Our Managing Deterioration Safety Improvement Programme (ManDetSIP) supports teams across the South West to reduce deterioration-associated harm.

The aim is to reduce deterioration-associated harm by improving the prevention, identification, escalation and response to physical deterioration, through better system co-ordination and as part of safe and reliable pathways of care by March 2024.


  • To support 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 in England by March 2024.
  • To support an increase in the adoption and spread of deterioration management tools (e.g. NEWS2, RESTORE2, RESTORE2 mini, SBARD etc.), reliable personalised care and support planning, and approaches encompassing end-of-life care principles.
  • Specifically, to support learning disabilities, mental health and dementia care management in relation to deterioration, in at least 80% of all appropriate non-acute settings across health and social care by March 2024.

The work of the South West Patient Safety Collaborative's ManDetSIP is centred on patients and residents in acute and community settings with the aim of improving the recognition of - and response to - deterioration, reducing associated harm such as sepsis, as well as mortality in adults.

National Early Warning Score (NEWS2)

The National Early Warning Score (NEWS2) is a tool developed by the Royal College of Physicians to improve the detection and response to clinical deterioration in adult patients in hospital in England. NEWS has also been adapted for non-acute settings.

Through standardisation of NEWS2 and related tools, we can increase the number of patients who receive the right care at the right time and in the right place should they deteriorate, which has the potential to save over 1,800 lives a year. Using a common tool like NEWS2 improves patient safety by creating a common language between practitioners that can prevent confusion and reduce variation in practice across care settings.

Deteriorating Patient Safety Network

The South West Patient Safety Collaborative hosts the NEW Deteriorating Patient Safety Network (DPSN), which supports the implementation of the national ManDetSIP by working with organisations across the health and social care system to collectively reduce deterioration associated harm by improving the prevention, identification, escalation and response to deterioration. Find out more here.