National infection prevention and control manual for England – appendices

Document first published:
Page updated:
Publication type:

The National infection prevention and control manual (NIPCM) has been adapted from the Scottish NIPCM as national standards, to be measured by the regulators. The NIPCM is used to support and facilitate healthcare providers to demonstrate compliance with the ten criteria of the ‘Health and Social Care Act 2008, Code of practice on the prevention and control of infections and related guidance.

The NIPCM aims to provide an evidence-based practice manual that should be adopted as guidance in NHS settings and ensure a consistent UK wide approach to infection prevention and control.

The appendices below depict best practice techniques as well as detailed aide memoires for optimal patient placement and respiratory protective equipment.

Appendix 1


A UK Health Security Agency leaflet that describes in images best practice hand washing.

Appendix 2


A UK Health Security Agency leaflet, showing in images how to handrub.

Appendix 3


Diagram showing surgical hand antisepsis using antimicrobial soap.

Appendix 4


Hand rubbing technique for surgical hand preparation.

Appendix 5

Appendix 6


A NHS leaflet showing how to put on and take off PPE.

Appendix 7


A flow diagram to show the  decontamination of reusable non-invasive care equipment

Appendix 8


A diagram to show the different categories of used linen and how to bag them.

Appendix 9


A flow diagram to show the process and management of blood and body fluid spills

Appendix 10


A flow diagram to show the management of occupational exposure incidents.

Appendix 11


This table outlines the transmission-based precautions required for several infectious agents / diseases which will minimise cross transmission events from and between patients, and healthcare workers. The details included in the table are drawn from published evidence from a number of validated sources, for example, WHO, CDC, and UKHSA.

Appendix 12


The principles of standard infection control precautions and transmission based precautions continue to apply while deceased individuals remain in the care environment. This is due to the ongoing risk of infectious transmission via contact although the risk is usually lower than for living patients. This table details the additional precautions which may be required depending on the organism and activities carried out.