The Access Policy sets out the rights and responsibilities of Epsomedical and its NHS patients. It derives from the NHS Constitution and the contract that we have entered into with the NHS through Surrey Downs Clinical Commissioning Group. These documents give patients a number of rights and assurances, which are largely the same whichever provider a patient chooses to attend. However, the scope of our services is very different to that of most NHS hospitals and the Access Policy of all providers will be slightly different. Should a patient have a dispute with us over the administrative aspect of the service he receives, any complaint should be made by reference to the Access Policy. The Access Policy addresses among other issues:

•  Maximum waiting time targets, and how those are interpreted
•  Cancellations and failure to attend (DNA)
•  Discharge

 Download Clinical Governance Policy

The PSIRF Policy and Plan supports the requirements and implementation of the NHS England Patient Safety Incident Response Framework (PSIRF) within Epsomedical. The policy sets out Epsomedical’s approach to developing and embedding effective processes for responding to patient safety incidents and areas with the potential for learning.

A patient safety incident or event is any unintended or unexpected incident or event which could have or did lead to harm for one or more patient’s receiving healthcare. Epsomedical’s Policy outlines how we will seek to learn from events to continually improve the quality and safety of the care that we provide as part of our systematic program of improvement.

Please see the link below for a presentation that summarises Epsomedical’s PSIRF Plan.  

Please click on the links below to download our latest PSIRF Policy and Plan.  

 Download PSIRF Presentation PDF

 Download Epsomedical PSIRF Policy

 Download Epsomedical PSIRF Policy

The purpose of the Epsomedical infection control programme is to facilitate effective infection control and limit the acquisition and spread of pathogenic micro-organisms. We support the principles that infections should be prevented wherever possible and that effective arrangements for the surveillance, prevention and control of infection are provided throughout the organisation.

It is our policy to encourage the individual responsibility of every member of staff to participate in the prevention and control of infection and to comply with legislation, policies and procedures applying to the safe provision of care.

To maintain standards and achieve these aims we continue to take the following measures:

•  Ensure that we have systems to manage and monitor the prevention and control of infection. This includes policies and procedures which assess and evaluate the risk to our patients, staff members and the care environment.
•  Identify patients who have or develop an infection, and provide relevant prompt treatment.
•  Identify staff who have or develop an infection which may affect their ability to attend the workplace.
•  Ensuring that the environment is maintained to a standard that prevents and controls the spread of infection.
•  Provide staff training and education.

Our policy has been formed on the principles and safe practice guidance recommended by our IPC advisors, which has been drawn up in line with national guidelines. Our COVID-19 and Local Safety Standards for Invasive Procedures (LocSSIPs) are additional policies and procedures which help guide and govern our staff in the delivery of safe care. An external audit of our IPC measures took place and the results were outstanding across all three sites. The inspectors recognised the efforts of all staff to secure the environment:
 

‘…the facilities, infection prevention and control processes and practices in place throughout the Day Surgery Unit are of a very high quality with exceptionally high standards of cleanliness.’
 

This continued external affirmation of the standards that we maintain is a testament to the hard work, collective responsibility and dedication of every member of staff who has helped us formulate and adhere to the organisations IPC principles.