Policy

Infection Prevention and Control Policy

Preventing and controlling healthcare-associated infection across all regulated activities

For Private Healthcare ClinicRef BS-PH-POL-007See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Standard infection control precautions (SICPs)
  • 6. Transmission-based precautions and outbreak management
  • 7. Antimicrobial stewardship and aseptic technique
  • 8. Roles and responsibilities
  • 9. Training
  • 10. Records, monitoring and audit
  • 11. Related documents
  • 12. Version control and review
  • Appendix A: Hand hygiene and PPE compliance audit checklist
  • Appendix B: Sharps injury / blood and body fluid exposure report form
  • 13. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 12 (Safe care and treatment) and Regulation 15 (Premises and equipment)
  • The Health and Social Care Act 2008: Code of Practice on the prevention and control of infections and related guidance (the Hygiene Code, as revised 2022)
  • Control of Substances Hazardous to Health Regulations 2002 (COSHH)
  • Health and Safety at Work etc. Act 1974 and the Management of Health and Safety at Work Regulations 1999
  • Personal Protective Equipment at Work Regulations 1992 (as amended 2022)
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
  • Health and Safety (Sharps Instruments in Healthcare) Regulations 2013
  • Public Health (Control of Disease) Act 1984 and the Health Protection (Notification) Regulations 2010

Who it applies to

All employed, bank, agency, locum, contracted and volunteer staff; clinical and non-clinical personnel; students and visiting practitioners working at or on behalf of [Organisation Name].

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Antimicrobial stewardship
Using antibiotics and similar medicines carefully and only when needed, so that infections do not become resistant to treatment.
Aseptic Non Touch Technique (ANTT)
A standard method of carrying out clinical procedures without contaminating the parts that must stay sterile.
Aseptic technique
A way of working that keeps germs away from vulnerable parts of the body during a clinical procedure.
Blood-borne virus (BBV)
An infection such as hepatitis B, hepatitis C or HIV that can be passed on through blood.
Care bundle
A small set of evidence-based steps that, when always done together, reduce the risk of a specific complication or infection.
Care Quality Commission (CQC)
The independent regulator of health and adult social care services in England.
Chlorine-releasing agent
A cleaning product that gives off chlorine to disinfect surfaces, used to deal with blood and body fluid spills.
Clostridioides difficile (C. difficile)
A spore-forming gut bacterium that can cause severe diarrhoea and spreads easily in healthcare settings.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Colour-coded cleaning
A system that gives cleaning cloths and equipment set colours for set areas, so germs are not carried from one place to another.
Consignment note
The legal paperwork that tracks hazardous or clinical waste from the site to its disposal.
Control of Substances Hazardous to Health Regulations 2002 (COSHH)
The law for safely managing chemicals and other hazardous substances at work.
Decontamination
The combined process of cleaning, disinfecting and, where needed, sterilising equipment so it is safe to reuse.
Director of Infection Prevention and Control
The senior, board-level person held accountable for an organisation's overall infection prevention and control arrangements.
Donning and doffing
Putting on and taking off personal protective equipment in the correct order to avoid contamination.
Endoscope
A flexible instrument with a camera used to look inside the body, which needs specialist cleaning between uses.
Exposure-prone procedure
A procedure where a worker's injured hands could come into contact with a patient's open tissues, carrying a risk of passing on a blood-borne virus.
Five Moments for hand hygiene
The five key points set by the World Health Organization at which staff should clean their hands to prevent infection.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
Gram-negative bloodstream infection
A serious infection of the blood caused by a group of bacteria that can be difficult to treat.
Health and Safety (Sharps Instruments in Healthcare) Regulations 2013
The law setting out how needles and other sharp instruments must be used and disposed of safely in healthcare.
Health and Safety at Work etc. Act 1974
The main law placing a general duty on employers to protect the health and safety of staff and others.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards that registered care providers must meet.
Health Protection (Notification) Regulations 2010
The law requiring certain infectious diseases to be reported to the local authority's public health officer.
Health Technical Memoranda (HTM)
Official technical guidance on the design, maintenance and safe operation of healthcare facilities and equipment, including decontamination and waste.
Healthcare-associated infection (HCAI)
An infection that a person catches as a result of receiving healthcare rather than from their original illness.
Hygiene Code
The official code of practice that sets out how care providers must prevent and control infections to meet the law.
Indwelling device
A tube or line, such as a cannula or catheter, that stays in the body for a period and can be a route for infection.
Infection prevention and control (IPC)
The measures used to stop infection spreading between patients, staff and visitors.
Infection Prevention and Control Lead (IPCL)
The named person responsible for the day-to-day running and advice of an organisation's infection prevention and control.
Line listing
A simple table recording details of each case during an outbreak so that patterns can be identified.
Meticillin-resistant Staphylococcus aureus (MRSA)
A type of bacterium that resists many common antibiotics and can cause hard-to-treat infections.
National Infection Prevention and Control Manual (NIPCM)
The official, evidence-based manual setting the standard for infection prevention and control practice in England.
National Standards of Healthcare Cleanliness
The national framework that sets out expected cleaning standards and how cleanliness is monitored in healthcare settings.
Notifiable infection
A disease that the law requires to be reported to public health authorities so that spread can be controlled.
Occupational health
A service that looks after the health of staff at work, including immunisation and managing exposure to infection.
Outbreak
Two or more linked cases of the same infection, suggesting it is spreading within a setting.
Pathogen
A germ, such as a bacterium or virus, that can cause disease.
Personal protective equipment (PPE)
Items such as gloves, aprons and masks worn to protect against harm or infection.
Proper officer
The local authority official to whom certain infectious diseases must legally be reported.
Public Health (Control of Disease) Act 1984
The law providing powers to prevent and control the spread of infectious disease.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Registered Provider
The organisation or individual legally registered with the regulator to deliver a regulated activity.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
The law requiring certain workplace injuries, diseases and dangerous events to be reported to the Health and Safety Executive.
Respiratory hygiene
Covering coughs and sneezes and disposing of tissues safely to stop infection spreading through the air.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Sharps
Needles, blades and other items that can cut or puncture the skin.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Sluice
A dedicated room or area used for the safe disposal of body fluids and the cleaning of related equipment.
Standard Infection Control Precautions (SICPs)
The basic infection prevention measures applied to everyone, every time, regardless of whether an infection is known.
Surgical site infection
An infection that develops in the part of the body where surgery has taken place.
Transmission-Based Precautions (TBPs)
Extra precautions added when standard ones are not enough to control a specific known or suspected infection.
UK Health Security Agency (UKHSA)
The national body responsible for protecting the public from infectious diseases and other health threats.
World Health Organization
The United Nations agency that sets international standards and guidance on health, including hand hygiene.

How it works

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  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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