Annual Infection Prevention and Control Statement



This annual statement will be generated each year in April in accordance with the requirements of Health and Social Care ACT 2008 Code of Practice on the prevention and controls of infections and related guidance. Our report will be published on the Practice website and will include the following.

  1. Any infection transmission incidents and any action taken. These will be reported in line with our Significant event policy 
  2. Details of any infection control audits and action plans with actions undertaken
  3. Details of any risk assessments carried out 
  4. Details of staff training 
  5. Details of any updated policies, procedures and guidance 

Infection Prevention and Control Leads

  • Ellie Cook (Practice Nurse)
  • Senior Partner (Dean Dorset)

Infection prevention and control incidents

Significant events involve examples of good practice as well as challenging events. 

Incidents are reported to Ellie Cook via Practice Manager. They are then reviewed at our clinical meeting or senior management meeting. Any shared learning will be shared with the Practice staff. 

In the past year, there has been 0. Significant events relating to infection control. There has also been 0 complaints made regarding cleanliness or infection control. We have had no outbreaks of infections.


Infection prevention audit and actions

Our practice audit was carried out by William Pillow from Infection Prevention & Control Team on 16th June 2023 which resulted in us being scored at 87% the list of actions is below:

  1. External cleaning company audits
  2. De-clutter
  3. Ensuring staff are up to date with IPC training
  4. Improve documentation of cleaning
  5. Deep clean of surgery e.g. carpets

All of the above have all been completed. We aim to carry out another audit 2024.

Risk assessments

We carry out risk assessments so any risk is minimised to be as low as possible. In the last year the following risk assessment has been carried out

  1. Legionella (Water) Risk Assessment: The practice has conducted its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors or staff. Last carried out 09/03/22 by Tony Newton this is due every 3 years. Monthly water testing is also carried out by a member of our team.
  2. Sharps Management for non-clinical staff – Safe handling of sharps bins, spot checks carried out 10/03/023 next due August 2023. These will be carried out by IPC lead 
  3. External Cleaning company standard of cleaning – Quarterly spot checks carried out by Management and cleaning company. Last carried out 06/06/23

In the next year the following risk assessments will be reviewed

  1. Hand hygiene audit – Audit to be carried out by IPC lead Ellie
  2. External cleaning company standards of cleaning – Audit to be carried out by Management and Cleaning Company
  3. Clinical waste audit, safe labelling of clinical waste bags – Audit will be carried out by IPC lead Ellie
  4. Audit of blue stream training for all staff – Audit to be carried out by HR manager/ Management 

Staff training

Each staff member is required to complete the following training Infection control Clinical/Non-Clinical depending on their role this is via Blue stream and part of our mandatory training.

87% of staff have completed their online blue stream training. 

  1. Infection prevention booklets which staff have to answer questions. Ellie reviews the answers and lets staff know their pass rate 
  2. CCG provide additional IPC training via online events  
  3. IPC Leads completed an 8 week Primary Care infection prevention and control training course. Course date completed June 2023

Policies and procedures

  • IPC guidance NHS cleaning standards 2021 - next due for review March 2024 or sooner if new guidance come in.
  • IPC manual 2022 - Next due for review March 2024 or sooner if new guidance comes in.
  • Infection prevention policy Next due for review 28/07/2025

Antibiotic Monitoring

At Burlington Primary Care, all clinicians play a key role in reducing antibiotic resistance by practicing antibiotic stewardship. This means not prescribing antibiotics for patients who are unlikely to suffer from bacterial infection, while ensuring the patients who do require antibiotic treatment receive the appropriate antibiotics, at the correct dose and for the proper duration.

We have raised the standard of clinical assessment, safety netting of patients by clinical education.

We monitor our prescribing of antibiotics figures regularly and this is a standard agenda item in all of our monthly clinical meetings.


It is the responsibility of all staff members who work at Burlington Primary Care to be familiar with this statement and their roles and responsibilities.


The IPC lead and Registered Manager are responsible for reviewing and producing the annual statement.

This annual statement will be updated on or before April 2024.