Download Diseases Notifiable To The Consultant In Public Health

UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
Section B - Notifiable Diseases Policy
Version 8
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UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
Document Summary Table
Unique Identifier Number C-56-2013
Status
Ratified
Version
8
Implementation Date
June 2002
Current/Last Review
December 2005; December 2007; October 2009;
Dates
October 2011, October 2013, September 2015
Next Formal Review
September 2017
Sponsor
Director of Infection Prevention & Control
Author
Senior Infection Prevention & Control Nurse
Where available
Trust Intranet
Target audience
All Staff
Ratifying Committee
Executive Board
29 October 2015
Consultation Committee
Committee Name
Committee Chair
Date
Infection Prevention & Control
Consultant
24 September 2015
Committee
Microbiologist /
Infection Prevention &
Control Doctor
Other Stakeholders Consulted
Does this document map to other Regulator requirements?
Regulator details
Regulator standards/numbers etc
Document Version Control
Version 8
An updated ‘Notification of Infectious Diseases’ form for Kirklees
has been included (p.7)
Version 7
The policy has been reviewed and the Trust Equality Statement has
been updated.
Version 6
The document has been reviewed and updated
Version 5
The document has been redesigned to ensure that all new and
revised procedural documents are set out to a Trust wide format
and the content of which includes a minimum set of criteria which
include:
 the training requirements for implementation
 monitoring arrangements for the document
 Equality Impact of the document
In addition, the monitoring arrangements for this document have
been included.
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UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
Contents
Section
1
2
3
4
5
6
7
8
9
10
11
12
Page
Document Summary Table
Contents
2
3
Introduction
Purpose
Definitions
Duties
Notification duties of Registered Medical Practitioners (RMPS)
Schedule 1 Diseases
Proper Officer(s) for Calderdale and Kirklees
Training and Implementation
Trust Equalities Statement
Monitoring Compliance with this Procedure Document
Associated Documents / Further Reading
References
4
4
4
4
4
5
5
5
6
6
6
6
Appendices
1
2
Registered Medical Practitioner Notification Form - Kirklees
Registered Medical Practitioner Notification Form - Calderdale
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7
8
UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
1.
Introduction
The regulations on the notification of communicable disease, and the powers
of Local Authorities to control these diseases, have been changed with effect
from 6th April 2010, within the amended Public Health (Control of Disease)
Act 1984 and its accompanying Regulations. Doctors registered with the
General Medical Council (GMC) in England and Wales have a statutory duty
to notify a 'Proper Officer' of the Local Authority or local health protection team
of suspected cases of certain infectious diseases. The attending Registered
Medical Practitioner (RMP) should fill out a notification certificate immediately
a notifiable disease is suspected or confirmed. The RMP should not wait for
laboratory confirmation of the suspected infection or contamination before
notification. The certificate should be sent to the address specified on the form
within three days or verbally within 24 hours if the case is considered urgent
(see pages 7 and 8).
2.
Purpose
The purpose of the policy is to ensure that all staff understand and complete
the process required for the notification of communicable diseases. RMPs
need to understand that timely notification is a key step towards protection of
the public health because it can initiate urgent protective action.
3.
Definitions
PHE – Public Health England
RMP – Registered Medical Practitioner
4.
Duties
The Chief Executive is responsible for ensuring that there are effective
infection control arrangements in the Trust.
5.
Notification duties of Registered Medical Practitioners (RMPs)
RMPs attending a patient must notify the local authority or the Public Health
England Centre in which the patient resides when they have “reasonable
grounds for suspecting” that the patient:

has a Notifiable disease as listed in Schedule 1, page 5, Section 6 of this
policy. or

has an infection not included in Schedule 1 which in the view of the RMP
presents, or could present, significant harm to human health e.g. emerging
or new infections; or

is contaminated, such as with chemicals or radiation, in a manner which, in
the view of the RMP presents, or could present, significant harm to human
health; or
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UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse

has died with, but not necessarily because of, a Notifiable disease, or
other infectious disease or contamination that presents or could present,
or that presented or could have presented significant harm to human
health.
Notification of cases of infection not included in Schedule 1 and of
contamination are expected to be exceptional occurrences.
Note RMPs should not wait for laboratory confirmation or results of other
investigations in order to notify a case.
Notification should be recorded in the case notes, so other RMPs involved in
the care of the patient are aware that there is no requirement on them to
notify.
Good practice would be to advise the patient that a Notification has been sent.
They can be advised that it will be treated in confidence, although they may
be subsequently contacted by a member of the public health team.
6.
Schedule 1 Diseases
Acute encephalitis
Acute meningitis *
Acute poliomyelitis *
Acute infectious hepatitis *
Anthrax *
Botulism *
Brucellosis
Cholera *
Diphtheria*
Enteric fever (typhoid or paratyphoid fever)*
Food poisoning
Haemolytic uraemic syndrome (HUS) *
Infectious bloody diarrhoea
Invasive group A streptococcal disease *
Legionnaires’ Disease*
Leprosy
Malaria
Measles *
Meningococcal septicaemia *
Mumps
Plague
Rabies *
Rubella
SARs *
Scarlet fever
Smallpox *
Tetanus
Tuberculosis
Typhus
Viral haemorrhagic fever (VHF) *
Whooping cough
Yellow fever
N.B.
Diseases marked with an asterisks (*) should be notified urgently.
Urgent notification should be telephoned to the Proper Officer within 24
hours – please refer to Department of Health Protection Legislation
(England) Guidance 2010 (www.dh.gov.uk).
7.
Proper Officers for Calderdale and Kirklees
Calderdale – Dr Andrew Lee – Consultant in Communicable Disease Control
Kirklees – Dr Helen McAuslane – Consultant in Communicable Disease
Control
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UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
Please return the forms to the address specified on the RMP notification
forms (pages 7 & 8).
The PHE Yorkshire & Humber out-of-hours contact number for South and
West Yorkshire is: 0114 304 9843.
The out-of-hours service is available from 5pm – 9am Monday to Friday and
during the weekend.
8.
Training and Implementation
Training will be carried out to all Trust staff by the Infection Prevention and
Control Team
through Induction and risk management as well as
targeted training sessions to key personnel / areas. This includes link
infection prevention and control practitioners in departments and wards
across the Trust who will then cascade the information to appropriate
colleagues within their area/departments.
9.
Trust Equalities Statement
Calderdale and Huddersfield NHS Foundation Trust aims to design and
implement services, policies and measures that meet the diverse needs of our
service, population and workforce, ensuring that none are placed at a
disadvantage over others. We therefore aim to ensure that in both
employment and services no individual is discriminated against by reason of
their gender, gender reassignment, race, disability, age, sexual orientation,
religion or religious/philosophical belief, marital status or civil partnership.
10.
Monitoring Compliance with this Procedural Document
Compliance with the policy will be monitored through clinical audit as an
ongoing process.
11.
Associated Documents / Further Reading
https://www.gov.uk/guidance/notifiable-diseases-and-causative-organismshow-to-report#registered-medical-practitioners-report-notifiable-diseases
12.
References
http://www.opsi.gov.uk/RevisedStatutes/Acts/ukpga/1984/cukpga_19840022_
en_1
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UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
Appendix 1
REGISTERED MEDICAL PRACTITIONER NOTIFICATION FORM – KIRKLEES
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UNIQUE IDENTIFER NO: C-56-2013
Review Date: September 2017
Review Lead: Lead Infection Prevention & Control Nurse
Appendix 2
REGISTERED MEDICAL PRACTITIONER NOTIFICATION FORM - CALDERDALE
Notification of Diseases
Health Protection (Notification) Regulations 2010: Notification to the Proper Officer of the local
authority
Index case details
Forename (s)
Surname
NHS Number
Date of Birth
Ethnicity
Gender M/F
Home Address & Postcode
Telephone Number: (H)
Telephone Number: (M)
E mail address of case (if available):
Current location if not Home Address
Where Index case is a child please provide name & contact
details for parent
Notifiable disease/Contamination
Disease, infection or contamination
Date of onset
Date of diagnosis
Hospitalised during episode: Yes / No / Not Known
Sample taken: Yes / No
Date
Date of death (if patient died)
Sample type:
Risk Factors
Occupation if relevant e.g. works with
Food/Health Care
Work / education/ Nursery address & postcode (if
relevant)
Details of other special factors surrounding the case – including overseas travel (destination and
dates), medical conditions, Immunisation history
GP Details or Notifier
GP Practice/ GP practice stamp
Tel No:
Notifier’s Name
Signature
Date form completed
Send back to: The Proper Officer, Environmental Health Services, Economy & Environment,
Northgate House, Northgate, Halifax, HX1 1UN, Tel: 01422 392373 Fax: 01422 392399
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