Healthcare Associated Infections

HAIs are a recognised public health problem worldwide and significantly contribute to increased mortality and morbidity in the population. The additional costs arising from having to treat an HAI places a significant burden on healthcare resources.   These costs are estimated in Scotland to be around £183 million.  Multiple factors contribute to this increasing risk including an aging population, increasingly complex interventions as well as emerging threats such as multi-resistant micro-organisms which make treatment options very limited.

The risks associated with HAI can be significantly reduced by the use of Standard Infection Control Precautions (SICPs).  SICPs are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both recognised and unrecognised sources of infection.  The National Infection Prevention and Control Manual (NICPM) was developed in 2012 to support frontline staff to do the right thing first time in terms of reducing the risk of HAI. However, it is important that staff are able to reliably implement these principles into their every day work within the complex healthcare system.  The use of QI methodologies can support staff in terms of understanding the systems in which they work and how local changes can lead to sustained improvement.

Below is the list of projects the HAI team are working on with various NHS boards.

NHS Dumfries & Galloway

PVC Compliance (ED) 

Elaine Ross – Infection Control Manager

NHS Fife 

SICPS Structure and Process

Deirdre Harris - Nurse Consultant, Infection Control

NHS Fife 

PVC Bundles

Christina Coulombe - Infection Control Manager

NHS Greater Glasgow & Clyde 

PVC Bundles

Lismy Cheripelli - HAI Quality Improvement Facilitator

NHS Highland 

SICPS Structure & ProcessNHS Lanarkshire 

Catherine Stokoe - Infection Control Manager

NHS Lanarkshire

Hand Hygiene

Emer Shepherd - Head of Infection Control

NHS Lothian 

SICPS (patient related equipment)

Lindsay Guthrie - Lead Nurse, Infection, Prevention and ControlNHS Lothian 

NHS Lothian 

PVC Insertion/maintenance

Katy Currie - Charge Nurse, A&E

NHS Orkney 

CAUTI Bundles

Rosemary Wood - Infection Control Manager

NHS Shetland 

CAUTI Bundles

Carol BarclayInfection Control Manager

NHS Western Isles 

SSI Surveillance Forms

Janice MacKay - Interim Manager/Advanced Practitioner,
Infection, Prevention and Control

Scottish Ambulance Service 

Enhancing Care and PVC Insertion

Susan WilsonInfection Control Manager

State Hospital

SICPS Structure and Process

Karen Burnett - Advanced Practitioner Infection Control

Golden Jubilee

SICPS (patient related equipment)

Sandra McAuley - Clinical Nurse Manager, Infection, Prevention and Control


SPSP CAUTI Networking Day 13 December 2016

Click here to view the Flash Report summarising the day

SPSP National Conference 29 October 2016

Click here to view the Flash Report summarising the HAI breakout session.

SPSP HAI Event 27 October 2016

Click here to view the flyer

Click here to view the Flash Report from the day

SPSP HAI Event 16 March 2016

The first Scottish Patient Safety Programme Healthcare Associated Infections (HAI) learning session was opened by Associate CNO Diane Murray and took place on Wednesday 16 March 2016 at The Royal College of Surgeons in Edinburgh.  

The aims of the session were as follows:

  • Introduction to Quality Improvement in the context of HAI
  • Share tools and materials
  • Network with other NHS boards.

This learning session was primarily aimed at front line staff in wards and departments who have direct patient contact, infection control and managers were also invited.

NHS Education for Scotland (NES)

Improving bladder health and reducing urinary catheter infections

Indwelling Urinary Catheter Maintenance


Aseptic Technique

Promotion of Continence and the Assessment of Bladder Dysfunction in Adults

Urinary Catheterisation

Health Protection Scotland

Infection Control Team - Evidence Based Bundles

National Urinary Catheter Passport (NCP)

Guidance for use of the National Catheter Passport (NCP)

NHS Fife

Nail Gel Removal

NHS Orkney

Pocket guide to Urinary Catheter insertion rational. If its not on the list, its not meant to be in. Removal of unnecessary catheters will reduce the risk of CAUTI. Feel free to borrow this for your NHS Board. 

NHS Orkney

Uc sticker   is placed above every bedspace where a person has a  urinary catheter as an aide memoire for staff to ensure it is checked and maintained regularly.

ScRAP is an educational toolkit to help support a reduction in unnecessary antibiotic prescribing in primary care.  The resource is primarily aimed at GP practices but may also be of interest to others in primary care for example district nurses and care home staff.


Follow us on Twitter: @SPSPHAI

To contact a member of the HAI team, please click on the relevant name below.

Name Position
Joanne Matthews Head of Scottish Patient Safety Programme
Lesley Shepherd Nurse Consultant, Infection Control