This site uses cookies to store information on your computer. I'm fine with this Cookie information
Follow is on Twitter Like us on Facebook Follow us on Instagram
COVID-19 (Coronavirus info)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

The Deteriorating Patient

The Deteriorating Adult Patient

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred care of the deteriorating patient within NHSGGC. Each of the resources will support your knowledge and confidence in care of the deteriorating patient. There is evidence to support that a failure to respond to adverse events results in increased length of hospital stay, decreased quality of life and increasing morbidity and mortality.  This has led to increased emphasis on strategies and processes focusing on recognising and responding to the multifaceted deteriorating patient. 

Clinical deterioration can occur at any point in a patient’s journey.  Early recognition of the deteriorating patient, with a structured response and appropriate escalation can reduce patient harm and mortality.  In NHSGGC, the National Early Warning Scoring (NEWS) tool is used to identify patients who are at risk of clinical deterioration.  This is a track and trigger tool that is used to improve the assessment of acute illness, detection of clinical deterioration and the initiation of a timely and competent clinical response. The use of NEWS, coupled with effective communication and teamwork are fundamental to patient safety.


Essential Learning Resources

Recommended Learning Resources

learnPro module

GGC: 242 NEWS2

How to record the Glasgow Coma Scale

How to be ACE

National early warning score (NEWS) in NHS Scotland (TURAS)



Professional and Organisational Policy and Guidance

NEWS2 Standardising Assessment Guideline 2020

Royal College of Physicians (2019) National Early Warning Score (NEWS) 2

Last Updated: 29 September 2020