National Early Warning Score (NEWS) 2

The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements.

Six simple physiological parameters form the basis of the scoring system respiration rate oxygen saturation systolic blood pressure pulse rate level of consciousness or new confusion temperatureA score is allocated to each parameter as they are measured, with the magnitude of the score reflecting how extremely the parameter varies from the norm.

The score is then aggregated, and uplifted by 2 points for people requiring oxygen.

The Royal College of Physicians ( RCP ) recommends that sepsis should be considered in any patient with a NEWS score of 5 or more - " think sepsis ". However NEWS2 should be used alongside clinical judgement as a high score for some individuals, i.e those at the end of their life may need to be interpreted differently

NEWS2 should not be used in children under 16 or pregnant women

Reproduced from : Royal College of Physicians. National Early Warning Score ( NEWS ) 2 : Standardising the assessment of acute-illness severity in the NHS . Updated report of a working party. London : RCP , 2017

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