Monitoring Framework for NHSScotland National Cleaning Services - PowerPoint PPT Presentation

Monitoring Framework for NHSScotland National Cleaning Services Specification and Estates HAI Issues The NHSScotland Domestic Monitoring Tool (DMT) Chris Everden Project Manager - HFS

Context “ Healthcare Associated Infection (HAI) remains a priority issue for NHSScotland both in terms of safety and well being of patients, staff and the public ”

Background • HAI Task Force issued “ NHSScotland Code of Practice for the Local Management of Hygiene and HAI ” and the “ NHSScotland National Cleaning Services Specification ” in May 2004; • NHSScotland Health Facilities Scotland establishes a Working Group to produce a Framework for monitoring cleaning services across Scotland.

Principles of Framework • based on continuous improvement; • compliance with NHSScotland Cleaning Services Specification; • local ownership and accountability of results; • results should be provided quarterly; • accountability up to Board level; • results to be published by The Scottish Government; • benchmarking across Scotland.

Scope of Framework • standardised monthly template; • service monitoring as an integral part of the day to day provision of the cleaning services; • audit activity centring on the review of systems, policies and procedures required to effectively manage the cleaning services; • benchmarking to assist Operating Divisions of NHS Boards identify how and where they can improve cleaning services.

Key Elements of reporting since 2007 • based on RAG system • Green over 90%-pass • Amber 70%-90%-fail • below 70%-fail with significant risk • the average score from 2007 to date is 95.9% • only 3 Boards have ever reported an amber

Developments since 2007 • establishment of HEI in Scotland; • independent audits of DMT system by external auditors; • 2010 HAI Taskforce required the cleaning monitoring to include estates fabric and furnishings issues to be monitored, DMT developed; • changes to the monitoring tool in April 2011 included the inclusion of the 5 x 5 risk matrix for the estates issues.

Current Challenges • paper based and time consuming monitoring procedures; • inconsistencies between HEI comments and published scores; • inconsistent number of auditable areas; • Estates issues affecting cleaning standards.

Developments of DMT • procurement of electronic hand held monitoring tool; • inclusion of estates reporting in new model; • inclusion of monitoring of all areas in the estate; • rectification reporting.

Benefits to NHS Boards • more efficient monitoring; • more accurate monitoring; • increased awareness of estates issues; • monitoring data held electronically within the Boards for trend analysis and auditing; • increased reporting capability through the procured system; • more accurate results.

Benefits to NHSScotland • more accurate reporting; • increased cleaning performance standards; • increased service efficiency; • increased staff confidence in the service; • increased public confidence in the service; • improved estates data; • more proactive response from the estates departments.

Programme Update

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