Infection Control Statement

Infection Prevention & Control Annual Statement

South Reading & Shinfield Group Medical Practice 2021/2022


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 advise to patients
  • Any review and update of policies, procedures and guidelines.


Nigel Olsen: Lead Nurse for Infection Prevention & Control.

Infection Prevention Control Team: Hayley Thomas (HCA), Phil Tanner (Paramedic), Tina Heath (HCA), Justyna Staron-Wagner (HCA) and Tina Agyemang (Housekeeper) are actively involved in Infection Prevention and Control practices at our Surgery.

All Surgery Staff have had online Infection Prevention & Control training. 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 audited daily, weekly, monthly, quarterly and Annually by the Surgery Lead Nurse, and an External Audit has been completed and forwarded to Jintana Loss, the IPC Lead Nurse for West Berkshire. Latest Annual IPC Audits for South Reading Surgery & Shinfield rated at 97% & 98% compliant respectively across all parameters.

Cleaning Audit

We have allocated member of staff for cleaning inspection daily at our surgery, and Nigel Olsen, the IPC Lead will carry out weekly/monthly/quarterly and annual audit as appropriate. All audits, now in digital format will be forwarded to the Practice Manager to ensure expediency and structured risk management of areas of concern. Results will be forwarded for sharing at Operational/Management meetings.

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:

  • 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 with 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 – OT management via HEALS
  • The surgery assesses all frontline personnel for up-to-date Hepatitis B vaccinations and/or ongoing titre levels.
  • 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. Item flagged in Annual Action Plan.
  • 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.

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 have  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, Tina (Housekeeper) performs tap flushing protocol three times a week.

Staff Training

All staff undergo mandatory online IPC training annually.

Infection Control Advice to Patients:

Posters are displayed at the surgeries for patient’s 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
  • Chickenpox & shingles
  • Influenza
  • Norovirus
  • 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).