national standards of healthcare cleanliness 2019
TRANSCRIPT
NHS England and NHS Improvement
National Standards of Healthcare Cleanliness 2019
Emma BrookesHead of Soft FM Strategy & OperationsJune 2019
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NHSE / I E&F
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Significant outsourced services Fragile market Continued pressure to
find efficiency savings
Changing NHS landscape Carillion fallout Brexit
Variability in cost and quality
of serviceLimited suppliers
Trust resource
constraintsIncreasing activity
Environment
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We serve 266 meals every minute More sleep in our beds each night than there are hotel rooms in London
We clean an area the size of Gibraltar We use enough energy to power3.5 times a week up 200,000 homes
Interesting stats
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• Changing technology and methods of cleaning coupled with the fact that the standards have not been updated means that standards can vary greatly between organisations as standards are open to interpretation due to the addition of PAS:5748.
• Healthcare cleaning professionals and trust boards can be confused as to what is required of them to maintain a safe clean environment and where cleaning responsibilities lie for different elements e.g. medical equipment connected to a patient.
• For patients this can lead to different degrees of cleanliness which could potentially have an impact on infection rates and length of stays. The inability to be able to follow a set of standards and SOP’s can be costly for services.
• The current standards are very acute facing which means that other types of trust e.g. MH are constantly having to make the standards fit their service in order to be compliant.
• Lack of guidance does not help organisations with direction of travel.
Why Change………..?
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Key Milestones
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• Project commence – Dec 2017
• Pilot – Oct 2018 – Jan 2019
• Document out for comment – June / July 2019
• Launch date – Late Summer / Early Autumn 2019
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• 30 trusts took part across England & Wales
• Data received from 21 trusts
• Amendments to document taken place from comments
• Highlight changes – Changes to document to reflect the pilots and the working group meeting, in particular audit and risk categories
Pilot Results
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Elements
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No Elements Performance Parameter
Band A FR1
Band A FR2
Band B FR3
Band B FR4
Band C FR5
Band C FR6
1 Bed pans, bed pan holder, bed pan washer, wash bowls, macerator,
Daily - all parts should be cleaned with no blood and body substances, dust, dirt, debris or spillages.
After each use carry out touch point clean and remove any visible soiling
Additionally a Full clean weekly to include wheels and arms even if not used
After each use carry out touch point clean and remove any visible soiling
Additionally a Full clean weekly to include wheels and arms even if not used
After each use carry out touch point clean and remove any visible soiling
Additionally a Full clean fortnightly to include wheels and arms even if not used
After each use carry out touch point clean and remove any visible soiling
Additionally a Full clean fortnightly to include wheels and arms even if not used
N/A N/A
2 Commodes Daily - all parts including underneath should be cleaned with no blood and body substances, dust, dirt, debris or spillages.
After each use – touch point clean and remove any visible soiling
Additionally a Full clean weekly to include wheels and removal of arms even if not used
After each use – touch point clean and remove any visible soiling
Additionally a Full clean weekly to include wheels and removal of arms even if not used
After each use – touch point clean and remove any visible soiling
Additionally a Full clean fortnightly to include wheels and removal of arms even if not used
After each use – touch point clean and remove any visible soiling
Additionally a Full clean fortnightly to include wheels and removal of arms even if not used
N/A N/A
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Cleaning Responsibilities
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Risk Catergories
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Rating Functional Areas
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Band A Functional Risk 1 (FR1)
Audit Target = 98%Audit Frequency = Weekly
Functional Areas
Wards where invasive procedures are routinely performed or immunocompromised patients receive care
Operating Theatres
Chemotherapy Units
A&E/Resus/Minor Injuries/Major Trauma/Intensive Care Units
Communal areas (i.e. corridors and public toilets) directly associated with the areas above
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Audit Protocols
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Stages of Audit
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• Technical audit that checks and scores cleanliness outcomes against the safe standard
• Efficacy audit that checks the cleaning team at the point of service delivery to validate the efficacy of the cleaning process, i.e. the correct use of colour coding, equipment, materials, methodology etc., as well as supporting policies and procedures.
• External audit to provide quality assurance and to check both the technical audit and the efficacy audit.
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Star Ratings
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Audit Frequency & Target Scores
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Efficacy Audit
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Standard Documentation
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Cleaning Operating Procedures
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CONTACT:
Questions?
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