Infection Control




This annual statement will be generated each year in March 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. The report will be published on the practice website and will include the following summary: 

  • 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 the prevention and control of infection
  • Details of staff training 
  • Any review and update of policies, procedures and guidelines  


Infection Prevention and Control (IPC) lead 

The lead for infection prevention and control at Gillingham Medical Practice is Felicity Viette, Lead Nurse.

The IPC lead is supported by Julie Tidbury (Practice Manager), Geoff Lewis (Senior Partner), Michelle Smith (Practice Nurse) and Sam Brown (Practice Nurse).

Infection transmission incidents (significant events) 

Significant events involve examples of good practice as well as challenging events.

Positive events are discussed at meetings to allow all staff to be appraised of areas of best practice.

Negative events are managed by the staff member who either identified or was advised of any potential shortcoming. This person will complete a Significant Event Analysis (SEA) form that commences an investigation process to establish what can be learnt and to indicate changes that might lead to future improvements.

All significant events are reviewed and discussed at several meetings each month. Any learning points are cascaded to all relevant staff where an action plan, including audits or policy review, may follow.

In the past year there has been one significant events raised that related to infection control. There have also been 0 complaints made regarding cleanliness or infection control.  

Infection prevention audit and actions 

Internal audits:

  • Hand washing facilities,
  • Handwashing,
  • IPC building audit,
  • Decontamination,
  • IPC display information

Projected audit reviews:

  • Peer to peer handwashing audit,
  • Cleaning frequency sheet audit,
  • IPC building audit – due Dec 2022,
  • Staff IPC training audit

Risk assessments

Risk assessments are carried out so that any risk is minimised to be as low as reasonably practicable. Additionally, a risk assessment that can identify best practice can be established and then followed.

In the last year, the following risk assessments were carried out/reviewed:

  • General IPC risks
  • Staffing, new joiners and ongoing training
  • Cleaning standards
  • Privacy curtain cleaning or changes
  • Staff vaccinations
  • Infrastructure changes
  • Sharps
  • Water safety

In the next year, the following risk assessment will also be reviewed: 



In addition to staff being involved in risk assessments and significant events, at Gillingham Medical Practice all staff and contractors receive IPC induction training on commencing their post (Bluestream). Thereafter, all staff receive refresher training annually.

Policies and procedures

The infection prevention and control related policies and procedures that have been written, updated or reviewed in the last year include, but are not limited, to: 

  • Aseptic technique,
  • Infection prevention and control policy,
  • Infection prevention and control cleaning policy,
  • Privacy curtains,
  • Decontamination,
  • Elements, performance parameters and cleaning frequencies,
  • Hand hygiene,
  • Isolation of patients,
  • Needlestick injury,
  • Notifiable disease,
  • Outbreaks of communicable disease,
  • Safe management of blood and bodily fluids,
  • Safe use of sharps,
  • Sample handling,
  • Viral gastroenteritis SOP,
  • Safe management of waste. 

Policies relating to infection prevention and control are available to all staff and are reviewed and updated annually. Additionally, all policies are amended on an ongoing basis as per current advice, guidance and legislation changes.  


It is the responsibility of all staff members at Gillingham Medical Practice to be familiar with this statement and their roles and responsibilities under it.  


The IPC lead and Felicity Viette are responsible for reviewing and producing the annual statement. 

This annual statement will be updated on or before April 2023