Action: establish STP/ICS system lead
Establish a system executive lead with accountability to the sustainability and transformation partnership (STP)/integrated care system (ICS).
A letter from the NHS national medical director and chief nursing officer, requesting that each NHS system appoints a senior responsible officer (SRO) for antimicrobial stewardship.
An example job description for a system director of infection prevention, who is also an SRO. While this role is full-time, elements of the job description might be removed and used to describe the SRO role (provided by Kent and Medway STP).
A leadership proposal for system-wide infection prevention provision (provided by Kent and Medway STP).
Action: establish vision and goals
Draft and agree a vision and goals for the governance and leadership of the project.
An example driver diagram regarding drivers for E. coli reduction (provided by Lancashire County Council).
An example driver diagram for delivering 50% Gram-negative infection reduction.
An example driver diagram from a provider regarding E. coli reduction (provided by Leeds Teaching Hospitals NHS Trust).
NHS England and NHS Improvement guidance on alignment with strategic aims.
Action: develop a plan
Form a collaborative of system leads to develop a project plan.
Example terms of reference for a whole health system antimicrobial resistance and infection prevention and control meeting (provided by Kent and Medway STP).
An example 'plan on a page' document (provided by Bath and North East Somerset, and Wiltshire CCGs).
Action: analyse data
Analyse available data to consider economic impact, and impact on morbidity and mortality.
Action: share outcomes
Share outcomes of above actions - vision and goals, project plan, economic analysis - with all system boards and governing bodies (including providers, CCGs and public health organisations).
Action: set up governance and reporting structure
Establish governance structure and system reporting into the STP/ICS, and link with prevention workstreams, as outlined in the NHS Long Term Plan.
An example governance structure (provided by Kent and Medway STP).
An example governance structure (provided by Cornwall and the Isles of Scilly Health and Care Partnership STP).
An example operating plan (provided by Frimley Health and Care ICS).
Action: plan for in-depth analysis
Make preparations for further, in-depth system and provider analyses to be carried out.
Action: develop a communications plan
Consider outcomes of all above actions and prepare a communications plan.
Template communications plan.
Example communications plan (provided by East Berkshire CCG).
All information and content is provided in line with NHS England and NHS Improvement website terms and conditions.