Governance and systems for infection prevention, control and surveillance Overview of what is required Suggested approach Examples of evidence Regular monitoring of workforce use of infection Reports on the review of infection risks or data safe sharps management () prevention policies, procedures and/or for interventions to manage healthcare environmental cleaning () protocols enables local managers to take swift associated infection risks. waste management, cleaning, disinfection and action to reduce infection risk. sterilisation activities () Relevant documentation from committees and other meetings where reports on infection use of personal protective equipment ( and ) prevention and control activities are tabled or incident data. and discussed. If auditing is conducted by the overarching health service organisation, your community health service may be asked to contribute data and information or perform local audits and report results to the governing body. 3.1.3 The effectiveness of the infection prevention and control systems is regularly reviewed at the highest level of governance in the organisation Your community health service should ensure Identify an individual, or team, responsible for A schedule for the reporting of infection that data and information about the performance the local management or governance of prevention and control activities. of the infection prevention and infection prevention and control. This role needs Reports on the performance of the infection organisation’s control system is reported to the local to be identified locally, even if overall prevention and control system presented to manager(s) responsible for the system and the responsibility for infection prevention and control the governing body. organisation’s senior executive, in line with policy and governance sits with the overarching health Relevant documentation from committees timeframes for reporting. service organisation. and other meetings where reports on the Routinely provide the results from audits, any performance of the infection prevention and surveillance and incident reviews to the local control system are tabled and discussed. governance bodies, and any relevant Reports of evidence-based interventions that governance bodies within your community have been initiated for identified infection health service. control risks. Include infection prevention and control on A business plan that demonstrates review meeting agendas and reports to the of health service performance against key governing body. performance indicators.
Governance and systems for infection prevention, control and surveillance Overview of what is required Suggested approach Examples of evidence Regular monitoring of workforce use of infection prevention policies, procedures and/or protocols enables local managers to take swift action to reduce infection risk. safe sharps management () environmental cleaning () waste management, cleaning, disinfection and sterilisation activities () use of personal protective equipment ( and ) or incident data. If auditing is conducted by the overarching health service organisation, your community health service may be asked to contribute data and information or perform local audits and report results to the governing body. Reports on the review of infection risks or data for interventions to manage healthcare associated infection risks. Relevant documentation from committees and other meetings where reports on infection prevention and control activities are tabled and discussed. 3.1.3 The effectiveness of the infection prevention and control systems is regularly reviewed at the highest level of governance in the organisation Your community health service should ensure that data and information about the performance of the organisation’s infection prevention and control system is reported to the local manager(s) responsible for the system and the senior executive, in line with policy and timeframes for reporting. Identify an individual, or team, responsible for the local management or governance of infection prevention and control. This role needs to be identified locally, even if overall responsibility for infection prevention and control governance sits with the overarching health service organisation. Routinely provide the results from audits, any surveillance and incident reviews to the local governance bodies, and any relevant governance bodies within your community health service. Include infection prevention and control on meeting agendas and reports to the governing body. A schedule for the reporting of infection prevention and control activities. Reports on the performance of the infection prevention and control system presented to the organisation’s governing body. Relevant documentation from committees and other meetings where reports on the performance of the infection prevention and control system are tabled and discussed. Reports of evidence-based interventions that have been initiated for identified infection control risks. A business plan that demonstrates review of health service performance against key performance indicators.
Guide-to-the-NSQHS-Standards-for-community-health-services-February-2016.docx