health & social care
2

Effectively Preventing and Controlling the Spread of Infections

health & social care

08:45 - 16:00

Thursday 21 March 2019

Congress Centre, Central London

This Forum provides participants with an opportunity to discuss and develop solutions to the latest issues surrounding Infection Prevention and Control (IPC). Attendees will examine the latest guidance and best practice from across the NHS and wider Health Sector on ways to improve patient safety, meet the Government’s 2021 target and reduce antimicrobial resistance.

Audience

This Forum aims to bring together practitioners from across the NHS. Typical job titles include:

  • Lead Nurse – Infection Control
  • Directors of Infection Prevention and Control
  • Matrons
  • Chief Nurses
  • Directors of Nursing
  • Directors of Public Health
  • Directors of Quality
  • Directors of Nursing
  • Directors of Clinical Services

The Forum is also open to the Private Sector to encourage networking and debate.

Key Speakers Confirmed:
  • Joanne Bosanquet, Deputy Chief Nurse, Public Health England 
  • Rose Gallagher MBE, Professional Lead IPC, Royal College of Nursing
  • Professor Jennie Wilson, Vice-President, Infection Prevention Society
View the agenda and additional speakers

08:45

Registration, Refreshments and Networking


09:30

Chair's Welcome Address

Professor Heather Loveday, Professor of Evidence based Healthcare and Director of Richard Wells Research Centre, University of West London (CONFIRMED)


09:40

Morning Keynote: Outlining the Importance of Antimicrobial Stewardship for All

  • Overview of the ‘One Health’ global policy drivers for antimicrobial resistance and the prevention of infection
  • Challenge that every health and care professional has a role to play in antimicrobial stewardship with reference to the government’s 5 Year Action Plan and 20 Year Vision on Antimicrobial Resistance

Joanne Bosanquet, Deputy Chief Nurse, Public Health England (CONFIRMED)


10:10

Special Keynote: Transforming Services Through Cross-Service Collaboration

  • Considering ways to ensure greater cross-service collaboration to address disparities in infection rates across trusts and reduce antimicrobial resistance (AMR)
  • Discussing the challenges facing IPC teams, including staff shortages, limited resources and lack of community engagement
  • Making IPC a priority for all staff and board members, not just dedicated IPC teams, by involving everyone in the target-setting and reporting process
  • Equipping nursing staff with the practical skills needed to manage IPC through the launch of the RCN’s Infection Prevention and Control Module educational programme
  • Detailing the RCN’s current work on raising awareness surrounding effective glove use and the benefits this can bring, including how to recognise dermatitis

Rose Gallagher MBE, Professional Lead for Infection Prevention Control, Royal College of Nursing (CONFIRMED)


10:40

Questions and Answers Session


11:00

Refreshments and Networking


11:20

Case Study: Effectively Supporting Workforce Development to Improve Infection Prevention

  • Outlining HIS’s Directors of Infection Prevention and Control Network and Development programme, which aims to improve infection prevention through knowledge sharing and networking opportunities
  • Highlighting how the Healthcare Infection Society (HIS) supports workforce development in tackling infections through online educational resources
  • HIS research, public engagement, supported events and career development grants
  • Analysing the importance of effectively educating healthcare staff in stopping the spread of infections, which has seen HIS establish Foundation Certificates in Infection Prevention and Control to further support workforce development

Kay Miller, Chief Executive, Healthcare Infection Society (CONFIRMED)


11:40

Case Study: Implementing a Continuous Improvement Programme in IPC Reduction

  • Discussing the importance of a Continuous Improvement Programme in the effective reduction of GNBSIs across the Trust, and detailing the process of establishing one
  • Improving IPC across the Trust by focusing on early identification, treatment within the “golden hour” and definitive management of patients with BSIs
  • Raising awareness across the Trust and giving confidence to staff to identify potential BSIs and escalating to suitable colleagues
  • Assessing the impact on patients of the ‘Lean for Leaders’ development programme in helping teams adopt a wide range of effective tools and techniques

CHKS Top 40 Hospitals Awards winners 2018

Ashley Flores, Nurse Consultant and Deputy Director IPC, Surrey and Sussex Healthcare NHS Trust (CONFIRMED)


12:00

Questions and Answers Session


12:20

Lunch and Networking


13:20

Afternoon Keynote: Preventing Gram negative bloodstream infections: the role of community and primary care

  • What we know about the epidemiology of Gram negative bloodstream infections
  • The associated intrinsic and extrinsic risk factors and their implications for infection prevention strategies
  • How hydration of the elderly contributes to the problem, insights into the challenges of hydrating older people and some potential solutions

Professor Jennie Wilson, Vice-President, Infection Prevention Society (IPS) (CONFIRMED)


13:50

Case Study: Creating Manageable Goals and Encouraging Staff Engagement to Reduce Gram-negative BSIs

  • Outlining the challenges encountered in designing a project to work towards reducing Gram-negative bloodstream infections by 50% by 2021
  • Examining the outcomes from the programme that has been running for a year, namely a 35% reduction in the number of hospital-acquired E coli BSIs
  • Combining projects to create focused and manageable principles for staff to use in their clinical environment and generate a higher level of staff engagement
  • Charting the Trust’s work over the last two years, from a focus on CAUTI in 2016 to greater engagement with staff and domestics in 2017, to a current drive to achieve patient and public involvement
  • Establishing a culture of continuous improvement, and acknowledging how health inequalities must be considered in creating manageable goals

Julie Clarke, Acting Lead IPC Team, Burton Hospitals NHS Foundation Trust (CONFIRMED)

Jayne Bateman, Acting Deputy for Infection Prevention and Control, Burton Hospitals NHS Foundation Trust (CONFIRMED)


14:10

Questions and Answers Session


14:30

Refreshments and Networking


14:50

Case Study: The importance of Digital and Mobile Strategies in Infection Prevention and Control

  • Considering the importance of implementing digital mobile strategies in the effective prevention and control of infection at the Trust
  • Introducing an IPC model for clinical practice at Dorset County Hospital and evaluating its effectiveness and how other Trusts can adopt a similar model
  • Demonstrating tools used to monitor and detect outbreaks or potential outbreaks and evaluating their effectiveness
  • Discussing techniques to gain greater Board engagement in outbreak management, and monitoring staff engagement and compliance with policy and target-setting

Emma Hoyle, Associate Director for Infection Prevention & Control, Dorset County Hospital NHS Foundation Trust (CONFIRMED)


15:10

Case Study: Reducing Unwarranted Variation in IPC Through the Getting It Right First Time Programme

  • Discussing the Getting It Right First Time (GIRFT) initiative aimed at reducing unwarranted variation in care with regards to infection prevention and control
  • Providing recommendations for trusts based on performance data
  • Outlining the results from the 2017 audit of patients with surgical site infections (SSIs)
  • Considering trusts’ role in collecting this data, and making this compulsory to ensure that trusts and surgeons are aware of the infection rates for their speciality
  • Commenting on the suggestions from the GIRFT programme and how they aim to involve clinicians to deliver continuous quality improvement

Cherrie Ho, National Medical Director’s Clinical Fellow and Joint Clinical Lead, Surgical Site Infection Audit, Getting It Right First Time (CONFIRMED)


15:40

Questions and Answers Session


16:00

Chair's Summary and Close

*programme subject to change


Infection prevention and control (IPC) has cost the NHS approximately £2.3 billion by the end of 2018. In January 2019, the government published a ’20 Year Vision’ and ‘5 Year National Action Plan’ on how the UK will aid in containing and controlling Antimicrobial Resistance by 2040. The main targets include cutting the prevalence of drug-resistant infections by 10% (5,000 infections) by 2025, decreasing the use of antibiotics in humans by 15% and preventing at least 15,000 patients from contracting infections resulting from their healthcare each year by 2024.

New data released by Public Health England (PHE) shows that the number of infections with E. coli, MRSA, and MSSA and Clostridium difficile all increased between 2016 and 2017. Gram-negative BSIs contributed to approximately 5,500 NHS patient deaths in 2015. Sepsis was the leading cause for 15,722 deaths in hospital or within 30 days of patients being discharged in the year ending April 2017. In its 10-year strategy, ‘The NHS Long Term Plan’, published in January 2019, the NHS states boldly that it will continue supporting implementation and distribution of the government’s new five-year action plan on Antimicrobial Resistance. Supporting such resistance includes decreasing the need for and unintentional exposure to antibiotics, supporting the growth of new antimicrobials, guaranteed access to old and new treatments and preventative actions. Furthermore, as part of the government’s ’20 Year Vision’ and ‘5 Year National Action Plan’ on Antimicrobial Resistance, the NHS will focus on ensuring that current antibiotics are still effective by decreasing the number of resistant infections and helping clinicians to prescribe appropriately. Preventing BSIs should have a major impact on reducing the need to prescribe antimicrobials, which is a key way of reducing the rise in antibiotic resistance. Addressing E. coli BSIs, which represent 55% of all Gram-negative BSIs and have increased by a fifth in the last five years, has been identified as a priority. A further 18 surgical specialties received an additional £60 million in 2016 via the expansion of the ‘Getting It Right First Time’ programme.

The government’s latest ’20 Year Vision’ on Antimicrobial Resistance alarmingly outlines that Antibiotic resistance is predicted to kill 10 million people every year by 2050 without action. Furthermore, without effective antibiotics, crucial and commonly performed operations such as caesarean sections or hip replacements could become too unsafe to perform. As such, greater cross-service collaboration is needed to reduce the increasing threat of antimicrobial resistance (AMR) and to ensure that all acute providers are successfully lowering the incidences of gram-negative BSIs. This is an issue of national priority, and if the NHS is to meet the Government’s target by 2021, services must work together to share best practice and target resources to areas most in need of improvement.

Joanne Bosanquet, Deputy Chief Nurse, Public Health England

Joanne was appointed as Deputy Chief Nurse at Public Health England in 2013 and leads on the protection of health and wellbeing and workforce regulation and development.

Qualifying as a Registered General Nurse in 1992, Joanne moved into emergency care and anaesthetics before completing her first degree in Health Studies in 1999. Joanne then studied at post graduate level to become a health visitor at Kings College, London and specialised in underserved groups, dispersed asylum seeking families and unaccompanied minors. Joanne studied for her MSc in Public Health between 2003 and 2005 and studied further for her Post Graduate Certificate in Academic Practice in 2012.

Kay Miller, Chief Executive, Healthcare Infection Society

Kay joined the Healthcare Infection Society as CEO in February 2017, and has been a senior manager in the medical research and learned society sector since 2000.

To date, Kay has led the Healthcare Infection Society through a complete staff restructure and organisational rebrand.  In addition, Kay has facilitated the redevelopment of the Society’s events programme including the introduction of a new DIPC Development programme, eresources and training courses.  Plans for 2019 include the launch of the Society’s first gold open access journal, and relocating the HIS staff team to new premises. Kay is a Chartered Manager, has a PhD and four years post-doctoral research experience.

Ashley Flores, Nurse Consultant and Deputy Director IPC, Surrey and Sussex Healthcare NHS Trust

Ashley Flores, MSc BSc (Hons) RN Dip Infection Control is a Nurse Consultant and Deputy Director of Infection Prevention & Control at Surrey & Sussex Healthcare NHS Trust. She initially graduated as BSc Psychology (Hons) at the University of Leeds before completing her nurse training in Glasgow in 1996.

Ashley worked in a range of clinical areas before specialising in Infection Prevention and Control in 2000. She completed her MSc in Infection Prevention & Control in 2006. Ashley is an active researcher and her interests include the use of gloves and the effect of glove use on hand hygiene, and the review of urinary catheters. Ashley is also a member of the Infection Prevention Society Research and Development Committee.

CHKS Top 40 Hospitals Awards winners 2018

Professor Jennie Wilson, Vice-President, Infection Prevention Society (IPS)

Jennie has worked in the field of infection prevention and control for over 30 years, both as an infection control nurse specialist in London teaching hospitals and as a consultant epidemiologist at the Health Protection Agency. Her first degree was in microbiology, she has both an MSc in Public Health and PhD and is also a registered nurse. She has published extensively on healthcare associated infections and is an author of the Epic National Evidence-based Guidelines for Preventing HCAI in NHS Hospitals in England and Infection Control in Clinical Practice.  She is currently Professor of Healthcare Epidemiology at the Richard Wells Research Centre, University of West London where her research interests include the use of clinical gloves, surgical site infection and surveillance, urinary catheters and hydration of the frail elderly and she is also Programme Leader of the MSc Infection Prevention & Control. Jennie has been a member of IPS since becoming an infection prevention & control practitioner, and a board member for the last 10 years both as Editor of the Journal of Infection Prevention and currently as Vice-President.

Julie Clarke, Acting Lead IPC Team, Burton Hospitals NHS Foundation Trust

Julie has worked in Infection Prevention since 2007 obtaining my Masters In the subject in 2011. I have previously worked within Medicine, Surgical and Critical Care environments in both nursing and management positions and am now the Acting Lead at Burton Hospital. I have a particular interest in leadership and staff engagement across organisations and how we can support staff to implement innovation and change.

Jayne Bateman, Acting Deputy for Infection Prevention and Control, Burton Hospitals NHS Foundation Trust

Jayne has worked in various roles including Ward Manager and Practice Development Educator and has worked in Infection Prevention since 2015. She is currently working towards her Post Graduate Diploma in Infection Prevention and Control.

Emma Hoyle, Associate Director for Infection Prevention & Control, Dorset County Hospital NHS Foundation Trust

Emma has 25 years’ experience as a registered nurse.  Her early career included general surgery at Frimley Park Hospital before moving to the Royal Bournemouth Hospital where she progressed to Senior Nurse for the Surgical Division.  In 2010 she moved to work at Dorset County Hospital as Matron for Infection Prevention and Control and advanced to Associate Director in 2017.

Emma has a keen interest in outbreak management and exploring opportunities to maintain patient safety and reduce the impact on service particularly utilising digital solutions.  She has experience in coordinating and managing Business Continuity Exercises for the NHS and non-NHS organisations.

Cherrie Ho, National Medical Director’s Clinical Fellow and Joint Clinical Lead, Surgical Site Infection Audit, Getting It Right First Time

Cherrie is a current National Medical Director’s Clinical Fellow working in the Getting it Right First Time (GIRFT) Programme. GIRFT is a national programme designed to improve medical care within the NSH by reducing unwarranted variations. It is led by frontline clinicians, focuses on peer to peer engagement in helping clinicians to identify changes that will improve patient care and deliver efficiencies. Cherrie is a Urology Registrar by background and the co-clinical lead for the surgical site infection programme which has been established to identify surgical site infection (SSI) rates of specific procedures within key surgical specialties.

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