AHSN NENC hosts the regional Managing Deterioration Patient Safety Collaborative (PSC).  A key element of their work is to reduce deterioration-associated harm by improving the prevention, identification, escalation and response to physical deterioration.

There are several tools and resources available to support those caring for people in the community.  Whilst the majority of these have been designed to be used in care homes, they will also be useful in other non-hospital settings such as community health, domiciliary and supported living services.

In the region, through the leadership of the AHSN North East and North Cumbria, clinicians have developed a communication tool called ‘Is My Resident Unwell?’.  See the table below for more information about this tool and other useful resources.


Is My Resident Unwell? (IMRU) Tool: developed in the region and designed to identify early signs of deterioration and provides a structured approach for effective communication.  Read more …
Stop and Watch Tool:  designed to help spot early warning signs of deterioration. Designed in particular for use with people who have learning disabilities Poster (download copy)
Regional Training Providers:    There are a number of training providers in the region who offer face to face or online training although this tends to cover specific geographical areas. Direct link to Regional Training Providers section
Health Education England (HEE):  useful ‘bite sized’ videos to support health and social care professionals working in a range of environments.  Read more .,, Direct link to suite of videos
E-Learning for Healthcare:  online training resource that includes HEE videos plus various additional resources.  Includes specific section for resources aimed at those in social care. Direct link to e-learning portal on Recognising and Managing Deterioration
Digital Social Care:  group of organisations who work together to support adult social care providers on digital technology.
Barclays Digital Eagles: – Supports care home staff and healthcare professionals with digital skills
Learning and Skills Service (previously Tyne & Wear Care Alliance) :  Supports workforce development though the Independent Care Sector
Health and Social Care:  Learner Guides

North East Ambulance Service:  offer a wide range of courses that can be accessed by care homes and other workplaces.  This includes falls training, first aid at work, emergency first aid, CPR, AED familiarisation, mental health first aid, conflict resolution, drug awareness training, assessment and quality assurance certificates and fire safety.

There is a charge for these courses and money raised is reinvested back into their ambulances and crews.

For more information, please visit their  courses pages or contact them via

Email –

Tel – 0300 777 2717

Website –