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Best practice standards for the delivery of NHS infection services in the United Kingdom

Natasha V.D.V. Ratnaraja, Angharad Davies Orcid Logo, Bridget L. Atkins, Rishi Dhillon, Nikunj Mahida, Samuel Moses, Joanne Herman, Anna Checkley, David Partridge, Martin J. Llewelyn

Clinical Infection in Practice, Volume: 12, Start page: 100095

Swansea University Author: Angharad Davies Orcid Logo

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DOI (Published version): 10.1016/j.clinpr.2021.100095

Abstract

Infection expertise in the NHS has historically been provided predominantly by hospital-based medical microbiologists responsible for provision of diagnostic services and advice to front-line clinicians. While most hospitals had consultant-led microbiology departments, infectious iiseases department...

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Published in: Clinical Infection in Practice
ISSN: 2590-1702
Published: Elsevier BV 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa57753
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The demand for infection expertise is growing in the NHS, driven by advances in medical care, increasing awareness of the impact of antibiotic resistant and healthcare associated infections and threats from emerging infectious diseases. At the same time diagnostic services are being reorganised into pathology networks. The Combined Infection Training (CIT) is delivering a consultant workforce with expertise both in laboratory diagnostic practice and delivery of direct patient care. These changes create challenges for delivery of high quality infection expertise equitably across the NHS. They also offer an opportunity to shape infection services to meet clinical and laboratory demands.To date there has not been an attempt to bring together a single set of best practice guidelines for the requirements of an infection service. This document sets out seven standards. These are written to be practical and flexible according to the diverse ways in which infection expertise may be required across the NHS. It has been prepared by the Clinical Services Committee of the British Infection Association drawing on published evidence and guidance where they exist and on the group&#x2019;s extensive experience of delivering infection services in hospitals across the NHS. It was then refined with input from the RCP Joint Specialist committee (JSC) and the RCPath Specialist Advisory Committee (SAC) and through consultation with the RCPath membership. It has been endorsed by the Royal College of Pathologists and the Royal College of Physicians. 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spelling 2021-10-12T15:53:42.7327868 v2 57753 2021-09-02 Best practice standards for the delivery of NHS infection services in the United Kingdom 62586459693e05b2e1063967e76883f1 0000-0003-4190-8894 Angharad Davies Angharad Davies true false 2021-09-02 PMSC Infection expertise in the NHS has historically been provided predominantly by hospital-based medical microbiologists responsible for provision of diagnostic services and advice to front-line clinicians. While most hospitals had consultant-led microbiology departments, infectious iiseases departments were based in a small number of specialist centres. The demand for infection expertise is growing in the NHS, driven by advances in medical care, increasing awareness of the impact of antibiotic resistant and healthcare associated infections and threats from emerging infectious diseases. At the same time diagnostic services are being reorganised into pathology networks. The Combined Infection Training (CIT) is delivering a consultant workforce with expertise both in laboratory diagnostic practice and delivery of direct patient care. These changes create challenges for delivery of high quality infection expertise equitably across the NHS. They also offer an opportunity to shape infection services to meet clinical and laboratory demands.To date there has not been an attempt to bring together a single set of best practice guidelines for the requirements of an infection service. This document sets out seven standards. These are written to be practical and flexible according to the diverse ways in which infection expertise may be required across the NHS. It has been prepared by the Clinical Services Committee of the British Infection Association drawing on published evidence and guidance where they exist and on the group’s extensive experience of delivering infection services in hospitals across the NHS. It was then refined with input from the RCP Joint Specialist committee (JSC) and the RCPath Specialist Advisory Committee (SAC) and through consultation with the RCPath membership. It has been endorsed by the Royal College of Pathologists and the Royal College of Physicians. It will be reviewed annually by the CSC and updated as additional evidence becomes available. Journal Article Clinical Infection in Practice 12 100095 Elsevier BV 2590-1702 1 11 2021 2021-11-01 10.1016/j.clinpr.2021.100095 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University Another institution paid the OA fee Unfunded 2021-10-12T15:53:42.7327868 2021-09-02T22:42:09.0139673 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Natasha V.D.V. Ratnaraja 1 Angharad Davies 0000-0003-4190-8894 2 Bridget L. Atkins 3 Rishi Dhillon 4 Nikunj Mahida 5 Samuel Moses 6 Joanne Herman 7 Anna Checkley 8 David Partridge 9 Martin J. Llewelyn 10 57753__21149__27e43566a8da4113b12050fcb6650acd.pdf 57753.pdf 2021-10-12T15:50:40.3659809 Output 552288 application/pdf Version of Record true Crown Copyright ©This is an open access article under the CC BY-NC-ND license true eng https://creativecommons.org/licenses/by-nc-nd/4.0/
title Best practice standards for the delivery of NHS infection services in the United Kingdom
spellingShingle Best practice standards for the delivery of NHS infection services in the United Kingdom
Angharad Davies
title_short Best practice standards for the delivery of NHS infection services in the United Kingdom
title_full Best practice standards for the delivery of NHS infection services in the United Kingdom
title_fullStr Best practice standards for the delivery of NHS infection services in the United Kingdom
title_full_unstemmed Best practice standards for the delivery of NHS infection services in the United Kingdom
title_sort Best practice standards for the delivery of NHS infection services in the United Kingdom
author_id_str_mv 62586459693e05b2e1063967e76883f1
author_id_fullname_str_mv 62586459693e05b2e1063967e76883f1_***_Angharad Davies
author Angharad Davies
author2 Natasha V.D.V. Ratnaraja
Angharad Davies
Bridget L. Atkins
Rishi Dhillon
Nikunj Mahida
Samuel Moses
Joanne Herman
Anna Checkley
David Partridge
Martin J. Llewelyn
format Journal article
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container_volume 12
container_start_page 100095
publishDate 2021
institution Swansea University
issn 2590-1702
doi_str_mv 10.1016/j.clinpr.2021.100095
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description Infection expertise in the NHS has historically been provided predominantly by hospital-based medical microbiologists responsible for provision of diagnostic services and advice to front-line clinicians. While most hospitals had consultant-led microbiology departments, infectious iiseases departments were based in a small number of specialist centres. The demand for infection expertise is growing in the NHS, driven by advances in medical care, increasing awareness of the impact of antibiotic resistant and healthcare associated infections and threats from emerging infectious diseases. At the same time diagnostic services are being reorganised into pathology networks. The Combined Infection Training (CIT) is delivering a consultant workforce with expertise both in laboratory diagnostic practice and delivery of direct patient care. These changes create challenges for delivery of high quality infection expertise equitably across the NHS. They also offer an opportunity to shape infection services to meet clinical and laboratory demands.To date there has not been an attempt to bring together a single set of best practice guidelines for the requirements of an infection service. This document sets out seven standards. These are written to be practical and flexible according to the diverse ways in which infection expertise may be required across the NHS. It has been prepared by the Clinical Services Committee of the British Infection Association drawing on published evidence and guidance where they exist and on the group’s extensive experience of delivering infection services in hospitals across the NHS. It was then refined with input from the RCP Joint Specialist committee (JSC) and the RCPath Specialist Advisory Committee (SAC) and through consultation with the RCPath membership. It has been endorsed by the Royal College of Pathologists and the Royal College of Physicians. It will be reviewed annually by the CSC and updated as additional evidence becomes available.
published_date 2021-11-01T04:13:43Z
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