Managing Deterioration in non-acute settings

The Health Innovation Network (HIN) are working with partners across south London to support care homes to increase the use of deterioration management tools to improve the identification, management, and escalation of physical deterioration.

Project overview

Not recognising quickly that someone is becoming unwell can lead to delays in getting help and poorer outcomes for care home residents. The HIN is working with south London partners to support local care homes to increase their use of tools and approaches which help care home staff recognise physical deterioration early and take the appropriate actions.

The aim of the Managing Deterioration Safety Improvement Programme (one of five National Patient Safety Improvement Programmes) 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.

There are a range of deterioration management tools (such as NEWS2, RESTORE2, RESTORE2 mini, SBARD etc.) available which help improve local systems for identification, monitoring, escalation, and response to the deterioration of care home residents. The aim is to support the adoption and spread in at least:

  • 60 per cent of care homes by March 2022
  • 80 per cent of care homes by March 2024

The project scope covers all care home settings, including mental health, learning disabilities, and older peoples’ nursing and residential homes.

If you work in an Integrated Care System (ICS), a Clinical Commissioning Group (CCG), a local authority or a Primary Care Network, with a responsibility for care homes in south London, and you would like to explore introducing or restarting the use of physical deterioration tools in your care homes, please get in touch.

We're here to help

If you work in an Integrated Care System (ICS), a Clinical Commissioning Group (CCG), a local authority or a Primary Care Network, with a responsibility for care homes in south London, and you would like to explore introducing or restarting the use of physical deterioration tools in your care homes, please get in touch.

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