Abstract
The Department of Health for England (DH) has established a tradition of high quality, largely engineering focused, guidance on the decontamination of surgical instruments within the Health Technical Memorandum (HTM) series. However, the reforms, required by the 2012 Health and Social Care Act, combined with the Code of Practice on the prevention and control of infections, have stimulated a pilot exercise to produce a different guidance approach in Choice Framework for local Policies and Procedures (CFPP). The CFPP also reflects concerns related to possible vCJD transmission by surgical instruments. The pilot explores new, risk control-based, guidance coupled with prominent use of advice from other public bodies, Government Advisory Committees, professional and learned organisations. A DH scientific research programme backs these initiatives. A local, multi-disciplinary response to risk control, tailoring actions to match the clinical services and business planning objectives required is supported by the guidance structure. However, the international engineering standards remain a highly valued component of this new approach.
Published Version
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