The aim of the SPSP Acute Adult Deteriorating Patient Programme is to reduce the level of harm experienced by people using healthcare services.
This will be achieved by supporting hospital teams to recognise and respond appropriately to unwell, deteriorating patients. The SPSP team supports the Deteriorating Patient Programme with a focus on;
- early recognition of acute physiological deterioration through the National Early Warning Score (NEWS/NEWS 2)
- the implementation of a process for structured response and treatment for sepsis
- person centered care planning based on an individual's clinical condition and goals of care, and
- effective communication of people at risk and their treatment plan
Resources and Downloads
- Useful links
For those interested in reading more about Acute Kidney Injury, a series of journal articles are available to view below
The UK Sepsis Trust (UKST) was established as a charity in 2012 with the objective of saving 12,500 lives every year. UKST is committed to changing the way the NHS deals with Sepsis, to increasing public awareness and supporting those affected by Sepsis
The Scottish Partnership for Palliative Care is an umbrella and representative organisation which, through a collaborative approach, supports and contributes to the development and strategic direction of palliative care in Scotland.
The Health Foundation is an independent charity working to improve the quality of healthcare in the UK by supporting people working in healthcare practice and policy to make lasting improvements to health services. The Foundation’s work is focused on two priority areas: Patient Safety and Person-Centred Care. The Foundation carries out research and in-depth policy analysis, runs improvement programmes to put ideas into practice in the NHS, support and develops leaders and share evidence to encourage wider change.
Health Protection Scotland (HPS), a division of NHS National Services Scotland, was established by the Scottish Government in 2005 to strengthen and co-ordinate health protection in Scotland. HPS plan and deliver effective and specialist national services which co-ordinate, strengthen and support activities aimed at protecting all the people of Scotland from infectious and environmental hazards.
The Institute for Healthcare Improvement (IHI), an independent not-for-profit organization based in Cambridge, Massachusetts, is a leading innovator, convener, partner, and driver of results in health and health care improvement worldwide. IHI's work is focused in five key areas, one of which is Patient Safety.
NHS Education for Scotland are a special health board responsible for supporting NHS services in Scotland by developing and delivering education and training for those who work in NHSScotland, and have worked closely with Healthcare Improvement Scotland to develop a number of the tools used in the Scottish Patient Safety Programme. For more information, visit nes.scot.nhs.uk.
- Tools and materials
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Measurement Framework. (This measurement framework has been developed and tested with the purpose of supporting local improvement by providing guidance for data collection and review).
Catheter Associated Urinary Tract Infection (CAUTI) (Useful links and resources)
- Events and Presentations
SPSP Acute Adult Webinar - 6 September 2021
Sepsis: What does it mean and what does it mean for our patients?
Professor Manu Shankar-Hari, Professor in Critical Care Medicine and NIHR Clinician Scientist, Guy’s and St Thomas NHS Foundation Trust, London along with Dr Gregor McNeill, National Clinical Lead for SPSP Acute Adult, Healthcare Improvement Scotland and Consultant in Intensive Care Medicine, NHS Lothian will:
- Explore the long-term impact of sepsis
- Provide an update on current sepsis definitions
- Discuss how to use Quality Improvement (QI) methodology to improve sepsis care for our patients
SPSP Acute Adult Webinar - 10 June 2021
A focused webinar on
Using a Quality Management System (QMS) approach to reduce cardiac arrest rate within NHS Lothian : Where we were and where we are now.
Dr Gregor McNeill, National Clinical Lead for SPSP Acute Adult, Healthcare Improvement Scotland and Consultant in Intensive Care Medicine, NHS Lothian along with Carolyn Swift, Quality and Safety Improvement Lead and SPSP Lead, NHS Lothian will
- Share learning and experience of using a Quality Management System (QMS) approach to significantly reduce cardiac rates in NHS Lothian
- Reflect on Deteriorating Patient process and outcome variation before and after the use of a QMS
- Share how NHS Lothian is measuring & monitoring safety within a QMS, and its development over time
Deteriorating Patient Webinar - 25 November 2020
A focused Webinar on
Early Warning Scoring: A digital solution in this digital age
- NHS Fife experience of implementing an Electronic Early Warning System,
- reflect on the implementation challenges and outline the key successes.
Led by: Dr Gavin Simpson, Consultant in Critical Care and Anaesthetics, NHS Fife
Deteriorating Patient Networking Event - 3 December 2019
The aims of this event were to:
- Support clinicians to share ideas to improve outcomes for people through early recognition, response and escalation
- Provide the opportunity to network, to share progress and discuss opportunities and challenges of deteriorating patient improvement work
- Examine the wider contect for successful change and generate ideas for improvement
The International Forum on Quality and Safety in Healthcare, Glasgow - 27 - 29 March 2019
This is one of the world's largest conferences for healthcare professionals committed to improving patient care and safety. The event provided an opportunity to meet, learn and share knowledge in a common mission to improve the quality and safety of care for patients and communities across the world.
Deteriorating Patient Networking Event - 13 November 2018
This event provided an opportunity for staff from across acute and primary care to share their work and learn from each other to improve outcomes for patients through the early recognition, response and escalation of deterioration across the pathway.
- Generic response to deteriorating patients - 90 day process
- Learning System
SPSP Acute Adult Case Study Series
(Using a quality improvement approach to patient safety by implementing NEWS 2 during a pandemic)