We have been looking into an issue about the cleanliness of our
hospitals and have got into correspondence with Tim Yeo MP who has
been very helpful in getting our message to the Health
Secretary. We have also started to correspond with The Prime
Minister (Gordon Brown) and The leader of the Opposition (David
Cameron) and also the leader of the Liberal Democrats Party
(Nick Clegg). Below please find the correspondence we have sent to
received from Tim Yeo MP:
Mr T. Yeo (South Suffolk MP)
Houses of Parliament
London
Dear Mr Yeo,
I am writing to you on behalf of
Babergh Tenants Forum, we are a group of Tenants of Babergh
District Council, who work together for the good of all people who
live in Council accommodation in Babergh.
According to our records two of our
members have been in touch with you about the cleanliness of our
hospitals and the problem of MRSA and other viruses in them. I am
now writing to you to ask a number of questions with regards to
this issue, as this affects everyone.
- As far as we can understand this,
the problem started in the early 1980's shortly after the use of
cleaning disinfectant was stopped. It was decided that disinfectant
was not effective in the control of infection, so how can it be
explained that there were no MRSA cases when this was in use?
- There are many hospitals that are
affected by this problem and nothing seems to be effective in
combating this. Is it possible that you could let us know what
steps are being taken in the use of disinfectant or other
possibilities of combating this problem?
- In the media, we hear about deep
cleaning programmes, but as far as this is understood, this is only
effective until patients enter the deep cleaned ward and then the
possibility is that the virus is back in. What is the use of
spending all this money on deep cleaning when the wards should be
thoroughly cleaned every day anyway.
- When the Domiciliary staff were
employed by the hospital, they were trained by the hospital and
senior staff, with full training programs and monitoring. Since all
the cleaning has been tendered out to contractors there has been no
one to account to for training and specialist cleaning. How is the
training of Domiciliary staff monitored?
- When an outbreak of a virus is
experienced in a hospital, there seems to be a knee jerk reaction
to the cleaning issue and it is suddenly blamed on all the cleaners
etc., is there a monitored programme for Nurses and Doctors who go
in and out of wards all day, bringing germs etc. with them?
- It is well known that hospitals
can't be totally virus free, by the very nature of what they have
to treat, but they can control these things by simple hygiene when
treating patients, both by hand washing or wearing gloves
etc.
We would be very grateful if you
could answer these questions, so that we can report back to our
tenants and help us to raise the standards of health and hygiene in
our hospitals. It will also help to allay the fears of people who
have to go into hospital, if they understand how these things work
then they can help the hospital get the standards back.
Letter from Dept.Of Health
Mr T. Yeo (South Suffolk MP)
Houses of Parliament
London
Dear Mr Yeo,
Thank you for forwarding on the
letter from Ann Keen MP (Dated 18th June 2008); I am
very grateful for all you have done for me in gathering this
information. I would like to make a few points on her letter and
wondered if you could either reply yourself or ask her to reply for
me.
In her letter, she said:
‘Patients have a right to clean
and safe care, wherever and whenever they are treated by the
NHS’.
Whilst I firmly believe this is
right and agree with the statement, we all know that in reality
this fundamental right is often forgotten, due to staffing levels
and time restrictions.
It was interesting to read that 94%
of the intensive hospital clean is complete by the various Trusts,
but this was only a ‘Kick Start’ for the NHS and hospitals must
build on this. It seems from reports from the media, the internet
and newly discharged patients; this is not happening as originally
planned and some hospitals are not taking it seriously enough.
Reading in her letter I was wondering if the healthcare inspection
team will be doing spot checks or planned and informed checks? Or
is it just a case of monitoring and reading reports from
Trusts?
I also downloaded and read the
report that was suggested by Ms. Keen and was very happy at the
data covering October to December 2007. But I wonder what resources
are available to bring this figure down even more? It is common
knowledge that disinfectant is no longer used in hospitals for
cleaning, so perhaps she could say what is being used to clean the
equipment, furniture and floors.
According to her letter, a further
£270 million pounds is going to be spent over the next 3 years,
this seems a tremendous amount of money to spend keeping hospitals
clean, but it is a waste if we, as patients and visitors have no
idea what to do to help in the battle against HCAIs.
As a matter of interest I enquired
at our local animal health centre about the disinfectant mats and
how they manage with trolleys and other wheeled furniture, they
said that as far as they were concerned there were no problems with
it at all, and disabled people managed very well too, their mats
are only dampened with disinfectant and not swimming in it, like on
farms.
As I explained in my letter, people
walk into the hospital without realising what they have walked in
on the way, then drop a book or something and pick it up and put it
on the table, bed, chair or cabinet. Afterwards the patient then
picks it up along with the germs and after using it they then put
it down and eat, not thinking about whatever was on the item that
fell on the floor, or washing their hands, it’s so easy to
innocently infect yourself. This could so easily be prevented with
a mat at the front door.
Please don’t think that I am trying
to be argumentative, I am trying to answer questions that are asked
of me all the time, trying to advise people on health and welfare
and how best to help the health service in their battle against
these terrible
infections.