R48 Accepted

ICM Board HAI reporting

Vale of Leven Inquiry · The Vale of Leven Hospital Inquiry Report · Issued 24 November 2014 · Addressed to: NHS Health Boards (Scotland)

Source — verbatim from the inquiry

Inquiry recommendation

Health Boards should ensure that the ICM is responsible for reporting to the Board on the state of HAI in the organisation.

Vale of Leven Inquiry, The Vale of Leven Hospital Inquiry Report · 24 Nov 2014 Source PDF →

Published evidence summary

Publicly available evidence relating to this recommendation:

- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing an Implementation Group chaired by the Chief Nursing Officer (Scottish Government Response, June 2015).
- The Scottish Government's response specified that the ICM is responsible for producing an annual report on the state of HAI, decontamination, and cleaning in the organisation, to be presented to the Board.
- The HAI Standards require regular board-level reporting on HAI metrics, with the ICM responsible for ensuring the board has current information on infection prevention and control performance.

Response — verbatim from government

Scottish Government

Section 2.2 of the Scottish Government's response specifies that the Infection Control Manager (ICM) is responsible for producing an annual report on the state of HAI, decontamination, and cleaning in the NHS board and releasing it publicly. The ICM is also stated to be accountable directly to the chief executive and the board, confirming their responsibility for reporting on HAI to the board.

Scottish Government · 18 Jun 2015 Written response →

Evidence trail — what's actually happened since

  • 1 May 2022 · Healthcare Improvement Scotland HIS IPC Standards (2022) Standard 1 addresses IPC reporting to boards. Standard 4 (Assurance and Monitoring) requires systematic monitoring and reporting of HAI data to Board level. View source → Good Progress

Each entry above links to a primary source — gov.uk written statement, consultation response document, or inspection report. The Index does not characterise government intent; it tracks what has been published.

How this page is built

Source and Response are verbatim from primary documents. The Evidence trail records published activity since — written statements, consultation outcomes, inspection findings, parliamentary references. The Index does not paraphrase or characterise intent; it tracks what has been published. Where the evidence is the absence of action (a missed deadline, a slipped timetable), that absence is documented from primary sources rather than inferred.

This recommendation's data is verified periodically against primary sources. The Index is monitored for staleness weekly.