Managing Deterioration
Supporting teams across the South West to reduce deterioration-associated harm.

Overview
Supporting the adoption and spread of deterioration management tools including those relating specifically to end-of-life care, learning disabilities, mental health, and dementia care.
Supporting the adoption and spread of deterioration management tools and Personalised Care and Support Plans (PCSPs).
Supporting the spread and adoption of the acute Paediatric Early Warning Score (PEWS) and a system-wide paediatric observations tracker for children.
Detailed Programme Information
Supporting teams across the South West to reduce deterioration-associated harm
Our ambition is to improve the prevention, identification, escalation, and response to physical deterioration, through better system coordination and as part of safe and reliable pathways of care by March 2024.
We aim to support the adoption and spread of deterioration management tools including those relating specifically to end-of-life care, learning disabilities, mental health, and dementia care, in at least 60% of care homes by June 2022.
Our goal is to support the adoption and spread of deterioration management tools and Personalised Care and Support Plans (PCSPs), encompassing end-of-life care principles, in at least 80% of non-acute settings by March 2024.
We are supporting the spread and adoption of the acute Paediatric Early Warning Score (PEWS) and a system-wide paediatric observations tracker for children, across all appropriate care settings, to be in place in England by March 2024.
We are utilising various valuable tools including National Early Warning Score (NEWS2), Paediatric Early Warning Score (PEWS), RESTORE2, RESTORE2 mini, SBARD.
Our NEW Deteriorating Patient Safety Network regularly brings staff and carers from across the health and social care sector together to find solutions to common problems. This offers learning opportunities in key patient safety areas such as safety culture, QI methodology, patient involvement, and addressing inequalities, providing a unique opportunity for networking and collaboration across the South West.
- 1,440 care home staff across Cornwall, Devon and Somerset have been trained in RESTORE2.
- Established online programme for accessible and available 24/7 RESTORE2mini training.
For more information about our Managing Deterioration SIP, please contact the South West Patient Safety Collaborative.