Update on csection SSI surveillance in Wales December

Update on c-section SSI surveillance in Wales December 2015

Outline • What we have been doing: ü Redesign of surveillance form ü Diagnostic tool updated ü Patient information leaflet ü Patient information sticker • Reporting of surveillance data • Overall infection rates • Compliance • Health Board summary

Redesign of surveillance form • C-section steering group contributions to new form development • More information around infection/ care of the mother • Increased accuracy of validation (allowing for audit)

What has changed? (in-patient form)

What has changed? (post-discharge form)

Updated diagnostic tools

Patient information leaflet

Patient information sticker

Reporting surveillance data • • • Reporting timetable Re-designed reports Aim: more informative Target number of SSIs Compliance categories

Overall infection rates Annual infection rate 2006 – 2015 22 20 18 20. 4 19. 6 SSI Rate (%) 16 14 14. 9 12 13. 5 10 10. 5 8 7. 5 6 4 6. 5 4. 7 5. 0 2013 2014 2 0 2006 2007 2008 2009 2010 Year 2011 2012

Number of infections/infection rate January to September 2015 63 No. of SSI Overall SSI rate (%) 43 43 32 29 23 6. 6 AB 10. 5 3. 4 ABMU 4. 5 BC C&V 5. 8 CT 3. 1 HD

Compliance Annual trend 2007 – 2014 100 90 94. 3 95. 0 88. 2 80 Compliance (%) 97. 8 70 92. 2 74. 8 60 59. 2 50 40 30 41. 9 20 10 0 2007 2008 2009 2010 Year 2011 2012 2013 2014

Health Board summary Rate 1 (%) Compliance 2 (%) January to September 2015 (January to September 2014) January to June 2015 ABMU 3. 4 8. 0 94. 2 Aneurin Bevan 6. 6 2. 6 51. 6 Betsi Cadwaladr 4. 5 5. 6 166. 0 10. 5 91. 6 Cwm Taf 5. 8 3. 6 104. 5 Hywel Dda 3. 1 3. 2 72. 1 WALES 5. 3 5. 4 92. 0 Cardiff and Vale 1 Rate (change from 2014) Based on the all-Wales rate: if HB > all Wales = red; if ≤ all Wales = green 2 Compliance categories: Red Amber Green Blue 0 -60% 61 -80% 81 -100% >100%