The National Early Warning Score (NEWS) and NEWS2

Introduction to NEWS and NEWS2

Learn about the National Early Warning Score (NEWS) and its successor, NEWS2, which play a crucial role in identifying conditions like Sepsis.

Evolution of NEWS

• Origins: NEWS was introduced in 2012.
• NEWS2: NEWS2 replaced NEWS, building upon its core principles after further research and development.

Role of NEWS

NEWS is designed to:

• Identify Seriously Ill Patients: It assists in recognising patients at risk of severe illness.
• Standardisation: NEWS is standardised across the NHS, enabling effective communication about patients using common language.
• Two-Step Process: It offers a two-step approach - identifying sick patients and ensuring timely clinical response.

Physiological Parameters

The NEWS scoring system relies on six key physiological measurements:

• Respiration Rate
• Oxygen Saturation Level
• Systolic Blood Pressure
• Pulse Rate
• Level of Consciousness or New Confusion
• Temperature

Enhancements in NEWS2

NEWS2 builds upon the original system while maintaining its core principles:

• ABCDE Sequence: Aligns with the UK Resuscitation Council ABCDE sequence.
• Parameter Ranges: Specifies score boundaries for each parameter.
• Hypercapnic Respiratory Failure: Includes a dedicated section for patients with specific oxygen saturation needs.
• Oxygen Delivery: Improves recording of supplemental oxygen rate and method.
• New Confusion (ACVPU): Adds 'new confusion' to the AVPU score, encompassing alterations in mentation.
• Colour Scheme: Introduces a new colour scheme for improved readability.

Integration with Other Scoring Systems

NEWS can complement other validated scoring systems like the Glasgow Coma Scale, depending on patient requirements.

Training and Resources

NEWS2 training is essential. This video provides a basic understanding. Refer to your workplace policies for specific assessment methods.

For more details, consult the Royal College of Surgeons' summary in the download section.