Dominic Tobin, The Sunday Times
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The battle against superbugs could be jeopardised after the government admitted some hospitals will be unable to meet the deadline to deep clean their wards.
The Prime Minister had promised that all wards would be deep cleaned to "industrial standards" by March 31 but Ben Bradshaw, the Health Minister has admitted that around 13 NHS hospitals will not meet the deadline.
The other 170 general hospitals will complete the £60m hygiene blitz by March 31, Mr Bradshaw said.
The national deep clean has been criticised as a publicity stunt to give the impression the NHS is in control despite high levels of superbug infections and deaths.
Antibiotic-resistant MRSA is officially responsible for 7,000 to 8,000 infections a year, and cases of the deadly Clostridium Difficile (C diff) bacteria are put at 55,600 annually. The figures have recently been declining.
However many experts believe the real total for superbug infections is 300,000 a year.
Mark Enright, professor of molecular epidemiology at Imperial College London, thinks MRSA and C diff kill 10,000 a year in the UK.
He said high levels of superbugs in hospitals are increasingly likely to affect healthy people who can pick them up, carry them and then become infected through a superficial injury.
The government’s strategy of a one-off super clean of wards will not have a long-term effect in the fight against hospital infections, according to The Lancet medical journal.
It said Brown was “pandering to populism”, adding that the proven way to stop superbug infections was to make sure that doctors, nurses and visitors washed their hands properly.
There are also concerns about how well the multi-million pound clean was being carried out.
Figures released under the Freedom of Information Act reportedly show that 87 out of 127 hospital trusts had not finished the deep clean, but were planning to do so before the end of March.
“The idea all these hospitals are going to rush to get it all finished over one weekend is a joke,” said Derek Butler, chairman of the charity MRSA Action UK.
“We can’t be confident the deep cleans have been properly done. They haven’t been monitored by the government.
“Some hospitals are saying they did the clean around or between patients, but if a deep clean is meant to be thorough, then surely this means emptying out a ward.
“If they could really clean thoroughly without clearing out wards, then hospitals should be spotless constantly.”
Bradshaw said the independent Healthcare Commission watchdog would now follow up the programme by conducting inspections “to make sure that all hospitals have hygiene and cleanliness policies that are as good as the best.”
Conservative Health Spokesman Andrew Lansley said the deep clean had not been properly funded.
He said hospitals had been forced to cover at least £23m of the cost from other budgets.
Bradshaw said Mr Lansley’s calculations were incorrect.
“We allocated 62 million pounds extra from the regional health authorities and they tell us all of that money has gone to the hospitals,” he said.
Hospitals are due to start MRSA screening of patients coming for non-emergency procedures from April, and for all emergency admissions over the next three years.
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Christopher - Sad if you think matrons make that much difference, if they did we wouldnt have stories of uncaring nurses would we?
The superclean is a waste of money, common sense says that the next dirty patient in the bed will contaminate the space in minutes. Also the Government are living in cloud cuckoo land if they believe that busy hospitals racing to meet their other targets and over the highly pressurised winter time when beds are already blocked because there arent enough community hospitals and nursing and rest homes, had enough empty wards to move patients to.
Infection is a big issue, it starts with making sure all we potential patients keep clean and wash our hands and ends with medical people being disciplined enough and caring enough to wash their hands and make sure their wards and clinical areas are clean enough. Money would have been better spent sorting overcrowding.
GET REAL PEOPLE
milliken, Southampton, Hampshire
There are drugs available that give immediate and effective treatment of MRSA. They are synthetic forms of antibiotics and cost about 40 BP, which is a lot for an antibiotic. However, it is well worth the cost to be rid of this very dangerous bug once and for all.
Marie, Canada
Marie, Vancouver, Canada
Unfortunately this initiative will fail. I understand that 1 in 3 of us carries the MRSA virus, and hence as soon as the cleaning is finished and new patients brought in they will re-infect the wards, unless adequate hygiene techniques are operated by ALL staff, patients and visitors.
No chance of that unfortunately .................... !
manrow, Cullompton, UK
Oops, another target missed. Incidentally, have the infection rates diminished in those hospitals that have been 'deep-cleaned' to industrial standards or has nobody thought to audit that?
Ian Burgess, Bristol,
£60m hygiene blitz, are they taking the mickey?, its all to obvious that the problem with UK hospitals is they are awash with money.
wayne, huntingdon, cambridgeshire
Hospitals should not need deep cleaning, they should already be clean to a high standard I believe cleaning staff should be part of hospital permanent staff, under the direct control of a matron who would ensure a high standard was maintained.
Christopher Brabant, Beedon Nr. Newbury, England
In order to deep clean a ward, the ward has to be empty. Patients are moved out to other wards, and the ward being cleaned is temporarily closed. The cleaning is then rotated from ward to ward over a number of weeks. This results in a prolonged period of reduced bed capacity over the period during which the work is being carried out.
Arranging the national deep clean project over the winter, when hospital admissions are at their highest, has created totally unecessary pressure on beds. The exceptional stupidity of this decision has not been lost on NHS staff (of which I am a member).
Is it any wonder that some trusts are making the logical decision to delay ward closures until after the winter admission surge? Would cancelled operations and nights spent on trolleys in A&E have made better headlines?
Ben, London, London,
Why on earth can't NHS hospitals simply be kept clean ALL the time? I was recently in hospital for a three-day stay and was horrified when I observed how my room was cleaned. No products were used, and the cleaner used the same sponge to clean my sink and nightstand that she used to clean the toilet! There were also insects in my shower. I'm not a professional cleaner, but even I know that this isn't sanitary. I have been in hospitals in other countries, like the US, and there hospitals are kept VERY clean all of the time. It's a hospital! Cleanliness should be a priority.
Audrey , London, UK
Most people living in England think the Government figure of 10,000 people dead a year is a ridiculous understatement of the real facts. Unfortunetely the UK has a tradition of secrecy in many of its Institutions, The Government, the Judiciary and the Police routinely monitor themselves and conduct internal inquiries which fool nobody when something goes wrong. Hospitals are equally secretive as anyone who has lost a relative or a friend on a ward and suspected medical malpractice or dereliction of duty knows from trying to get information and encountering a wall of silence, This deep clean is a joke. The only country I have heard of which has eliminated the dreadful MRSA is Denmark and they did it by isolating patients and moving to a one-room-one-bed policy in their hospitals. Clearly what is possible with Denmark's relatively small population cannot be copied by Britain with its more than 60 million inhabitants. Ongoing deep cleaning is what would be necessary and it can't happen,
Paola, Milan, Italy
Screening patients for MRSA for non-emergency procedures is a waste of resources. It isnt going to do much to keep the number of infections down, and if a patient does carry MRSA what happens then? they cant refuse to treat the patient, and most hospitals wont have the resources to keep these patients isolated. SA is carried in the noses of around 5% of the population . Think of the number of patients seen in a hospital every day and 5 in every one hundred people may be carrying Staph. aureus. thats a lot of potential carriers.
Also the problem no-one mentions with C. diff is that the hand gel hospitals ask all visitors to use to kill spread of bugs doesnt actually kill C. diff so its hard to keep it from hospitals that have had cases of it.
All the stories i read berate the NHS but despite its faults its still a good medical care system and its trying to stop these superbugs, but its harder than most people imagine or are told to ensure hospitals are bug free.
Holly, London, UK
Just when did hospitals need instructions from government on the necessity to keep the place and their staff clean. The whole idea is grandstanding by Brown. The management of Hospitals that do not operate satisfactory standards should be fired, not retired with compensation. We might then see some action.
KW, Bognor Regis, England