R9 Response Accepted

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:
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing an Implementation Group chaired by the Chief Nursing Officer (Scottish Government Response, June 2015).
- The Scottish Government's response confirmed that the Infection Control Manager is an integral member of the organisation's infection prevention and control, clinical governance, and risk management frameworks. The revised HAI Standards require infection prevention and control to be considered at all levels of governance from ward to board.
- The HCAI Strategy 2023-2025 reinforces the requirement for HAI governance to be embedded within clinical governance structures at every level of NHS boards (Scottish HCAI Strategy 2023-2025 (https://www.gov.scot/publications/scottish-healthcare-associated-infection-hcai-strategy-2023-2025/)).
- Healthcare Improvement Scotland's inspection regime assesses whether infection prevention and control is explicitly addressed in clinical governance processes, providing external assurance of compliance.
- This recommendation is implemented through the HAI Standards governance requirements and monitored through HIS inspections.
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 10 Apr 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
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.

Read Full Response
Published Evidence

Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates 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 11.5 yrs
Last formal update 4000 days ago