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  • 30th November 2019: NHSGGC Chief Executive, Jane Grant issues statement in relation to engagement with parents and safety standards at RHC and QEUH. See Media Statement.
  • 26th November 2019: An HPS report, made public on 26 November reveals no single source of infection across the hospital and infection rates comparable with other units across the country and confirms findings from internal investigations that the water at Royal Hospital for Children and the Queen Elizabeth University Hospital is safe to use as a result, and coupled with the findings from internal investigations, Ward 6A reopens to new admissions. See Statement to parents from Jane Grant, Chief Executive.
  • 22nd November 2019: NHSGGC escalated to stage four of NHS Board Performance Escalation in relation to process and governance on infection prevention, management and control. See Media Statement on escalation lines.
  • August 2019: Patients in Ward 6A prescribed prophylactic antibiotics as precautionary measure as environmental testing of the ward takes place in relation to an increase in infections. Testing concludes no link to ward environment and decision taken to review prophylaxis measures. HEPA filters installed in ensuite bathrooms as precaution.  See Media Statement (2nd December 2019).
  • 26th September 2018: Following the completion of the investigations in 2018, extensive remedial work was undertaken to mitigate the level of risk in the environment and the water supply. Patients from Wards 2A and 2B were temporarily moved to Ward 6A and 4B of Queen Elizabeth University Hospital Work (see letter to parents/and media statement). Precautionary measures implemented on the ward included the installation of a water treatment system, as well as point of use filters on water outlets being installed in areas with immuno-compromised patients.
  • September 2018: Investigations and testing identified widespread contamination of the water system. Control measures were implemented included sanitisation of the water supply to Ward 2A, installation of point of use filters in wash hand basins and showers in Wards 2A and 2B and other areas where patients were considered high risk. Drain decontamination was undertaken. (See Media Statement)
  • June 2018: A cluster of infections led to an Incident Management Team (IMT) investigation which highlighted a possible link between water contamination and infections on wards 2A / 2B. At this point NHS Greater Glasgow and Clyde (NHSGGC) requested the support of both Health Facilities Scotland (HFS) and Health Protection Scotland (HPS) to help investigate potential contamination of the water system at the Queen Elizabeth University Hospital (QEUH) and the Royal Hospital for Children (RHC). As a result of those investigations, the existence of the 2015 and 2017 technical water reports were made apparent to the Board. These were taken into account when determining the action required.  View the HPS Report (22nd Feb 2019).
  • January 2018: A case of an unusual organism found in January prompted further investigation. Water testing of multiple outlets within Ward 2A was undertaken which revealed contamination. To address this, and as part of our established infection management process, we conducted further investigations to identify the measures required to mitigate against a number of potential contamination mechanisms. Point of use filters installed on taps and showers were installed and bottled water was provided to staff in affected wards.
  • August 2017: Following the tragic deaths of two children on Wards 2A and 2B, a full investigation took place, the outcome of which was shared with the families. At this point, more than 100 samples of the water were taken to test for bacteria which may have caused the infection – all samples tested negative for Stenotrophomonas. Sadly, in the same month another patient also passed away. The cases were also found not to be linked.
  • 2017: A second report on the quality of the water in 2017 raised concerns but this too was not escalated to either the senior leadership team or the Board at that time. A review of the governance processes within the Estates and Facilities Directorate has subsequently been undertaken by the new Director, and actions have put in place to ensure this never happens again.
  • April 2015: When the new hospital first opened in 2015, initial technical reports on the water supply were not reported by the external advisors to the Board’s senior leadership team, neither were they escalated by the managers in the Estates and Facilities team who received this report. There was no knowledge at Board level of any problem with the water in the new hospitals.

(Content first published in January 2020)