Table I.

Feedback themes from virtual stakeholder review, site visits and redesign workshop

Feedback themes	Key insights provided by stakeholders
Existing levers for embedding behaviour changes aimed at reducing GNBSIs	•Local identification and ownership of IPC training •Clear leadership in delivering the IPC agenda and cascading an organisational/system wide strategy •Clear processes for healthcare-associated infection (HCAI) reduction •High quality cleanliness regimes fully embedded; includes routine enhanced cleaning reported in some organisations •Roles and responsibility of teams should be considered and more cross working (e.g. catheter care delivered by urology teams, not IPC teams). Additionally IPC guidance needs to be embedded into clinical guidance, rather than being segregated •Existing current work and campaigns which aim to reduce Catheter Associated Urinary Tract Infections
Barriers to embedding behaviour changes aimed at reducing GNBSIs	•Not all organisations report risk factor data through mandatory surveillance reporting, so lack of clarity of where interventions should be targeted •Staff resourcing issues and competing demands •Gaps in systematic IPC training delivery were reported (e.g. variable training in aseptic technique) •Built environment and estates problems such as old buildings that are difficult to clean •Variable use of technology within and between organisations can delay timely sharing of information between teams. •Lack of information sharing with respect to the GNBSI data across different organisations hinders the ability to make improvements
What resources would support a reduction in GNBSI	•Single resource pack that all areas of health and social care are able to use •Request for resources on effective interventions to prevent specific causes of GNBSIs
Key messages	•Produce one resource pack and not five; this would avoid creating confusion •Create a user-friendly structure for organising of resource links, with clear headings, so users could identify relevant resources according to their roles •Be clear and honest about current gaps in evidence or resources and where possible make the resource website an iterative process that is flexible and adaptable to change according to users' feedback •Simplify key messages including the communication to stakeholders