Having spent rather too much time visiting someone in hospital over the las t few months I can concur - semi anecdotally, uncontrolled samples, male only. After the first couple of times, I began to count the number of staff (identified by ID cards) who came into the loos and then attempted to leave without washing their hands. Over
3 months and about 60 logo trips, 1/3of staff tried to leave. I started challenging them (the sinks being conveniently close to the exit. There was an amazing mix of incredulity, denial, excuse and actually abuse. However they'd I'd all make a token approach to hand washing.
I wrote the the head of the trus (yes Cumberland and Westmorland, Carlisle I am talking about you). No answer after 3 weeks. Wrote again last week, but sent it recorded delivery and ccd the Health Care Commision. Just waiting.....