Marden Medical Practice

Infection Control Annual Statement June 2020




This annual statement will be generated in year in June. It will summarise:


  • Any infection transmission incidents and any action taken (these will be reported in accordance with our Significant Event procedure)
  • Details of any infection control audits undertaken and actions undertaken
  • Details of any control risk assessments undertaken
  • Details of staff training
  • Any review and update policies, procedures and guidelines




Marden Medical Practice has two leads for Infection Prevention Control, Sister Diana Simcox (Practice Nurse) and Kimberley Bartley (Health Care Assistant)




In the last year (01/04/2021-31/03/2022) there have been no significant events raised that related to infection control.




  1. An audit on Minor Surgery (for the period 01/04/2021-31/03/2022) was undertaken. The results are as follows:

The audit revealed that 75 incision and excision procedures had been carried out between, of which 44 samples were sent for histology.


Of the 44 samples sent for histology, no samples were found to be abnormal (e.g. Bowens disease/Basal Cell Carcinoma/ Squamous Cell carcinoma).  Two patients were identified as having possible BCC from lesions not reported to the Doctor. One patient had a biopsy and was benign and the second patient followed further advice and opted to watch and wait.


2 patients reported an infection. This was following surgery to remove their toe nail.


During the year we have also carried out 6 aspirations.


Joint injections


During the year 149 joint injections were administered to our patients



  1. A cleaning audit is carried at least bi-annually by Ms Debbie Turner (Reception Manager). No major issues were noted (see below).


  • Floor in abbey suite needs deep cleaning (although weather contributed on the day of the inspection)
  • Windows in the conservatory entrance to be cleaned


  1. An Infection, Prevention Control in General Practice audit was completed by Sister Di Simcox and Kimberley Bartley on the 29/05/20. No major issues were noted, only a few minor problems, (see below).


  • Reseal vinyl at the edge of staff toilet floor
  • No paper towels in staff toilet (used that day)
  • ? Clinical waste bag required for soiled nappies – checked post audit and not required
  • Treatment Room 3 requires a foot pedal bin for general waste


  1. A clinical waste audit was carried out by Zoe George – Practice Manager. The use of tiger stripped bags was still a recommendation. These bags are not yet available on the Practice controlled waste account.


  1. A uniform audit was carried out by Zoe George – Practice Manager. The audit did not highlight any concerns.


The inadequacies that were noted are being addressed to ensure compliance. We aim to do more to share information with our patient and will therefore publish this Annual Statement on our practice website.




The Infection, Prevention Control leads carry out annual hand washing knowledge checks on all staff members, observing techniques and providing training if necessary. No issues were identified at the last check in May 2020.


Hand washing guides are displayed above all sinks in the Practice.




Marden Medical Practice employs its own cleaner and maintenance staff. Audits (as mentioned above) are carried out to ensure the standard of cleanliness and hygiene is maintained.


All staff are aware of the importance of Infection, Prevention Control and carry out visual checks to ensure that work spaces are clean.


There has been no feedback from patients that has indicated a problem with the hygiene and cleanliness level in the Practice.




All staff undertake Infection, Prevention Control training at induction and on an annual basis thereafter. Training records are then audited by the Practice Manager.




Modesty curtains in all consulting rooms are disposable and once opened are changed by the maintenance team every 6 months, or sooner if soiled or damaged.





We do not provide toys for children in the waiting room. We feel it is more important to manage the risk of potential infection than to entertain patients.

The only literature displayed in the waiting room comes in the form of patient information leaflets. These are changed regularly to reduced possible risks.




Policies and procedures relating to Infection, Prevention Control are reviewed and updated annually. However as new legislation and guidelines are introduced policies are updated before their set review date.


Zoe George

Practice Manager

For and on behalf of Marden Medical Practice

Reviewed June 2020

Date published: 25th June, 2019
Date last updated: 30th January, 2023