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The National Clinical Guideline

On Monday 18th February 2013 the Minister for Health Dr James Reilly launched an important new patient safety initiative - the first National Clinical Guideline - the National Early Warning Score for Ireland. National Clinical Guidelines will help to further improve the quality, safety and cost-effectiveness of healthcare across Ireland. The National Guideline was recommended for endorsement to the Minister by the National Clinical Effectiveness Committee. 

National Clinical Guideline No. 1 National Early Warning Score
Published February 2013
Update August 2014: Practical guidance inserted following Recommendations 8, 16, 45.
Appendix 3 updated National Patient Observation Chart.

National Clinical Guideline No 1 National Early Warning Score (Summary)
Published February 2013
Update August 2014: Practical guidance inserted following Recommendations 8, 16, 45.

Both of these documents are available here.

The Department of Health National Patient Safety Office/National Clinical Effectiveness Committee requires updating of ministerially endorsed national clinical guidelines on a three-yearly basis. Revision of the National Early Warning System (NEWS) National Clinical Guideline No. 1 (NEWS NCG No.1) is currently underway. A multi-disciplinary group from across the country meet monthly to progress this work. Three patient representatives participate on the group. HRB CICER (Health Research Board- Collaboration in Ireland for Clinical Effectiveness Reviews) is conducting the systematic literature review to underpin guideline revision. Guideline revision is expected to be completed by year end 2019. 

Draft Revised NCEC National Clinical Guideline (NCG) No.1 NEWS (2020)

The Chief Clinical Officer (CCO), HSE, Dr. Colm Henry has designated the Deteriorating Patient Improvement Programme (DPIP) as a key patient safety priority within the HSE National Service Plans 2019 and 2020. 

The National Early Warning System (NEWS) facilitates the timely assessment of and response to the deterioration of acutely ill adult patients in the acute hospital setting. 

Revision of the National Patient Safety Office/National Clinical Effectiveness Committee (NCEC) National Clinical Guideline (NCG) No. 1 NEWS (2013) is a workstream of DPIP. 

NEWS guideline revision was underpinned by a Department of Health commissioned a systematic review of the literature, undertaken by the Health Research Board – Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER).  A multidisciplinary Guideline Development Group (GDG) utilised a variety of evidence sources (literature review, multidisciplinary focus groups, QAV healthcare audit findings) in the review and revision of the guideline.  A Consultant Advisory Group (CAG) convened by the CCO provided expert clinical advice and guidance on key emerging clinical issues. 

Draft Revised NCEC National Clinical Guideline (NCG) No.1 NEWS (2020) is now available here for public consultation. 

The public consultation process commenced the 26th November and continues until Monday 23rd December 2019

Download the feedback form for your review and comment.

Thank you for your time and input.

From National Deteriorating Patient Recognition & Response Improvement Programme (DPIP), Clinical Design & Innovation, Office of the Chief Clinical Officer, Health Service Executive.

Clinical Strategy and Programmes Division