The National Patient Safety Improvement Programme (NPSIP)’s deteriorating patient workstream aims to improve the recognition of and response to deterioration in all care settings for adult patients supporting the adoption of the National Early Warning Score (NEWS2).


NEWS, which was first produced in 2012 and then updated by the Royal College of Physicians in 2017, is an approach to standardising the assessment of, and response to, acute illness. It consists of a scoring system based on a number of simple criteria which helps improve the detection of clinical deterioration in patients.

Endorsed by NHS England and NHS Improvement for use in acute and ambulance settings, the implementation of NEWS2 is being facilitated across England through the 15 Patient Safety Collaboratives (PSCs). 

Locally, all acute hospitals and the ambulance trust within the North West Coast region have adopted NEWS2. 

The aim is for NEWS2 to become the ‘common language’ for communicating patient deterioration across the whole system and its use is now being explored in out-of-hospital settings as well, again with the support of the Patient Safety Collaborative.

Dr Emmanual Nsutebu - Digital early warning system for signs of sepsis

This is one of the early successful projects within the Royal Liverpool and Broadgreen University Hospitals NHS Trust's award winning Global Digital Exemplar programme, which will be blueprinted for others to adopt.

For more details about the collaborative please contact Andrew Cooper.

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