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Hospital bug measures announced Hospital bug strategy is set out
(about 5 hours later)
Ministers have set out a raft of measures to step up the fight against hospital infections, and say they are getting to grips with the lethal bugs. Ministers say they are getting to grips with hospital infections, as they set out a raft of measures to step up the fight against the lethal bugs.
MRSA and Clostridium difficile rates are now both falling, but still cause thousands of deaths a year.MRSA and Clostridium difficile rates are now both falling, but still cause thousands of deaths a year.
The government's infection strategy for England, much of which has already been announced, said extra money, patient screening and deep cleaning were key.The government's infection strategy for England, much of which has already been announced, said extra money, patient screening and deep cleaning were key.
But experts said there was a long fight ahead if the bugs were to be beaten.But experts said there was a long fight ahead if the bugs were to be beaten.
The strategy pulls together a raft of initiatives which the government has been introducing in recent months, as well as some new schemes.The strategy pulls together a raft of initiatives which the government has been introducing in recent months, as well as some new schemes.
WHAT ARE THE HOSPITAL BUGS? When the subject of hospital infections crops up it is usually in reference to two - C difficile and the so-called superbug, MRSAMRSA is a potentially lethal bacterium that causes infections in humans. It is difficult to combat because it has developed a resistance to certain antibioticsC difficile is nearly 10 times more common than MRSA, although it is less deadlyIt is a bacterium found in the gut of some adults and most childrenC difficile rarely causes problems, but certain antibiotics can disturb the normal balance, allowing the bug to thrive and causing severe diarrhoea and bowel inflammation Quick guide: Hospital bugsWHAT ARE THE HOSPITAL BUGS? When the subject of hospital infections crops up it is usually in reference to two - C difficile and the so-called superbug, MRSAMRSA is a potentially lethal bacterium that causes infections in humans. It is difficult to combat because it has developed a resistance to certain antibioticsC difficile is nearly 10 times more common than MRSA, although it is less deadlyIt is a bacterium found in the gut of some adults and most childrenC difficile rarely causes problems, but certain antibiotics can disturb the normal balance, allowing the bug to thrive and causing severe diarrhoea and bowel inflammation Quick guide: Hospital bugs
Ministers said by 2011 there would be an extra £270m a year available for infection control - although that is from an NHS budget which is growing by more than £5bn a year in the next three years.Ministers said by 2011 there would be an extra £270m a year available for infection control - although that is from an NHS budget which is growing by more than £5bn a year in the next three years.
NHS trusts will be able to use this money to appoint specialist nurses to combat infections and phase in MRSA screening from 2009.NHS trusts will be able to use this money to appoint specialist nurses to combat infections and phase in MRSA screening from 2009.
Local health bosses and regulators will also be able to fine hospitals that are not doing enough to meet C difficile targets.Local health bosses and regulators will also be able to fine hospitals that are not doing enough to meet C difficile targets.
And this is to be coupled with a nationwide campaign starting in February about the risk of antibiotic-resistant infections from the overuse of antibiotics.And this is to be coupled with a nationwide campaign starting in February about the risk of antibiotic-resistant infections from the overuse of antibiotics.
Ministers also said that a month after the start of the campaign, hospitals should have finished the deep clean programme which was announced last year.Ministers also said that a month after the start of the campaign, hospitals should have finished the deep clean programme which was announced last year.
Health Secretary Alan Johnson praised the NHS for achieving what was considered impossible in the 1990s - overseeing a fall in MRSA rates.Health Secretary Alan Johnson praised the NHS for achieving what was considered impossible in the 1990s - overseeing a fall in MRSA rates.
Latest figures from the Health Protection Agency show that MRSA cases fell by 10% in the most recent three-month period - continuing a downward trend which started in September 2006.Latest figures from the Health Protection Agency show that MRSA cases fell by 10% in the most recent three-month period - continuing a downward trend which started in September 2006.
The figures also showed C difficile had fallen for the first time, with new cases down 7%.The figures also showed C difficile had fallen for the first time, with new cases down 7%.
Mr Johnson said there was "still more work to be done" but the government was confident it could continue to curb the threat from both MRSA and C difficile.Mr Johnson said there was "still more work to be done" but the government was confident it could continue to curb the threat from both MRSA and C difficile.
He added: "Patients have my assurance that the government will not take its foot off the pedal."He added: "Patients have my assurance that the government will not take its foot off the pedal."
He also insisted the government was on track to hit its target to halve MRSA rates by the end of March 2008. It has been widely assumed this goal will be missed.He also insisted the government was on track to hit its target to halve MRSA rates by the end of March 2008. It has been widely assumed this goal will be missed.
IsolationIsolation
Leading microbiologist Professor Hugh Pennington, from Aberdeen University, said: "The measures being taken will all help, but one of the key things, especially for the screening, is that we have isolation wards available for infected patients.Leading microbiologist Professor Hugh Pennington, from Aberdeen University, said: "The measures being taken will all help, but one of the key things, especially for the screening, is that we have isolation wards available for infected patients.
"I don't think there is enough capacity for this at the moment and even though the rates look like they are coming down, there is still a long way to go."I don't think there is enough capacity for this at the moment and even though the rates look like they are coming down, there is still a long way to go.
"I think it will take another five years before we get our rates down to the best of the other European countries.""I think it will take another five years before we get our rates down to the best of the other European countries."
Shadow health secretary Andrew Lansley agreed isolation facilities were key, and said all the government had provided was "years of broken promises".Shadow health secretary Andrew Lansley agreed isolation facilities were key, and said all the government had provided was "years of broken promises".
Liberal Democrat health spokesman Norman Lamb said: "Delivery on these promises will be key. Will the money actually be used for anti-infection measures, such as recruitment of new staff?"Liberal Democrat health spokesman Norman Lamb said: "Delivery on these promises will be key. Will the money actually be used for anti-infection measures, such as recruitment of new staff?"