Reducing Gram-negative bloodstream infections – governance and leadership

Actions to ensure system structures and processes work to reduce Gram-negative bloodstream infections (GNBSI). Examples of good practices and useful tools are included, along with links to relevant online resources.

Action: establish STP/ICS system lead

Establish a system executive lead with accountability to the sustainability and transformation partnership (STP)/integrated care system (ICS).

Action: establish vision and goals

Draft and agree a vision and goals for the governance and leadership of the project.

Action: develop a plan

Form a collaborative of system leads to develop a project plan.

  • Stakeholder analysis tool – Tools to help identify and engage with stakeholders as part of the project.
  • Patient storytelling toolkit – (Provided by Shropshire Community Health NHS Trust)
  • Suggested terms of reference – Example terms of reference for a whole health system antimicrobial resistance and infection prevention and control meeting (provided by Kent and Medway STP).
  • Plan on a page – An example ‘plan on a page’ document (provided by Bath and North East Somerset, and Wiltshire ICB).

Action: analyse data

Analyse available data to consider economic impact, and impact on morbidity and mortality.

  • Economic tool to assist trust and ICS planning – An indicative tool showing NHS providers and commissioners how many infections are happening, the length of time patients stay in hospital, how many deaths are associated with E. coli, and the financial cost to the NHS.

Action: share outcomes

Share outcomes of above actions – vision and goals, project plan, economic analysis – with all system boards and governing bodies (including providers, ICSs and public health organisations).

Action: set up governance and reporting structure

Establish governance structure and system reporting into the STP/ICS, and link with prevention workstreams, as outlined in the NHS Long Term Plan.

Action: plan for in-depth analysis

Make preparations for further, in-depth system and provider analyses to be carried out.

Action: develop a communications plan

Consider outcomes of all above actions and prepare a communications plan.

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