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

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.

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.


A film that explains why the National Early Warning Score was developed; how it can be used to identify acute deterioration, including sepsis and the benefits of a standardised early warning system.

A patient safety film tells the story of Paul from North Somerset, who made a quick and full recovery from sepsis as a result of NEWS (the National Early Warning Score) being communicated at every handover of care.

Further resources

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

How to access

In order to access any e-LfH programme, you will need an e-LfH account. If you do not have one, then you can register by selecting the Register button below.

Register >

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. Learning section.

e-LfH is a Health Education England Programme in partnership with the NHS and Professional Bodies