The Challenge of Implementing a National Infection Control Training Program across All Sectors of a National Health Service (NHS) Organization in Scotland, United Kingdom

The Challenge of Implementing a National Infection Control Training Program across All Sectors of a National Health Service (NHS) Organization in Scotland, United Kingdom Page E46 A. Morgan, H. OʹNeill*, J. Murray Close Close preview | Purchase PDF (55 K) | Related articles | Related reference work articles AbstractAbstract Abstract ISSUE: In response to increasing levels of HAI (healthcare-associated infection), public concern, and media interest, the Scottish Executive Health Department issued a directive that all National Health Service (NHS) Hospital Trusts were to implement a specific program of education on infection control. This was the introduction of “Assigned Staff to Champion Infection Prevention and Control,” known as “Cleanliness Champions.” The program was developed by the National Health Service Education for Scotland (NES). It is aimed at healthcare workers involved in the delivery of patient care. Challenges in implementing and sustaining this for Lomond & Argyll Division of NHS Argyll & Clyde are described. PROJECT: The Cleanliness Champions education package is estimated to take 16–20 weeks to complete. Each division of the organization was to implement this program. Due to time constraints, a pilot study of the program was not carried out before introduction to the healthcare sector. Lomond & Argyll has a number of remote community hospitals and general practices on the Scottish mainland and Western Isles. Historically, issues encountered when providing infection control education and support to these sites include travel expenditures, access to remote areas, coordinating education, and support for staff once training has been given. RESULTS: As a result of this directive from the Scottish Executive, a Steering Group was set up within Argyll & Clyde in order to: • ensure support for the Cleanliness Champion program across all sectors of NHS • pilot the program to assess suitability/issues for nonclinical healthcare workers (e.g., portering and domestic services staff) • develop a Lomond & Argyll subgroup to address issues such as utilizing resources, gaining support, releasing staff, and sustaining and evaluating the success of the program. LESSONS LEARNED: Implementing and sustaining a national program such as this requires support from all levels and disciplines in the NHS.