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2008-12-23 05:07:17
By Adam Brimelow
BBC News health correspondent
Sir Richard Branson has accused politicians of "tinkering" with infection
control in hospitals.
The recently appointed vice-president of the Patients Association wants all
hospital staff to be screened for MRSA, and treated immediately if infected.
He says any disruption caused would be better than the pain, misery and deaths
caused by avoidable infections.
Professor Mark Enright, an MRSA expert, said the policy could make sense, but
would be expensive to implement.
Sir Richard has also called for managers who fail to enforce patient safety
standards to be sacked.
Across the UK MRSA rates are falling, but Sir Richard wants to see a much
tougher line.
He said: "There have been some improvements, but the facts speak for themselves
- and the facts are still horrific.
"It feels like they have tinkered with the problem rather than really got to
the heart of the problem. The hospitals are there to cure people. They are not
there to kill people."
In the UK, as in other developed countries, it is estimated that one in 10
patients admitted to hospitals will suffer harm as a result of something going
wrong.
Learning from industry
Sir Richard says the health service could learn a lot from the airline and rail
industries on how to avoid mistakes.
"In the airline industry if we had that kind of track record we would have been
grounded years ago," he said.
"In the airline industry if there is an adverse event that information is sent
out to every airline in the world.
"And every airline makes absolutely certain that that adverse event doesn't
happen twice."
Working with the Patients' Association, Sir Richard is organising an
international conference in the new year to examine what works best in
infection control and patient safety. He will make recommendations to the
government.
But he is already convinced that all hospital staff, including surgeons, nurses
and cleaners, should be screened and treated if they are found to be carrying
MRSA.
He said: "You don't necessarily have to ask them to leave the hospital while
they are being treated.
"They can just not have any contact with patients for those two weeks while
their treatment is taking place, and then they can come back and have contact
with patients.
"That is far better than having people dying from unnecessary diseases, and all
the misery and pain that that causes, and the cost to the NHS which is
enormous."
Mixed response
Professor Enright, from London's Imperial College, said the policy would prove
to be expensive.
He said: "It could be successful, but it would be very costly because you would
have to employ extra staff.
"There is no slack in the NHS to do this. If you did a cost-benefit analysis
there are possibly better ways of spending the money."
A spokesman for The British Medical Association warned that running an airline
was not the same as running a health service.
HAVE YOUR SAY The proposals put forward by Richard Branson are sensible and
necessary Anders Roberts, UK
He said: "This proposal will cost a great deal of money and risk further
reductions in the number of health professionals available to treat patients at
a time when we are critically short of staff and beds."
Derek Butler, chairman of the campaign group MRSA Action UK, agreed that a
tougher line was needed.
He also called for restrictions on the number of people visiting patients in
hospital.
"Fighting health care infections has to be an all or nothing affair. There can
be no halfway house."
A spokesman for the Department of Health in England said: "The government is
taking tough actions in the fight against infections.
"These include stringent hand-washing across the NHS, doubling the number of
matrons and giving them greater powers to enforce cleanliness standards, and
screening admitted patients for MRSA.
"These are clearly making an impact as we have halved MRSA infections since
2003/04 and C. difficile infections are down 35% on the same quarter last
year."
Sir Richard also called for more information for patients on infection rates,
and a tougher policy on managers at failing trusts.
He said: "The patient should have the right to know the track record not only
of the hospitals, but the rate on wards, on departments, on surgeons, on
clinicians.
"That shouldn't be something which is hidden.
"And I also think if managers of hospitals are not obeying the rules that have
been set by the NHS, those managers should be replaced."