The old sessions called recognising and managing deterioration on elfh will remain until the 30th of November for any learner to be able to still utilise them. The new sessions replacing these are called the ABCDE approach and are launched on the Learning Hub as below.

Failure to recognise patient deterioration and act promptly poses a significant patient safety risk and can lead to adverse outcomes, including preventable death.

This programme focuses on the ABCDE approach which is used to systematically assess an acutely unwell patient. It involves working through the following steps:

• 1. Airway.
• 2. Breathing.
• 3. Circulation.
• 4. Disability.
• 5. Exposure.

The resources are designed for individuals in clinical roles working with adults. It is offered at 2 levels to match the learner’s experience and clinical setting:

Universal: targeted at a broad audience, including healthcare assistants, support workers, and junior nurses. These sessions are accessible to anyone.

Advanced: aimed at experienced healthcare professionals, such as nurses, allied health professionals, and junior medical professionals. These sessions are intended for the NHS workforce and medical students.

For more details about the ABCDE approach and to access the elearning please click here https://www.e-lfh.org.uk/programmes/abcde-approach/

People with learning disabilities are often at increased risk of a number of health issues. This elearning has been developed to provide carers with information to reduce the risk of health deterioration in the people they support.

As people with learning disabilities can often be reliant on family and paid carers to help them manage their needs and support them to access health services, this programme aims to provide those paid and unpaid carers with health-related information that can help reduce some of the many health inequalities that people with learning disabilities face. Developed by the West Yorkshire Health and Care Partnership, we hope this programme will help reduce preventable causes of ill health and reduce health inequalities.

The sessions are:

• Constipation awareness
• Spotting signs of someone becoming poorly
• Annual health check
• Reasonable adjustments

These sessions can be accessed here: https://www.e-lfh.org.uk/programmes/caring-for-people-with-a-learning-disability/

For additional material please review a video tutorial on recognising deterioration in a person with a learning disability.

Deterioration, NEWS2 and sepsis in care homes

These learning resources on Deterioration, NEWS2 and sepsis have been 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 NEWS2 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 NEWS2 and how to measure:
• Respiratory rate
• Oxygen saturations
• Blood pressure
• Pulse rate
• Level of alertness
• Temperature

NHS has created several videos on soft signs aimed at anyone with care responsibilities. These will provide guidance in measuring the patient’s blood pressure, temperature and other vital signs correctly. You can access all the videos by clicking on the links below.

This is a newly built session to cover all the old content for reception staff.

Receptionists often serve as the first point of contact for individuals with urgent health needs.  NHS England, in collaboration with Hartlepool and Stockton Health, has developed a new learning resource for reception staff.

This resource serves as an introduction to identifying and addressing deteriorating patients, in line with the latest NICE guidelines and NHS standards. The session is designed to help those working in community-based care settings recognise signs of potentially life-threatening conditions and escalate cases appropriately.

The training focuses on identifying specific symptoms that may indicate a deteriorating patient, such as chest pain, stroke, sudden breathlessness, and sepsis, and guides receptionists on how to escalate these cases to a clinician within their service or practice.

You can access the elearning here (https://learninghub.nhs.uk/catalogue/deteriorating-patients-an-introduction-for-reception-staff )

The old materials are available on elfh until the 15th of December for any learner to be able to still utilise them.  You can access the session here: https://portal.e-lfh.org.uk/Component/Details/592885

NEWS training for frontline staff

This elearning module and case studies have been developed for all frontline clinical staff by the London Ambulance Service NHS Trust.

By the end of the session, learners will be able to:

• describe the process of applying the NEWS2 tool in a clinical environment
• recognise the NEWS2 scoring system and how to apply this to a patient in a clinical environment
• demonstrate the use of the tool using the case studies provided.
• understand the thresholds, triggers, pathways and escalation to appropriate care following application of the tool.
• understand the need for system wide standardisation

NEWS training for paramedics

1. The NEWS training for paramedics offers learners an overview of NEWS2 and specific case studies relevant to staff working in ambulance services.

The resource covers:

• the need for a National Early Warning Score (NEWS2) and the evidence to support its use
• raising awareness and increase understanding of how the National Early Warning Score (NEWS2) is used in the recognition and response to deterioration
• understanding the purpose of ATMISTER as a structured communication tool
• case studies that offer learners the opportunity to consider how they might manage patients in similar situations

2. The Train the Trainer training package contains all sections of the NEWS2 in Ambulance Service elearning in a PowerPoint format and can be used in a facilitated learning session.

The NEWS in mental health settings elearning session offers learners an overview of the National Early Warning Score (NEWS) and specific case studies relevant to staff involved in the care of patients with mental health conditions.

This resource covers:

the need for a National Early Warning Score (NEWS2) and the evidence to support its use
raising awareness and increase understanding of how the National Early Warning Score (NEWS2) is used in the recognition and response to deterioration
understanding the purpose of SBARD as a structured communication tool
case studies that offer learners the opportunity to consider how they might manage patients in similar situations

Train the trainer package

This training package contains all sections of the NEWS2 in mental health settings elearning in a PowerPoint format and can be used in a facilitated learning session.

NEWS2 in Primary Care elearning

The NEWS2 in Primary Care session introduces the National Early Warning Score (NEWS) and its use in a primary care setting. It also includes:

• Evidence of NEWS and its use in the community.
• Its effective use between primary and secondary care.
• Links to other useful resources and references for further research.

The Case studies of NEWS in Primary Care session contains practical examples of when NEWS could be used and offers the primary care clinician the opportunity to consider how they might manage patients in similar situations.

The secondary care training package has been developed for healthcare staff in secondary care settings. This resource covers:

• the need for a National Early Warning Score (NEWS2) and the evidence to support its use.
• raising awareness and increase understanding of how the National Early Warning Score (NEWS2) is used in the recognition and response to deterioration in secondary care settings.
• understanding the purpose of SBARD as a structured communication tool.
• use of NEWS2 as an assessment and communication tool in a variety of clinical case studies

The NEWS in mental health settings elearning session offers learners an overview of the National Early Warning Score (NEWS) and specific case studies relevant to staff involved in the care of patients with mental health conditions.

This resource covers:

• the need for a National Early Warning Score (NEWS2) and the evidence to support its use
• raising awareness and increase understanding of how the National Early Warning Score (NEWS2) is used in the recognition and response to deterioration
• understanding the purpose of SBARD as a structured communication tool
• case studies that offer learners the opportunity to consider how they might manage patients in similar situations

Train the Trainer package

This training package contains all sections of the NEWS2 in Mental Health settings elearning in a PowerPoint format and can be used in a facilitated learning session.

Deterioration, NEWS2 and sepsis in care homes

These learning resources on Deterioration, NEWS2 and sepsis have been 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 NEWS2 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 NEWS2 and how to measure:
• Respiratory rate
• Oxygen saturations
• Blood pressure
• Pulse rate
• Level of alertness
• Temperature

The new national Maternity Early Warning Score (MEWS) tool sits within NHS England’s PIER framework and has been developed with key stakeholders to replace the range of different MEWS tools that are currently available. MEWS has been designed to ensure that identification of deterioration is based on pure physiology using a total score, which is combined with subjective assessments (additional concerns) that support the escalation process.
The elearning session, Introduction to the Maternity Early Warning Score, introduces the new national MEWS tool and describes why and how the tool was developed. The session:

• describes how MEWS links to the PIER framework
• explains how to complete a MEWS tool
• explains the difference of postnatal pulse and the significance on the MEWS tool
• describes how the presence of additional concerns supports escalation
• describes the graduated thresholds and triggers table

Access the MEWS elearning session.

The new Newborn Early Warning Track and Trigger (NEWTT2) tool sits within NHS England’s PIER framework and replaces the NEWTT framework designed by the British Association of Perinatal Medicine (BAPM) in 2015. BAPM have updated the tool to reflect quality improvement methodology and feedback from healthcare professionals.

The elearning session, Deterioration of the newborn NEWTT2, introduces the NEWTT2 tool. The session:

• explains the link between NEWTT2 and PIER framework
• describes how to complete a NEWTT2 tool
• explains the inclusion of normothermia and critical observations
• explains the graduated thresholds and triggers table

Access the NEWTT2 elearning session

The new national Paediatric Early Warning System (PEWS) chart monitors deterioration in children in inpatient settings, and is supported by other aspects of the PEWS.

This elearning module is for all clinicians who will complete, interpret or use the updated PEWS chart in an inpatient setting. It does not require pre-existing knowledge or understanding of the updated PEWS chart.

The elearning session comprises the following sections, which reflect the organisation of the PEWS chart:

• top of the chart
• parent and/or carer question
• airway and breathing, circulation
• disability and exposure
• clinical intuition
• escalation process and signature
• ISBAR and comment box

Access the PEWS elearning session

• National Early Warning Score (NEWS) 2
• Royal College of Physicians of London
  https://www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/
• National Early Warning Score systems that alert to deteriorating adult patients in hospital
• National Institute for Clinical Excellence (NICE)
  https://www.nice.org.uk/advice/mib205/chapter/The-technology