R9 Response Accepted AI-assessed

IPC clinical governance meetings

Recommendation

Health Boards should ensure that infection prevention and control is explicitly considered at all clinical governance committee meetings from local level to Board level.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the Scottish Government response (18 June 2015), the Scottish Government's response stated that infection control managers are integral members of clinical governance committees and that NHS boards must have infection-control committee structures. According to Healthcare Improvement Scotland's (HIS) IPC Standards (2022) (Healthcare Improvement Scotland, 1 May 2022), Standard 1 (Leadership and Governance) explicitly requires infection prevention and control to be considered at all clinical governance levels, from ward to Board. According to the Scottish Government Oversight Board (1 March 2021), the Queen Elizabeth University Hospital (QEUH) Oversight Board found in March 2021 significant failings in governance and a reactive response to IPC issues within NHS Greater Glasgow and Clyde, indicating a failure in practical application of these standards.
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.gov.scot, www.legislation.gov.uk, hansard.parliament.uk
This recommendation requires implementation across many organisations. The assessment reflects central policy response, not adoption in individual organisations.
Jurisdiction
Scotland
Response
Accepted
Accepted Scottish Government
18 Jun 2015

Section 2.2 and 3.2 of the Scottish Government's response confirm that the infection control manager is an integral member of the organisation's infection prevention control, clinical governance, and risk management committees. Section 3.2 further states that NHS boards are required to have infection-control committee structures in place to support board-to-ward and ward-to-board communication. This ensures that infection prevention and control is considered within the established governance frameworks.

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Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Confirmed Completed
01 May 2022
Healthcare Improvement Scotland Other

HIS IPC Standards published May 2022 include Standard 1 (Leadership and Governance) requiring IPC to be explicitly considered at all clinical governance levels from ward to Board. Standards apply to all health and adult social care settings in Scotland.

View detailed findings

Nine IPC Standards published using the Once for Scotland approach. Standard 1 directly addresses governance requirements. Care Inspectorate takes account of these standards in inspection and regulation.

HIS Infection Prevention and Control Standards, M… View Source
limited_progress
01 Mar 2021
Scottish Government Oversight Board Other

QEUH/NHS GGC Oversight Board (established December 2019) found NHS Greater Glasgow and Clyde's response to IPC issues at Queen Elizabeth University Hospital was 'too short-term and reactive' with 'significant failings in governance.' This occurred within the same health board as the Vale of Leven outbreak.

View detailed findings

Oversight Board found one third of 118 episodes of serious bacterial infection in 84 children were 'most likely' linked to the hospital environment. Two of 22 children who died had deaths attributable at least in part to their infection. Duty of Candour was not formally activated. Key information (DMA Canyon water reports) not escalated to relevant staff.

QEUH/NHS GGC Oversight Board Final Report, March … View Source
Source
Report The Vale of Leven Hospital Inquiry Report 24 Nov 2014
Responsible Bodies
NHS Health Boards (Scotland) Primary
Recommendation age 11.3 yrs
Last formal update 3932 days ago