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Clinical Governance

  

Clinical Governance

Confidentiality

The Microbiology laboratory adheres strictly to the principles set out in the Caldicott Report (1997) and conforms with the Data Protection Act and Human Rights Act.

Audit

All staff participate in clinical and/or scientific audit as an essential component of continuous quality improvement.

Organ and Specimen Retention

The laboratory complies with all national clinical standards for organ and specimen retention.

Prescribing

Medical microbiologists and virologists work together with senior clinical and pharmacological colleagues to develop and monitor appropriate prescribing policies. These are reviewed regularly and updated in accordance with evidence-based practice.

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Health and Safety

Health and Safety

The Microbiology Laboratory complies with all current Health and Safety requirements and will continue to implement policies to ensure the safety of the staff and working environment.

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Information Technology

 Information Technology

The information system used by the laboratory is the Isoft Telepath (Cache) product. All clinical requests and reports are processed by this system.

Accessing Laboratory Results

National and regional communicable disease reporting is automated from the laboratory system using the PHE SGSS (Second Generation Surveillance System).

 

 

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Quality

 Quality

Accreditation

The Microbiology Laboratory is accredited by UKAS and complies with current UKAS standards.

 

Quality Assurance

The Microbiology laboratory participates fully in international external quality assessment schemes which cover the entire repertoire of tests performed by the laboratory.

An integrated system of internal quality control exists to ensure the accuracy and reliability of test results. Results are subject to formal review and any anomalies investigated thoroughly.

A quality service is given the highest priority.

The concerns/comments of users are both welcomed and reviewed regularly and promptly.

Feedback or comments about the service are appreciated and should be directed to the laboratory manager.

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Continuing Professional Development and Training

 Continuing Professional Development and Training

  • The Microbiology laboratory provides training and educational opportunities for all its staff and is fully committed to their development. The aspirations and personal development plans of each individual are identified by annual appraisal.

  • All consultant medical microbiologists and virologists and state-registered clinical scientists participate in the continuing professional development (CPD) scheme of the Royal College of Pathologists. CPD is compulsory for biomedical scientists and all qualified staff are encouraged to participate in the CPD programme of the IBMS.

  • Microbiology laboratory offers training in both microbiology and virology to specialist registrars on the regional training programme towards membership of the Royal College of Pathologists. Specialist registrars in infectious diseases and public health medicine are regularly given placements. From 2005, junior doctors at Foundation level 2 will be given training in microbiology and virology.

  • The laboratory is approved by the HPC for training of Biomedical Scientists in bacteriology and virology and fully supports the PHE Clinical Scientist training scheme. An ongoing training programme supports staff studying for academic and managerial qualifications and attending specialist technical courses, workshops and meetings.

  • Short-term placements and update secondments in both microbiology and virology are encouraged for all grades of staff and can be arranged by discussion with the Clinical Lead or Laboratory Manager.

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Copyright heftpathology 2013, 2014, 2015, 2016, 2017, 2018

HTA licence number is 12366

Protection of Personal Information – Laboratory Medicine comply with the Trust Data Protection Policy and have procedures in place to allow the Directorate and it’s employees to comply with the Data Protection Act 1998 and associated best practice and guidance.

The Trust Laboratories at Heartlands Hospital, Good Hope Hospital and Solihull Hospital were awarded UKAS (United Kingdom Accreditation Service) accreditation to the internationally recognised ISO 15189 standard in May 2015. For a list of accredited tests and other information please visit the test database http://www.heftpathology.com/frontpage/test-database.html.
Tests not appearing on this scope are either under consideration or in the process of accreditation and so currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff.

For further information contact Louise Fallon, Quality Manager, 0121 424 1235

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