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“Improving the detection and treatment of acute deterioration remains a critical patient safety priority for the NHS”
Dame Ruth May Chief Nursing Officer for England February 2024
“As many as 4,900 deaths in hospitals each year could be preventable ”
NHS England CQUIN07: Recording of and appropriate response to NEWS2 score for unplanned critical care admissions NHS England
This conference focuses on recognising & responding to the deteriorating patient and ensuring best practice in the use of NEWS2. The conference will include National Developments including recommendations on NEWS2, the national PIER approach to the effective management of acute physical deterioration in health and care, the forthcoming 2025 NICE Sepsis Guidance and implementation of Martha’s Rule. The conference will also include reflections on implementing the recommendations from the Healthcare Safety Investigation Branch Report Investigation into recognising and responding to critically unwell patients.
“The new PIER approach (Prevention, Identification, Escalation, Response) will enable the effective management of acute physical deterioration in health and care and will apply to all conditions, clinical settings and specialities. The new PIER approach views deterioration as a whole pathway which is supported by systems rather than only advocating a single strategy for identification... This work will improve how the NHS supports staff to manage the prevention of, and deterioration more effectively, as well as encourage greater involvement from patients, families, and carers.”
NHS England 2024
The conference will include practical case study based sessions on identifying patients at risk of deterioration, improving practice in patient observations, the role of human factors in responding to the deteriorating patient, understanding success factors in escalation, sepsis, involving patients and families in recognising deterioration, using clinical judgement, and improving the communication and use of NEWS2 in the community, including care homes, and at the interface of care.
The conference will update delegates on the practical implementation of Martha’s Rule, and how to monitor the impact it is having in practice
“Please remember this is a learning year, it is likely that your change ideas will require multiple tests to determine what truly works. If your test does not produce the expected outcome, then please do make further adjustments and test again.. When the use of Martha’s Rule has resulted in a transfer to a higher level of care, we are keen to understand if there is any learning that could be shared across all sites.”
NHS England 21 January 2025.
This conference will enable you to:
Network with colleagues who are working to improve the recognition and management of deteriorating patients
Learn from outstanding practice in improving care for deteriorating patients
Implement the recommendations from the HSIB Investigation into responding to critically unwell patients
Understand and implement the National PIER approach
Improve implementation, monitoring and learning from Martha’s Rule in practice
Reflect on national developments and learning including latest evidence on effective implementation of NEWS2
Understand the practicalities of involving patients and their families in the recognition of deterioration
Update your knowledge on the forthcoming 2025 NICE Sepsis Guidelines; suspected sepsis: recognition, diagnosis and early management
Develop your skills in identifying deteriorating patients
Understand what success factors facilitate escalation of care and how can these be applied more reliably
Ensure effective implementation of NEWS2
Understand how to work with clinical teams to create a language and spread this across the whole health system
Self assess, reflect and expand your skills in the management of sepsis, and communicating the risks to patients
Improving practice in the community and at the interface of care
Supports CPD professional development and acts as revalidation evidence.This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
