R63 Response Accepted

Effective CDI patient isolation

Recommendation

Health Boards should ensure that there is effective isolation of any patient who is suspected of suffering from CDI, and that failure to isolate is reported to senior management.

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).
- Scottish Government policy requires all planned new-build hospitals to provide 100% single-room accommodation, significantly improving capacity for patient isolation. For refurbished accommodation, a minimum of 50% single rooms is required (Scottish Health Planning Note 04-01, October 2010).
- The NIPCM includes detailed guidance on patient isolation for CDI and other infections, including when isolation is required and how to manage it effectively (National Infection Prevention and Control Manual for Scotland (https://www.nipcm.hps.scot.nhs.uk/about-the-manual/)).
- The significant increase in single-room capacity across NHS Scotland directly supports the effective isolation of patients with CDI.
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 3.1 of the Scottish Government's response addresses patient isolation through the requirement for all planned new-build hospitals to provide 100% single-room accommodation, and refurbished builds at least 50%. This measure significantly reduces the risk of patients contracting and passing on infection. Additionally, Standard Infection Control Precautions (SICPs) include "Patient placement in wards and bays" as a basic measure to reduce transmission risks.

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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.

Good Progress
01 Jan 2008
Scottish Government Other

Scottish Government policy (CEL 48 2008) requires all planned new-build hospitals to provide 100% single-room accommodation. Refurbished buildings must accommodate at least 50% single rooms. 3.6m by 3.7m bed spacing requirement for multi-bed wards.

View detailed findings

Single-room accommodation policy directly supports effective isolation of CDI patients. NIPCM provides detailed isolation guidance.

Scottish Government single-room accommodation pol… 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