Using guidelines, policies and standards: are we in control?

Abstract For the hospital microbiologist, the use of guidelines, policies and standards are an integral part of their professional duties. Both patient-related and laboratory activities involve awareness of specific procedures and the use of equipment or products which have been accepted as appropriate for a particular purpose. The means by which policy is formulated, the guidance available and the standards specified, differ widely from country to country. In the UK, there are few legal requirements or statutory regulations in this area. In consequence, there may be some differences in both the nature and the method of implementation of policies from hospital to hospital. There is increasing concern that legislation and standards produced not only by the UK but also by Europe may impose regulations on infection control and laboratory practice and in particular that such mandatory controls may have adverse effects. These are variously perceived as specifying inappropriate standards, inhibiting clinical freedom and stifling innovation. Such concern is embodied in the question ‘are we in control?’.