 2004/0259. New Action for Cleaner Safer Hospitals. Press notice-Secretary of State for Health, issued 12 July 2004. The document "Toward cleaner hospitals and lower rates of infection" is published at www.dh.gov.uk/publicationsandstatistics Back


 
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