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Deteriorating Patient Summit

Friday 23 November 2018
De Vere West One Conference Centre, London

Deteriorating Patient Summit
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“A key component of safety that is a recurrent concern in our reports is the recognition of deteriorating patients and intervention with appropriate treatment before their condition worsens. Hospitals that do this well have very well integrated multidisciplinary teams, often including critical care expertise that supports staff on inpatient wards. Another important tool is the use of an early warning score system. In many hospitals this is not used proactively or effectively, with staff falling back on their own clinical judgement and not recognising or recording change, or not acting appropriately on the early warning scores. Staff in these cases appear to view the early warning score as a burdensome paper exercise, rather than an essential tool to protect patients.”  Care Quality Commission

“The timely detection and treatment of the deteriorating patient is a complex problem and, despite all the past initiatives, we continue to see significant issues. It appears that the whole system needs to be looked at afresh to address this important patient safety issue”  NHS Improvement

The Deteriorating Patient Summit focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care to reduce failure to rescue of acutely ill patients. The conference will include National Developments and Case Studies highlighting the effective implementation of NEWS2 – the New National Early Warning Score.  

“This year the Royal College of Physicians has released the second version of the National Early Warning Score –  NEWS2. The opportunity that we’ve all seen with this is one of transformational change. Though the first version had established itself in some organisations, others showed little motivation to move away from their local variations.” Dr Ron Daniels Chief Executive UK Sepsis Trust June 2018

“Alongside the launch of this updated NEWS tool, the NHS in England is setting out a national ambition to standardise the use of NEWS in acute and ambulance settings during 2018/19. The variation in scoring systems used in different settings – sometimes within the same trust – is undesirable and ultimately unsafe for patients. If healthcare professionals are all using the same language, this will save lives…This update will mark the beginning of a new chapter as, with the support of NHS England and NHS Improvement, over the next year NEWS will become the default early warning score for NHS trusts and ambulances. Patients will benefit from its implementation, and staff will benefit from not having to learn a new score each time they join a new trust.” The Royal College of Physicians London

“For clinicians to appropriately and reliably manage (detect, communicate and escalate) sepsis and all cause deterioration, the NHS should move to using NEWS2 as the single language of sickness across all conditions and settings.” Matt Inada-Kim, National Clinical Advisor, NHS Improvement 2018

The conference continues with a practical case study based sessions on identifying patients at risk of deterioration, improving practice in patient observations, responding to the deteriorating patient, and improving the communication of NEWS at the interface of care. There will also be a focus on investigating avoidable deaths where deterioration has not been recognized. Extended sessions will focus on identification of deterioration, and improving the response to sepsis, including the new NICE Quality Standard for Sepsis

“All hospitals should have a formal protocol for the early identification and immediate management of patients with sepsis… An early warning score, such as the National Early Warning Score (NEWS) should be used in both primary care and secondary care for patients where sepsis is suspected… On arrival in the emergency department a full set of vital signs, as stated in the Royal College of Emergency Medicine standards for sepsis and septic shock should be undertaken.” NCEPOD

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

• Reflect on national developments and learning including latest evidence on NEWS2

• Develop your skills in identifying deteriorating patients

• Understand how technology and e-observation systems can improve practice

• Ensure effective implementation of NEWS2

• Understand how you can improve the communication of NEWS at the interface of care

• Develop your skills in the investigations of avoidable deaths where deterioration was not recognized

• Self assess, reflect and expand your skills in the management of sepsis

• Gain CPD accreditation points contributing to professional development and revalidation evidence

100% of delegates at our previous conference on this subject would recommend it to a colleagues


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