Recognising and Escalating Deterioration in Healthcare

  • Short Course
  • Level: Intermediate
  • Study time: 45 mins
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Lesson series
Introductory, theory course to recognise deterioration in service users, use the NEWS-2 and RESTORE2 bundles, and escalate concerns using SBARD.

This is a theoretical course only. This course does not qualify you to undertake physiological observations, or to interpret results gained from physiological observations. You must implement the knowledge gained from this course with your current knowledge, skills and qualifications. Knowledge must be utilised in accordance with organisational, local and national guidelines, legislation and policy which governs your practice.

The course contains public sector information licensed under the  Open Government License v3.0.
Who is this course for?
Course Modules
Learning Outcomes
Technical Requirements

Who Is This Course For?

 Anyone wanting to recognise deterioration in service users, use the NEWS-2 and RESTORE2 bundles, and escalate concerns using SBARD.

Course Modules

  • Signs of deterioration
  • NEWS-2 and RESTORE2

Learning Outcomes

  • Understand how to recognise the soft signs of deterioration
  • Understand how to recognise the signs of deterioration in someone with learning disabilities
  • Understand how to fill out a NEWS-2/RESTORE2 chart
  • Understand how to use SBARD as an escalation tool


You must gain a minimum of 80% in the end of module assessments in order to gain your certificate for this course. You can attempt the assessments as many times as you would like.

Technical Requirements

Please make sure you are familiar with our technical requirements before commencing a course:

 Web browser: Google Chrome or Firefox. Some of our courses/elements of courses will not work on other internet browsers.

 Device: Although our courses work on any device connected to the internet, we recommend a desktop or laptop for optimal learning experience.

 Internet: You need to have an internet connection to access any of our online training courses.

 PDF Reader: Some of our courses come with PDFs and Word documents for download. You need to ensure that you have a PDF reader and word processor on your device to access these documents if you would like to download them.



  • Each of our courses comes with a certificate which you can use to demonstrate your knowledge to the world.
  • Some of our courses have assessments attached to them and you must achieve a certain mark to pass the assessment and gain your certificate.
  • The certificates are printable, and will be saved in your Care Academy profile where they will remain for as long as you keep your Care Academy account. For further information about downloading your certificate after you have exited a course, visit our Virtual Help Desk.

    Your certificate will be personalised with the name which you enter on completion of the course.
    • Name of the course completed
    • Date that the course was completed
    • Expiry date of certificate (where applicable)
    • Stamps of approval and/or accreditations
    • Learning outcomes of what you have learned during your training
    • Assessment score (only applicable for some courses)
    Example Certificate

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