Physical deterioration

Greater Manchester and Eastern Cheshire Patient Safety Collaborative

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

As one of 15 Patient Safety Collaboratives working locally on NPSIP, Greater Manchester and Eastern Cheshire PSC are working locally with healthcare teams to improve:

  • Recognition – helping staff improve processes to facilitate the appropriate monitoring and assessment of the patient condition, leading to early identification of a change that requires intervention and response. This includes the use of National Early Warning Score 2 (NEWS2)
  • Response – helping to create conditions were staff are able to communicate freely, raise concerns reliably and take the appropriate action, including escalation, senior clinical review and clinical intervention, treatment or referral.

Communication is a critical element of the work, recognising the role that structured communication tools such as SBAR(D) may have in transmission and receipt of information across care settings or between healthcare professionals.

Standardisation and use of common language by using NEWS2 consistently to communicate the condition of the patient, enables a standard language of deterioration that can be used and understood across all services across the pathway. This ensures key messages are transmitted and received  accurately ensuring all patients receive appropriate and timely treatment.

Safer care through the National Early Warning Score

Elderly websize

Since 2015, the PSC programme has supported healthcare organisations to introduce NEWS at all handovers of patient care – primary care, ambulance, hospital, community and mental health.

NEWS has been shown to be a highly effective system for detecting patients at risk of clinical deterioration or death and is supported by the National Quality Board and the Royal College of Physicians.

The aim of the project is to standardise NEWS across all acute trusts into pre-hospital care to facilitate early recognition of acute illness including sepsis, which kills around 37,000 people in the UK each year.

The adoption of NEWS and subsequently NEWS2 standardises communication across the system so that acutely unwell patients can be seen at the right time, in the right place by the right kind of clinician.

The GMECPSC host interactive learning system events with speakers, activities and information sharing across its workstreams.

To access information, resources and details of previous GMECPSC learning system events please click the links below

24.5.2018 What’s NEWS2 you? GMEC PSC Deteriorating Patient Launch Event

The launch event focused on the implementation of NEWS2, across the region as a mechanism to improve communication of illness severity and response to acute illness.  Read More & Access Resources

18.9.2018 NEWS 2: Much more than the tool

The event focused on the improvements made to the NEWS 1 system, which ultimately led to the development of NEWS2, including how oxygen saturation and delirium is accounted for in the new scoring system. Read More & Access Resources

21.10.2018 Reducing Avoidable Harm in Care Homes

Care home staff and managers met to discuss how to provide better and safer care for individuals, explore avoidable harm and the impact it can have on residents in care homes. Read More & Access Resources

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