Recognising and Managing Deterioration

Last updated Monday 18th October 2021

Changes to vital signs, behaviour and mental state often occur before a serious event, such as cardiac arrest. Being able to recognise and act on these changes are essential skills to improving patient safety and outcomes.

The Recognising and Managing Deterioration programme has been developed to support the workforce and organisations in ensuring staff have the necessary knowledge and skills to recognise and manage deterioration in adult patients. The programme includes resources on the National Early Warning Score (NEWS2), which is endorsed by NHS England and NHS Improvement for use in acute and ambulance settings.