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A preimplementation survey for a standardised approach to paediatric early warning systems
  1. Jayne Wheway1,
  2. Philippa Anna Stilwell2,
  3. Adam Cook3,
  4. Damian Roland4,5
  1. 1 Patient Safety Team, NHS England and NHS Improvement, London, UK
  2. 2 Children and Young People's Transformation Team, NHS England and NHS Improvement, London, UK
  3. 3 Patient Safety Measurement Unit, NHS England and NHS Improvement, London, UK
  4. 4 SAPPHIRE Group, Health Sciences, University of Leicester, Leicester, UK
  5. 5 Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, University of Leicester, Leicester, UK
  1. Correspondence to Dr Damian Roland, Health Sciences, University of Leicester, Leicester LE1 7RH, UK; dr98{at}

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The term paediatric early warning systems (PEWS) has emerged to describe an array of interventions needed to improve recognition of children who require review/escalation of care. In 2005, 21.5% of National Health Service (NHS) trusts in the UK that care for children used a PEWS1; by 2013, 85% of units were using a PEWS and 18% had an RRT (Rapid Response Teams) in place.2 The PEWS in use were extremely variable: 36 different parameters were used in various combinations in 2005, growing to 47 in 2013.

In 2018, NHS England and NHS Improvement (NHSE/I), the Royal College of Paediatrics and Child Health and the Royal College of Nursing brought together a national PEWS Programme Board with the aim of producing a national PEWS for England. This letter describes …

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  • Twitter @damian_roland

  • Contributors The original idea was conceived by DR and JW. JW and PAS wrote initial drafts and completed data collection. AC provided data analysis support.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests JW, AS and DR are members of the National PEWS steering committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.