1. PENNINE ACUTE HOSPITALS NHS TRUST HCAI RECOVERY Vic Crumbleholme/Louise Dickinson Associate Director of Nursing/Nurse Consultant Prevention & Control of Infection

2. PAHT MRSA bacteraemia 6 monthly figures and rates per 10,000 bed days, April 01-March 07

3. PAHT c. difficile Annual figures & rates per 1,000 bed days for patients 65 +

6. Why is PAHT in Recovery? MRSA Trajectory

7. Recovery Plan High Impact Interventions Infection prevention moved into the corporate domain/HCAI Board DoH support Managerial engagement Clinical engagement PCT support Infection Prevention Performance Team Forensic approach to Infection Prevention

8. High Impact Interventions Hll 1 Central line Care Hll 2 Peripheral Cannulae HII 3 Renal Dialysis Catheter Care Bundle Hll 4 Prevention of surgical site infection HII 5 Ventilated patients or tracheostomy HII 6 Urinary catheter HII 7 Arrangements for managing C diff

9. Corporate Team Chief Executive Director of Infection Prevention & Control Director of Nursing Infection Prevention Nurse Consultant Associate Director of Nursing HAI Board IPNs/IPPs DNMs/Ward Managers

10. DoH Support Weekly monitoring Face to face contact Phone to phone contact Clinical/project support Critical review of progress

11. Managerial Engagement Performance management “dashboard”

12. Managerial Engagement

16. Clinical Engagement Handwashing week ISS ANTT awareness HAI Board Wider range of communication Backlog maintenance Public health day C difficile day IP Summit Handwashing stations Screensaver Pennine News Series of meetings with Consultant medics

17. PCT Support £550,000 of £50,000,000 Government help allocated to PAHT Contract incentives Clinical support

18. Infection Prevention Performance Team 5 sisters Site based Targeted support to clinically-based staff Corporate authority Specific role re. education, practice and to support specific projects (e.g., ChloraPrep) Monitoring support Audit/accreditation

19. Our Experience Before After