Infection Control Statement




The annual statement will be generated each year in March. It will summarise:

  • Any infection transmission incidents and action taken (these will be reported in accordance with our Significant Incident procedure The annual infection control audit summary and actions undertaken
  • Control risk assessments undertaken
  • Details of staff training (both as part of induction and annual training) with regards to infection prevention & control
  • Details of infection control advice to patients
  • Any review and update of policies, procedures and guidelines.


 Nigel Olsen: IPC Nurse for Infection Prevention & Control.

Infection Prevention Control Team: Zahra Eshtiaghi (Practice Nurse), Hayley Thomas (HCA) and Tina Agyemang (House Keeper) are actively involved in Infection Prevention and Control practices at our Surgery.


Surgery Staff have had previous online Infection Prevention & Control training. Nigel Olsen has also reached out to Sharon Njanike –Nyadzo; Interim Infection Prevention and Control Lead Nurse for Berkshire West CCG  for additional supportive documentation in a peri/post Covid world.

The surgery nursing team will keep updated with Infection Prevention & Control practices, and share necessary information with staff and patients throughout the year.

Significant events

No significant event that relate to Infection Prevention


The Surgery is monthly Audited by the Surgery Nurse for IPC. Periodically and as required by CCG, we will also provide Audit performance when requested to IPC Lead Nurse for Berkshire West CCG.

Cleaning Audit

We have an allocated member of staff for cleaning inspection daily at our surgery, and Nigel Olsen, the IPC Lead carry out weekly/monthly audit as appropriate.

Sharp Disposal Audit

The surgery has dedicated personnel for management of our Sharp bins (Haley Thomas).

Risk Assessments

Regular risk assessments are undertaken to minimise the risk of infection and to ensure the safety of patients and staff. Below are the risk assessments actioned:


  • In view of SARS-nCoV-2, we have contacted our local CCG for guidance on additional specific measures. The feedback is to follow National Guidelines and governance that emanates from PHE. Covid-19 is fast moving and new updates are cascaded to all parties concerned at both practices for deployment
  • We keep hard covered books which can be easily wiped clean instead of toys.
  • Protocol in place for control of substances hazardous to health (COSSH)
  • Protocol in place for Waste disposal in accordance to the national regulations.
  • Sharp bin protocol in place, and is being actively managed by Hayley Thomas
  • Surgery staff is trained in hand hygiene and prevention of health care Associated infection (HCAIs).
  • Up to date sharp injury management protocol
  • The surgery is offering Hep B vaccination to member of staff to prevent and    control occupational infections.
  • Our disposable curtains are changed 6 monthly by a dedicated member of staff (Hayley Thomas)
  • All our clinical trolleys are disinfected after use, and Haley performs a deep cleaning every three months
  • Most of our taps have hands-free handles, and the ones which do not are turned off using paper towels.
  • Our sinks have no plugs and all our soap and sanitisers are wall mounted.
  • Relevant posters, such as hand washing with pictures, how to hand rub, sharp injury and action to be taken, PPE poster, how to manage blood spillage, are appropriately positioned at the surgery
  • Every member of staff is responsible to be familiar with infection control policy and their roles and responsibilities under it.
  • Since last statement, we have installed new soap and sanitiser dispensers at the surgery.

Minor Operations Audit

  • The only minor operation performed at our surgeries is implant insertion/removal the GPs who are trained to maintain aseptic technique with this procedure. No post operation infection has been reported so far at both surgeries.

PPE Audit

  • The clinical staff been assessed in the choosing and usage of personal protective clothing clothing/equipment for appropriate procedures.
  • Bodily fluids spillage protocol.

Legionella Risk Assessment Audit

To ensure water does not pose a risk our patients, staff and visitors, Legionella risk assessment was done in 15th April 2019, and produced a clear result.

Tina {Housekeeper) performs tap flushing protocol three times a week

Staff Training

All new clinical staff are provided with online access to Blue Stream training for IPC Certification and training.

Infection Control Advice to Patients

Posters are displayed at the surgeries for patients education/ and our patients are encouraged to use the alcohol sanitiser dispensers which are available throughout the Surgery.

We have the following information leaflets at the surgery for our patients:

  • MRSA – Norovirus
  • Chickenpox & shingles – Influenza
  • The importance of immunisations (e.g. in childhood and in preparation for overseas travel)
  • Recognising symptoms of TB

Policies, procedures and guidelines

Infection prevention control protocols are reviewed in line with national and local guidance changes and are updated 2-yearly (or sooner in the event on new guidance).