Graham Fox
22 Jun 2018 · Coroner Robert Sowersby · Avon
The coroner's concerns
1. lack of mandatory clinical response to NEWS scores
“The standard NEWS documentation contains a list of scores on the left, and corresponding clinical responses in a column on the right. My understanding of the system was that when the relevant score was reached, the corresponding clinical response was mandatory. The impression | gained from listening to the majority of the nursing staff was that there was an element of discretion / clinical judgment to be applied in determining whether the clinical responses that were 'required' when the relevant”
2. lack of expert evidence on re-triggering practice
“did not have the benefit of any expert evidence about the process of "re-triggering" patients under NEWS, and | am therefore unable to comment on whether it is clinically appropriate. | did hear evidence that the practice was commonplace within the hospital.”