R16 Response Accepted

CDI outbreak reporting

Recommendation

Health Boards should ensure that the nurse in charge of each ward reports suspected outbreaks of CDI (as defined in local guidance) to the Infection Control Team.

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 highlighted a robust HAI scrutiny regime across NHS Scotland, with the NIPCM providing clear guidance on outbreak identification and reporting procedures. The NIPCM requires that suspected outbreaks are reported to the Infection Control Team immediately (National Infection Prevention and Control Manual for Scotland (https://www.nipcm.hps.scot.nhs.uk/about-the-manual/)).
- National mandatory CDI surveillance in Scotland, started in 2006, requires NHS boards to report CDI cases through national surveillance systems. ARHAI Scotland (formerly Health Protection Scotland) provides national epidemiological analysis.
- The HAI Standards require clear escalation procedures for suspected outbreaks, with the Infection Control Manager responsible for coordinating the response and reporting to the board.
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 2.1 of the Scottish Government's response highlights a robust HAI scrutiny regime across NHS Scotland, which drives improvements in infection control and prevention practices. The National Infection Prevention and Control Manual, introduced in January 2012, provides NHS boards with guidance on evidence-based practice, monitoring, and scrutiny of infection prevention and control, which would include procedures for reporting suspected outbreaks.

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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 (2022) Standard 4 (Assurance and Monitoring) requires reporting of suspected outbreaks to IPC teams. NIPCM provides detailed outbreak management guidance including mandatory CDI outbreak reporting protocols.

View detailed findings

National mandatory CDI surveillance has been in place since 2006 for patients aged 65+ and since April 2009 for all patients aged 15+. Quarterly epidemiological data published by Public Health Scotland.

NIPCM outbreak management guidance 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