National Early Warning Scores NEWS 2 Survey March

National Early Warning Scores (NEWS 2) Survey – March 2019: Wessex

• NEWS is a tool developed by the Royal College of Physicians to improve the detection and response to clinical deterioration in adult patients and is a key element of patient safety and improving patient outcomes. • In December 2017, an updated version of NEWS, NEWS 2 was published. • NEWS 2 has been endorsed by NHS England NHS Improvement for use in acute and ambulance settings. • In April 2018 a resource alert was issued to support providers to adopt the revised National Early Warning Score (NEWS 2) to detect deterioration in adult patients. • Deterioration is a key priority for NHS Improvement - the Patient Safety Collaboratives are supporting improvements including the adoption and testing of NEWS 2

ØA NEWS survey carried out in November 2017 (for acute trusts) and April 2018 (for Ambulance Trust) revealed the following: ØResponse rate: 100% (10 out of 10) of Ambulance Trust and 87% (127 out of 145) of acute trusts responded to the NEWS survey Ø 100% of Ambulance Trust were using NEWS § With 80% using NEWS across the whole organisation Ø 65% of acute trusts were using NEWS § With 14% having adapted NEWS § 20% were using other EWS ØA NEWS 2 Survey was carried out in March 2019 to assess the extent of adoption of NEWS 2, use of communication and escalation tools and to capture any challenges associated with implementation or use. ØResponse rate: 100% (10 out of 10) of the Ambulance Trust and 97% (140 out the 145) of the acute trusts responded to the NEWS 2 survey.

This presentation contains: ØHeadline results of the 2019 survey from a PSC view point ØSurvey results have been anonymised and the original data is available from the Patient Safety Measurement Unit

NB: The above response rates are only for the acute and Ambulance Trust within the fifteen PSC geographies

No Ø NEWS 2 is not expected to be adapted or modified in any way. Ø None of the acute trusts using NEWS 2 in the PSC have modified or adapted NEWS 2 Ø 5 out of the 5 acute trusts that implemented NEWS 2 have done so in full

No Ø Electronic implementations of NEWS 2 were reported by 2 out of 5 (40%) of the acute trusts that are using NEWS 2 Ø Vital. Pac and POET (patient observation electronic tool) are the electronic NEWS 2 systems being used respectively by both of the acute trusts Ø The 2 trusts using a mix of paper and electronic systems were not asked to provide the names of their electronic systems Ø A paper based implementation was reported in one trust.

Ø 4 acute trusts reported training, clinical No with their concerns, IT and other challenges NEWS 2 implementation Ø 1 acute trust said they did not face any challenges with their NEWS 2 implementation

No

No

No

No Ø 7 out of 8 (88%) of trusts said they have a policy for the management of acute deterioration. All of them use SBAR as their tool for structured communication. Ø 8 out of 8 (100%) of trusts said they would be willing to share their learning or to contribute to a NEWS 2 case study

Ø The results should be used for learning and improvement Ø Ongoing analysis of the NEWS 2 2019 survey data Ø Full analysis is available on the PSMU website

Thanks to NEWS 2 Champions for helping to gather responses If you have any questions or queries then please send them to local. contact@ahsn. net If you have any specific queries with regard to the data or would like to request any further analysis please contact psmu. improvement@nhs. net