NEWS2 (National Early Warning Score 2)

NEWS2 (RCP 2017): respiratory rate, SpO2 (Scale 1, or Scale 2 for hypercapnic respiratory failure), supplemental oxygen, SBP, pulse, ACVPU consciousness, and temperature scored per parameter.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Respiratory rate
14 breaths/min
SpO2
98 %
Use SpO2 Scale 2
No
On supplemental oxygen
No
Systolic BP
124 mmHg
Pulse
78 bpm
Consciousness
A - Alert
Temperature
37.0 C

Result: NEWS2 0 - Low band (continue routine monitoring per RCP 2017 Table 2).

The tool opens with these values already filled in. Replace them with your own.

What the result means

0
Minimum 12-hourly monitoring; continue routine monitoring per RCP 2017 Table 2.
1-4
Minimum 4-6-hourly monitoring; registered nurse assesses whether escalation is required per RCP 2017 Table 2.
single parameter scoring 3
Minimum 1-hourly monitoring; urgent review by clinician with competencies in acute illness per RCP 2017 Table 2.
>=5
Minimum 1-hourly monitoring; urgent review and consider continuous monitoring and critical-care review per RCP 2017 Table 2.
>=7
Continuous monitoring; emergency assessment by critical-care team; usually transfer to higher-acuity area per RCP 2017 Table 2.

What you enter

  • Respiratory rate
  • SpO2
  • Use SpO2 Scale 2 (hypercapnic / chronic type II respiratory failure)
  • On supplemental oxygen (+2)
  • Systolic BP
  • Pulse
  • Consciousness (ACVPU; anything but A scores 3)
  • Temperature
How this is calculated

Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS - Updated report of a working party. London: RCP, 2017. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.