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 of two learning packages:

  1. Using NEWS in the recognition of deterioration

This covers:

  • The need for a National Early Warning Score (NEWS) and the evidence to support its use
  • Raising awareness and increase understanding of how the National Early Warning Score (NEWS) is used in the recognition and response to deterioration in secondary care settings
  • Understanding the purpose of SBARD as a structured communication tool
  1. Case studies to support effective diagnosis and management of NEWS in relation to deterioration

This includes case studies on:

  • Anaphylaxis
  • Gastro intestinal bleed
  • Hospital acquired pneumonia
  • Pulmonary Oedema
  • Pulmonary Embolus
  • Urinary tract infection

A learning session for healthcare staff working in community settings is currently planned.


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