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

Overview
Supporting the adoption and spread of deterioration management tools in care homes and across the patient pathway.
Supporting the spread and adoption of the acute Paediatric Early Warning Score (PEWS) for children.
Detailed Programme Information
Supporting teams across the South West to reduce deterioration-associated harm
The national Managing Deterioration Safety Improvement Programme (ManDetSIP) is run locally by our South West Patient Safety Collaborative.
Our ambition is to improve the prevention, identification, escalation, and response to physical deterioration among residents and patients, through better system coordination and as part of safe and reliable pathways of care.
We are supporting the increased adoption and spread of deterioration management tools in care homes in the South West, including those homes caring for people with a Learning Disability, Autism and Mental Health.
In 2021/2022 we supported early implementation testing for the acute Paediatric Early Warning Score (PEWS) across four South West pilot sites. The aim is for this to be in place in England by March 2024. Ongoing support for this workstream during 2022/23 will be provided by the NHS System-wide Paediatric Observations Tracking (SPOT) programme.
We are also supporting training for care home staff and primary care teams in the use of deterioration tools RESTORE2 and RESTORE2 mini. Learn more about our work with RESTORE2.
For more information about our Managing Deterioration Safety Improvement Programme, please contact the South West Patient Safety Collaborative.