Aim
To improve the prevention, identification, escalation and response to physical deterioration, through the implementation of Martha’s Rule by 2026.
25/26 Managing Deterioration Programmes
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Martha's Rule
Martha’s Rule gives patients and families a clear, consistent way to request an urgent clinical review if they believe a deteriorating condition isn’t being addressed.
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PIER
The PIER approach provides a clear framework for patient safety by focusing on preventing harm, identifying deterioration early, escalating concerns promptly, and ensuring an effective response.
Previous programmes
The focus was be to establish consistent methods for deterioration management and supporting systems for monitoring and escalating the care of the acutely unwell.
NEWS2
NEWS2 is an approach to standardising the assessment of, and response to, acute illness. It consists of a scoring system based on a number of simple criteria which helps improve the detection of clinical deterioration in patients.
RESTORE2
RESTORE2 is a physical deterioration and escalation tool for care and nursing homes.
Testing of the national Paediatric Early Warning System (PEWS)
A national standardised approach of tracking the deterioration of children in hospital.
Resources for responding to COVID-19
The primary focus of responding to physical deterioration in relation to Covid-19 is support for the National Implementation of the NHS Covid Oximetry@Home and Covid Virtual Ward Models.