Outreach & Rehabilitation 


These forums comprises of representatives from each of our units’ critical care Outreach teams (or equivalent) along with nursing and Allied Health Professionals (AHPs), who work either within critical care or who support patients recently discharged from critical care areas. The focus of activity for these groups relate to the early recognition of patients at risk of deterioration as well as the improvement in relation to rehabilitation services offered to patients across Lancashire and South Cumbria Critical Care. 

Meetings take place every 3 months and the Chair of the forums reportsdirectly to the network Clinical Effectiveness Group.

Our Network Outreach Teams

Lancashire Teaching Hospitals Outreach Team

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Blackpool Victoria Hospital's Critical Care Outreach Service 


Left to right below – Maria Rapela, Leigh Crawford, Rob Instrell (Lead) and Nicky Williams.

The BVH team has a broad work footprint involving clinical support around critical care discharge as well as interventions at the bedside for acute deterioration, supporting teams across the whole Trust. The CCOS practitioners are prescribers who support medical emergency teams and massive haemorrhage calls. The team is significantly enhanced with the work of Nicky, their rehabilitation co-ordinator who leads the way on NICE 83  work-streams and with whom they enjoy a close working relationship.

In addition to clinical work, the team is heavily involved in teaching and education for clinical staff of all cadres and grades, including the design and delivery of the Trust’s mandatory training on acute deterioration. The team are strongly involved in service development and clinical improvement projects with a strong emphasis on the recognition of AKI risk. The team are also responsible for a number of Trust policies and procedural arrangements and conduct audit projects including a root cause analysis of all adult in-hospital cardiac arrest, including the Trust’s tertiary cardiac centre.

The team is working on a much needed business case for increasing our establishment from 3 practitioners to 5.

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Deteriorating Patient Summit

Monday 11 June 2018
De Vere West One Conference Centre, London

The Deteriorating Patient Summit focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care to reduce failure to rescue of acutely ill patients. The conference opens with a National Update from Dr Matt Inada-Kim National Clinical Advisor Deterioration NHS Improvement National Clinical Advisor Sepsis NHS England Consultant Acute Physician & Sepsis Lead, Hampshire Hospitals NHS Foundation Trust, & Clinical Lead for Deterioration & Sepsis, Wessex Patient Safety Collaborative on standardising language and practice within and between healthcare organisations with the implementation of NEWS2. The conference will also focus on implementing the patient safety alert and toolkit on supporting safer care of deteriorating patients.

For further information about this event click on the flyer opposite >>>>>




Terms of Reference


Outreach Forum TOR Final 2016
Rehab TOR Final Apr 2018


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NICE CG 83 Rehabilitation after critical illness


Competencies for Critical Care Outreach Services

Click on the image below to access competencies for Outreach services developed by NOrF.



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The latest version of the National Early Warning Score (NEWS), first produced in 2012 and updated in December 2017 is now available.

NEWS2 has now received formal endorsement from NHS England and NHS Improvement to become the early warning system for identifying acutely ill patients - including those with sepsis - in hospitals in England.

For more information on the National Early Warning Score (NEWS), visit


The National Early Warning Score online training resource can be accessed by clicking on the image below.


Work is in progress via a national forum to develop a set of level 1 competencies for nurses caring for the 'at risk' patient outside of critical care environments.

Watch this space for further information!

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