The National Early Warning Score: from concept to NHS implementation.

Clin Med (Lond)

University College London, London, UK, consultant physician, University College London Hospitals NHS Foundation Trust, London, UK, and chair of National Early Warning Score (NEWS/NEWS2) Development and Implementation Group and clinical lead for NEWS, Royal College of Physicians, London, UK

Published: November 2022

AI Article Synopsis

  • This year marks the 10th anniversary of the National Early Warning Score (NEWS), highlighting its journey from a basic idea to a standardized system for detecting acute illness severity in hospitals.
  • The adoption of NEWS2 by the NHS has transformed acute care teams, with user feedback playing a crucial role in refining the system, ultimately aimed at improving patient outcomes.
  • Looking ahead, the review explores the future of NEWS's integration into the digital healthcare landscape and its expansion into emergency response in primary and community care, establishing a 'common language' for illness severity that is now influencing other healthcare systems globally.

Article Abstract

This year is the 10th anniversary since the launch of the National Early Warning Score (NEWS) by the Royal College of Physicians in 2012. This review reflects on the journey, from the nascent concept of a standardised system to detect acute illness severity and clinical deterioration through to the adoption of NEWS2 by the NHS and, ultimately, its incorporation into quality indicators of acute care provision. The impact of NEWS/NEWS2 on the transformation of provision and configuration and training of acute care teams in hospitals is reviewed. User feedback has been key in iterating guidance on the use of NEWS/NEWS2 and key elements of this are discussed. The ultimate aim of NEWS was to improve patient outcomes with acute illness or deterioration and the impact on outcomes is now becoming apparent but, paradoxically, an effective response can eliminate the link between the score and the ultimate outcome. This review concludes with a reflection on what the next 10 years may bring, particularly with the digital transformation of healthcare and its potential impact on scoring systems, as well as the necessary permeation of NEWS2 beyond the acute hospital setting into emergency response triage in primary and community care settings.Ten years on, via NEWS/NEWS2, the NHS is the first healthcare system globally with a 'common language' of illness severity and a standardised early warning system for acute clinical illness and deterioration, a system that is now being replicated in many other areas of the world.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761416PMC
http://dx.doi.org/10.7861/clinmed.2022-news-conceptDOI Listing

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