Table 1

The context: national infection control initiatives in England before and during Matching Michigan

2001Mandatory reporting to the Health Protection Agency (HPA) of MRSA bacteraemia.
2003Report of the Chief Medical Officer: Winning ways: guidance to reduce healthcare associated infection in England.
2004Mandatory reporting of Clostridium difficile infection (HPA website)
2004Hospital in Europe Link for Infection Control through Surveillance of Nosocomial Infections in ICUs protocol.
2004 to 2008Health Foundation's Safer Patients Initiative (24 hospitals): includes CVC bundle.
2005DoH Saving Lives programme—NHS High Impact Interventions (NHS-HII), modelled on Institute for Healthcare Improvement bundles.
2006Health Act 2006: Department of Health Code of Practice gives new powers of inspection to the Healthcare Commission. Superseded by the Health & Social Care Act 2008
2008Health and Social Care Act 2008: required registration with the Care Quality Commission: duty to protect patients against HCAIs. New code of practice.
2008Patient Safety First sponsored by National Patient Safety Agency (NPSA), NHS HII, and Health Foundation, includes interventions to reduce CVC-BSIs
2008High Quality Care For All: NHS Next Stage Review (Darzi report) states that the NPSA will run an ‘initiative to tackle central line catheter-related bloodstream infections’.
04/2009 to 03/2011Matching Michigan project.
2011Mandatory reporting of MRSA and Escherichia coli bacteraemia (HPA website)
  • BSI, blood stream infections; CVC, central venous catheter; HPA, Health Protection Agency; ICU, intensive care unit; MRSA, methicillin-resistant Staphylococcus aureus.