1. Care of the Acutely Unwell Adult Peter Murphy

2. “If a thing is hard to do, then it isn’t worth doing”

3. The Target Our target to reduce by 50% cardiac arrests outside of units in one year

4. Collaborative project to improve care

5. An overview of work Manual Pulse Completed observations- every time Ward Rounds –standardised The Early Warning score Colour coded observation charts Leadership attention

6. The EWS

7. The Challenge Reflect Lead by example Don’t stand for second best Be the generation that did…..not that handed over responsibility

8. A definition of insanity – ‘Doing the same thing over and over and over again and expecting a different outcome’. Albert Einstein ?