We have excluded cots from this list. All numbers provided are subject to change

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File reference W16FOI608 Key words Pest control Date of release 19/11/2016 Attachments Yes Freedom of Information Act Disclosure log - Reply Extract For organisational and reply context: Plymouth Hospitals NHS Trust is the largest teaching hospital trust in the South West. We employ over 6,000 staff working in 350 different roles within the Trust. We offer a full range of general hospital services to around 450,000 people in Plymouth, North and East Cornwall and South and West Devon. These include emergency and trauma services, maternity services, paediatrics and a full range of diagnostic, medical and surgical sub-specialties. We work within a network of other hospitals to offer a range of specialist services to a population of between 700,000 and two million depending on the type of care needed. Plymouth Hospitals NHS Trust manages 21 hectares of land, in Derriford alone, 152,543 square metres of building space, plus buildings on four other sites across the city and a nature reserve. Number of beds On the 30/03/2016 there were 850 beds reported in the daily bed report. These figures are not static and change daily. They include 29 escalation beds. In addition, we have 41 paediatrics beds & 27 obstetrics beds. We have excluded cots from this list. All numbers provided are subject to change Number of rooms At 28 Jan 2016, the Trust had 6,462 rooms identified on the CAD system (which make up the 152,543 m 2 ). The total number of operating theatres. Derriford Hospital has 30 operating theatres. To contact us or obtain further information Please visit the Trust website at: http://www.plymouthhospitals.nhs.uk/ You asked 1. How many times did your hospital trust have to call out pest control between the financial years 2014/15 and 2015/16?

Please refer to the attached table 2. Please further detail each specific incident as far as possible? (For example: what type of pest was seen: rat; cockroaches; ants nest etc and where was it spotted: staff locker room; electrical cupboard; kitchen; ward) Please refer to the attached table 3. Please describe any proofing/housekeeping/hygiene recommendations and/or precautions to be observed by trust staff - given by pest control contractors to help eliminate causes of infestation. Plymouth Hospitals NHS Trust has a pest control contract in place, which calls for monthly proactive inspection visits and requires all vulnerable areas to be inspected for pest activity. In addition to the routine monthly monitoring visits, the pest control contract covers call-outs for scheduled pests. As part of the service reporting, the trust s pest control contractor will advise on any proofing or housekeeping recommendations to prevent any further problems. The recommendations will depend on what pest activity is present and the location but in general, might include:- Spiking window ledges and other areas where birds are prone to perching and/or roosting Fitting fly screens to prevent ingress by flying insects Fitting bristle strips to bottom of plant room doors to prevent access by mice Removing clutter from office floors to allow for thorough cleaning to prevent silverfish Delaying vacuuming to allow treatment time to eradicate biting insects Ensuring drain covers are firmly in place in external areas Table one Please provide an up-to-date copy of your hospital s pest control policy if you have one. Please refer to the attached document Date Hospital Department Species Notes 04/14 Optometry Room 2 Crawling insects Monitor traps laid 05/14 Office Level 7 Pigeons Removed

05/14 Toilet Level 11 Crawling insects No evidence 06/14 Oncology - Roof Space 06/14 Clinical training room 06/14 Oncology Roof Space 06/14 Level 4 theatres Coffee room Bees Bees Biting insects Rokill on site to aid beekeeper in removal of queen, further action requires to remove facia boards Treated with Maxforce Quantum Further support to bee keeper (see above) Queen removed - No treatment required Insecticidal spray to wall floor junctions 06/14 Office 36/d/20 Report of sighting of Rat - a further report of a small mouse leaving the office but no evidence found. Waste hub checked No evidence found No action taken 06/14 A+E Reception Biting Insects Six insects monitors placed 06/14 Discovery Library Sighting of mouse Inspection - No evidence - Three bait boxes placed as precaution 07/14 Confidential waste store Level2 Rodent (unspecified) No activity found two bait stations placed as a precaution

07/14 Doctor s Room 36/c/15 Flies Filter flies emerging from small in holes in work surface. 07/14 SDU, Maternity Triage Room 07/14 Neonatal Intensive Care Unit Office Flying Biting Insects Recommended further investigation from estates to repair under work surface Treated with Maxforce quantum and holes sealed Insect monitors laid 07/14 Office L7 Biting Insects Insecticidal spray 07/14 Central Records Biting Insects Insecticidal spray and monitors 08/14 X-Ray East Monitors placed 08/14 Acute Care Office Biting Insects Insecticidal spray 09/14 Children and Young Person s Outpatient department Biting Insects Insecticidal spray 09/14 Residences Monitor traps laid 09/14 Pencarrow Ward Biting Insects Insecticidal spray 10/14 Ward Level 12 (not specified) and Stairwell Cluster flies and Yellow swarming fly Procontrol to stairwell - Monitored no further action required in ward 11/14 External grounds Rat sighting No evidence - three external bait boxes

laid 12/14 Plant room Removal of pigeons and nesting material 01/15 Level 7 Roof Deceased Pigeon Recommend further pigeon proofing Removed nesting material and Pigeons No safe access can be gained to this area. No further action taken (NFA) 04/15 Microbiology Plant Room 05/15 NU Building Level 2 Spiders Bee Swarm No activity found Bee keeper attempting to remove swarm Bee keeper to contact Rokill if further action required 05/15 Orthopaedic OPD Biting Insects Insecticidal spray carried out 05/15 Patients Library Biting Insects No evidence found, monitors laid 05/15 Oncology External Area Max force Quantum 05/15 Level12 Stairwell Pigeons Three removed 05/15 Maternity Corridor Level 4 Plant room Mouse sighting Activity found All bait boxes renewed to contrac blox and follow up to be carried 06/15 OPD Office Fleas Insecticidal spray 06/15 Nutritional Nurses Office Fleas Insecticidal spray

06/15 Emergency Department Reception Treat carried out with Max force Quantum 07/15 Kingstor House Biting Insects Treatment with Fedona 07/15 X ray east Booking office 07/15 X ray East - Ladies WC Biting Insects Treatment carried out No activity found 08/15 Heptology level 7 Treated with Fedona 09/15 Cleaner s cupboard Level 6 Treated with Fedona 09/15 External area Sighting of Rat Evidence of activity - Bait station restocked follow up visit to be carried out 10/15 Planned Investigation Unit notes room 10/15 Secretary s office Level 6 Treatment Fedona Treatment Fedona 10/15 Maxilliofacial Flies Not sufficient to require treatment 10/15 Stores Level 2 Mice Two break back traps placed follow up to take place 11/15 LYD Ward Mice No Activity found 11/15 Minor operations OPD Spray treatment carried out 11/15 Postbridge Ward Monitors placed 11/15 Discharge room Level 5 Small flies Monitor traps left

11/15 Diet and Nutrition Office 12/15 Patient Transport Office Biting Insects Biting Insects Spray with Fedona Monitors placed 12/15 Residences Fedona treated 12/15 Tavy Ward Monitors placed 12/15 Road external to property Rat sighting Bait unit placed in area 01/16 Pencarrow Spiders Insects bait monitors placed 01/16 Road external to property Rat sighting Bait boxes placed Follow up to be carried out 01/16 Residences Spray treatment carried out 01/16 Blood bank external 3/16 Grounds near Freedom day case unit 03/16 Pigeon in corridor Level 7 03/16 Freedom Day Case Rat sighting Rat sighting No evidence Crawling insects Temporary bait boxes placed - Follow up visit required Temporary bait boxes place in area follow up visit required No further action required Insect monitors placed 03/16 Acute Care Office Insect monitors placed 05/16 Cardiology offices 05/16 Tavy Ward Fleas Insect monitors placed Spayed all

05/16 Cardiology Office areas NFA Sprayed with Fedona 05/16 Orthopaedic coffee room Small nest found spray treatment carried out 06/16 Tamar Ward Hornet Removed by sticky board 06/16 Tavy Staff Room Crawling insects No evidence and monitors placed 06/16 OPD office lev 7 Fleas Spray treatment 06/16 NFA Pigeon nest removed NFA 06/16 OPD office lev 7 Biting insects Spray treatment 06/16 Tavy staff room follow up No evidence of pests NFA Meeting rooms - Level 6 Biting insects Spray treatment carried out Level 12 Removal of pigeon nest Call back Level12 Removal of pigeon nest Removed Level 7 Outpatient depts. Biting insects Spray treatment carried out MRI plant room Pigeon fouling photos Rokill recommended live capture Outpatient Department level 6 Biting insects Sprayed area Transport office lev 6 Biting inserts Spray treatment at 19.00hrs

Chemo-Outpatient Department Gel placed in location Thrushel Ward Fly screen Await quote Transport office Biting insects Spray treatment at 19.00hrs 08/16 Facilities Call out to remove injured pigeon NFA 08/16 Theatres staff room Dead Shrew Bought in members of staffs handbag Removed - NFA 08/16 OPD dept. Biting Insects Spray carried out 09/16 Hartor Ward kitchen Laid more insect monitors 09/16 Dietetics office Biting insects Spray carried out 09/16 Central Production Unit Fedona treated 09/16 Residents flat 14 and 13 Fedona treated 09/16 Residents flat 36 Biting insects Fedona spray 09/16 NICU special care unit Biting insects Fedona spray 11/16 O road - External Birds nest and sparrow nest Remove and proof 11/16 Residents flat 5 Fedona spray 11/16 Residents flat 36 Biting insects Fedona spray 11/16 Porters lodge Monitors placed

Attachments included: Yes