Full version: SPSP Paediatric Programme Deteriorating Child and Young Person Change Package.

A resource consisting of a driver diagram, change ideas, tools, evidence, resources and guidance to support measurement.

Last updated in July 2024 to incorporate new supporting evidence and refreshed website links. There has been no change to the driver diagram and change ideas.

This resource aims to support teams to improve the recognition, response and review of the deteriorating child and young person.

Abbreviated version: A resource consisting of a driver diagram and change ideas.

This resource aims to support teams to improve the recognition, response and review of the deteriorating child and young person. 

Accessible version: SPSP Paediatric Programme Deteriorating Child and Young Person Change Package with driver diagram, change ideas, tools, evidence, resources and guidance to support measurement.

Last updated in July 2024 to incorporate new supporting evidence and refreshed website links.

This document contains an overview of the three types of measurement used in improvement. It also sets out the data that participating teams are required to submit as part of the paediatric programme.

SPSP Paediatric Programme PEWS charts

0-11 months: 

Original, Version 2, Version 3

12-23 months: 

Original, Version 2, Version 3

2-4 years: 

Original, Version 2, Version 3

5-11 years: 

Original, Version 2, Version 3

12 years and over: 

Original, Version 2, Version 3

PEWS charts allow the paediatric community in Scotland to put into practice a national system-wide paediatric early warning system.

Three versions of each chart are available for each age range:

• original version
• version 2 of each chart allows the escalation policy to be customised, and
• version 3 of each chart allows the escalation policy to be customised and excludes the back page.

The charts are designed to be printed as an A3 document.

The charts are available for five age ranges:

• 0-11 months (to be used from birth until day before 1st birthday) 
• 12-23 months (to be used from 12 months until day before 2nd birthday) 
• 2-4 years (to be used from 2 years until day before 5th birthday) 
• 5-11 years (to be used from 5 years until day before 12th birthday) 
• 12 years and over (to be used from 12 years and above) 

A resource consisting of a driver diagram and change ideas.

This resource aims to support teams to improve the recognition, response and review of the deteriorating child and young person. 

Those outside NHS Scotland may adapt the charts for their use but should honour the Creative Commons licence by acknowledging that the charts are the work of Healthcare Improvement Scotland. 

PEWS tables are for any clinician to look at normal and abnormal ranges as per national PEWS. To be used as a reference of what may be acceptable range for a set of observations per age.            

Please note that PEWS tables are not validated for use in primary care. 

PEWS handy guides.

Recordings from the sessions on developing national PEWS.