1.Full set of observations documented
2.NEWS2 score documented
3.NEWS2 calculated correctly
4.Oxygen scale documented / identifiable
5.New confusion / altered consciousness documented
6.NEWS2 trigger recognised
7.Escalation requirement identified
8.Escalation completed where required
9.Escalated to appropriate person / team
10.Time of escalation documented
11.Clinical review completed
12.Clinical review within local target time
13.Clinical response / plan documented
14.Repeat observations within local target
15.CCOT / MET escalation where indicated
16.Sepsis considered where relevant
17.Oxygen therapy reviewed where relevant
18.Ceiling of care reviewed where relevant
19.Reason for delayed / incomplete escalation documented
20.Documentation clear for another clinician
21.Safety concerns escalated / actioned