PENNINE ACUTE HOSPITALS NHS TRUST HCAI RECOVERY

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PENNINE ACUTE HOSPITALS NHS TRUSTHCAI RECOVERY

• Vic Crumbleholme/Louise Dickinson
• Associate Director of Nursing/Nurse Consultant
  Prevention Control of Infection

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PAHT MRSA bacteraemia 6 monthly figures and rates
per 10,000 bed days, April 01-March 07
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PAHT c. difficile Annual figures rates per
1,000 bed days for patients 65

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Why is PAHT in Recovery?

• MRSA Trajectory

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Recovery Plan

• High Impact Interventions
• Infection prevention moved into the corporate
  domain/HCAI Board
• DoH support
• Managerial engagement
• Clinical engagement
• PCT support
• Infection Prevention Performance Team
• Forensic approach to Infection Prevention

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High Impact Interventions

• Hll 1 Central line Care
• Hll 2 Peripheral Cannulae
• HII 3 Renal Dialysis Catheter Care Bundle
• Hll 4 Prevention of surgical site infection
• HII 5 Ventilated patients or tracheostomy
• HII 6 Urinary catheter
• HII 7 Arrangements for managing C diff

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Corporate Team

• Chief Executive
• Director of Infection Prevention Control
• Director of Nursing
• Infection Prevention Nurse Consultant
• Associate Director of Nursing
• HAI Board
• IPNs/IPPs
• DNMs/Ward Managers

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DoH Support

• Weekly monitoring
• Face to face contact
• Phone to phone contact
• Clinical/project support
• Critical review of progress

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Managerial Engagement

• Performance management dashboard

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Managerial Engagement
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Managerial Engagement
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Managerial Engagement
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Managerial Engagement
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Clinical Engagement

• Handwashing week
• ISS
• ANTT awareness
• HAI Board
• Wider range of communication
• Backlog maintenance

• Public health day
• C difficile day
• IP Summit
• Handwashing stations
• Screensaver
• Pennine News
• Series of meetings with Consultant medics

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PCT Support

• 550,000 of 50,000,000 Government help allocated
  to PAHT
• Contract incentives
• Clinical support

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Infection Prevention Performance Team

• 5 sisters
• Site based
• Targeted support to clinically-based staff
• Corporate authority
• Specific role re. education, practice and to
  support specific projects (e.g., ChloraPrep)
• Monitoring support
• Audit/accreditation

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Our Experience
Before
After