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Mandatory Enhanced HCAI Surveillance Protocol
This is the protocol for the mandatory surveillance of MRSA, MSSA and E. coli, P. aeruginosa, Klebsiella spp. bacteraemia and Clostridioides difficile infection, it contains detailed information on the surveillance programmes' case definitions, procedures and field descriptions.
Mandatory Enhanced Surveillance
Protocol
Help is provided for the HCAI Data Capture System in the form of online documentation.
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FAQs
Prior Trust Exposure Update
This document provides an overview of the additional prior healthcare exposure questions included in the surveillance from April 2017.
Clarification of prior trust exposure definitions
Gram-negative Bacteraemia Infections Updates
This document provides an overview of the updates made to the Gram-negative bacteraemia surveillance reports from October 2017
Gram-negative bacteraemia Updates
CDI Risk Factors Update
The below link provides an overview of the change in CDI risk factor questions for the surveillance from September 2026.
Click for more information on the CDI risk factor changes
Gram-negative Bacteraemia Definition Guidance
This document provides guidance on how Healthcare-associated GNBSI are defined and clarification on the proposed terminology to be used explaining the different categories
NHS Improvement Definition of Healthcare Associated Gram-negative bloodstream Infections
Changes to the HCAI data capture system
These documents provide an overview of the changes/enhancements made to the HCAI DCS.
March 2024
June 2021
March 2021
July 2020
Data Submission Forms
The attached data collection forms are designed to aid the mandatory reporting of the mandatory data collections by facilitating data collection on ward rounds. Please note there is a requirement for all information reported via these forms to subsequently be entered on the HCAI DCS.
Gram-negative surveillance form
Clostridioides difficile surveillance form
Staphylococcus surveillance form
User Guides
Case Capture
Case Capture User Guide
Case Capture QMLR User Guide
Case Capture Renal User Guide
Case Capture PIR Workflow User Guide
Case Capture Search User Guide
Unlock Requests User Guide
Data Upload Wizard User Guide
Data Upload Wizard Templates and Data Dictionaries
Sign-Off & Sharing
Case Capture Sharing User Guide
Sign Off User Guide
Dashboards
Home Dashboard User Guide
Summary Dashboard User Guide
Benchmarking Dashboard User Guide
Data Completeness Dashboard User Guide
Reports
Counts & Rates Report User Guide
Duplicates Report User Guide
Line Listings Report User Guide
CEO SignOff Report User Guide
QMLR Report User Guide
Monthly Summary Reports User Guide
Annual Summary Reports User Guide
Nil Returns Report User Guide
PIR Reports
PIR Status Finalisation Report User Guide
PIR Unlock Report User Guide
PIR Open Stages Report User Guide
Data & Algorithims
Data Dictionaries
Denominators User Guide
Algorithms Location of Onset User Guide
Algorithms CCG Attribution User Guide
Algorithms LA Mapping User Guide
User Management
Manage Account Request User Guide
Register New Account User Guide
Create New Local Administrator Account User Guide
Self Help Guide User Guide
Self Account Management User Guide
Roles and Permissions User Guide
Deleting Cache User Guide
Introduction on how to use the DCS for the mandatory surveillance of MRSA, MSSA, and Gram-negative bacteraemia, and CDI programme Webinar, April 2026
Webinar recording
Webinar transcript
Webinar Q&A
End User Licence Agreement (EULA)
In order to verify an account on the the HCAI data capture system, all users are required to read and accept the End User Licence Aggreement (EULA)
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