News and Deterioration - e-Learning for Healthcare
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About the News and Deterioration programme

The National Early Warning Score (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. The use of this tool in acute and ambulance settings has been endorsed by NHS England and NHS Improvement.

A range of resources are available to support the workforce and organisations in ensuring staff are competent to the recognition and management of deterioration in patients.

Signs of Life - Educational Game


Signs of life is a simulated training resource, where healthcare professionals can practice the care of the deteriorating patient. The game is played out in a hospital ward or nursing home setting. In real time scenarios, players record a patient’s vital signs in a simulated work situation, decide what interventions are required and are given critical feedback on the best clinical decisions to take.

Ufi VocTech Trust  funded the development of the game which has been produced by Desq, staff from Dudley Group NHS Foundation Trust and a former care sector nurse.

NEWS in Primary Care

Sepsis and NEWS (National Early Warning Score) webinar – supporting the primary care team

This webinar took place on March 17, 2020, hosted by Alison Tavaré, Primary Care Clinical Lead, West of England Academic Health Science Network.

The webinar addresses NEWS:

  • How it supports the identification and early management of the deteriorating patient.
  • Its use in primary care
  • Emerging evidence for community settings.
  • How to support the identification of the patients with possible COVID-19, referring to sources of information and data that will offer real time updates on its future treatment.

NEWS is as a cause deterioration tool and not just focussed on sepsis.

Primary Care training package

A learning resource has been developed on NEWS and its use in a Primary Care setting.
It also provides supporting evidence, references and resources.
Case studies are also available to support a learner to consider the use of NEWS in their work area.

  • NEWS in Primary Care - All Slides

  • Using NEWS in the Recognition of Deterioration

  • The evidence for NEWS and its use in the community

  • Case studies of NEWS in Primary Care

  • Resources

Secondary Care training package

A learning resource has been developed for healthcare staff in secondary care settings, which can be also incorporated into Foundation Year 1 Doctors’ training. This comprises two learning packages:

  • 1. Using NEWS in the recognition of deterioration

  • 2. Case studies to support effective diagnosis and management of NEWS in relation to deterioration

Receptionist training package

A learning resource for reception staff, composed of training resources and a workbook, has been developed by HEE in collaboration with Hartlepool and Stockton Health, as an introduction for reception staff to address the deteriorating patient.

Receptionists are commonly the first point of contact for people with acute health needs. This training helps receptionists recognise specific symptoms that may indicate a deteriorating patient, and how they would consider escalating this to a clinician within their service or practice. It particularly focuses on to the symptoms of chest pain, stroke, sudden breathlessness and sepsis.

Deterioration, NEWS and Sepsis in Care Homes

Learning resources on Deterioration, NEWS and sepsis designed in particular for care home staff to ensure care home residents receive appropriate, timely medical care. They provide a comprehensive training for non-clinical carers in the community. The training may also be suitable for health care assistants working in other settings and nursing students.

This is a mainly film-based course that covers:

  • An introduction to NEWS in care home settings and its benefits
  • An introduction to sepsis and serious illness
  • The importance and significance of soft signs
  • An overview of each component part of NEWS and how to measure:
    • Respiratory rate
    • Oxygen saturations
    • Blood pressure
    • Pulse rate
    • Level of alertness
    • Temperature

The films are also available to view individually by each topic.

NEWS in Mental Health

Coming soon!

NEWS in Mental Health training resource is currently being written. The training will offer learners an overview of NEWS, as well as specific case studies relevant to staff working in a Mental Health setting.

NEWS in Ambulance services

Coming soon!

NEWS in Paramedics training resource is currently being written. The training will offer learners an overview of NEWS, as well as specific case studies relevant to staff working in an Ambulance service.

Further resources

Further NEWS resources have been referenced within the Sepsis learning materials:

Meet the team

  • Antonio De Gregorio

    Programme Coordinator – Antimicrobial Resistance and Sepsis, Health Education England, Population Health and Prevention Team
  • Mohamed Sadak

    Mohamed Sadak

    Clinical Lead and Programme Manager, Antimicrobial Resistance and Sepsis, Health Education England, Population Health and Prevention Team
  • Janet Flint

    Janet Flint

    Programme Lead, Health Education England, Population Health and Prevention Team
  • Dr Chris Carey

    Associate Postgraduate Dean, Health Education England Kent, Surrey, Sussex
  • Dr Sanjiv Ahluwalia

    Dr Sanjiv Ahluwalia

    Postgraduate Dean, Health Education England, North Central and East London
  • Alan Ryan

    National Programmes Director, Health Education England
  • Clair Guy

    Clair Guy

    Programme Manager, HEE e-Learning for Healthcare
  • Dr Simon Stockley

    Content author Receptionist training package
  • Alison Tavaré

    Dr Alison Tavaré

    Content author, NEWS in Primary Care training & Deterioration, NEWS and Sepsis in Care Homes

How to access

Available to all

The News and Deterioration programme is freely available to access here.
Please note your progress and completion of sessions will not be recorded and you will not be able to generate a record of completion. If you require evidence of learning, please register and then log in to access this programme on the e-LfH Hub.

If you already have an account with e-LfH, then you can enrol on to the News and Deterioration programme by logging in to the e-LfH Hub, selecting My Account > Enrolment and selecting the programme. You can then access the programme immediately in the My e-Learning section.

Register >

To view the News and Deterioration programme, select the View button below. If you already have an account with e-LfH, you will also be able to login and enrol on the programme from the View button.

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Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the News and Deterioration programme, please contact e-LfH directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact e-LfH directly to express interest.

More information

Please select the following link for more information on how to use the e-LfH Hub.

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