I have contributed to reports by UK bodies (NPSA, NICE, DH, Royal College of Physicians) regarding vital signs monitoring, acute care competencies and early warning scores. I led the clinical team that developed a hand-held, computer-based system (Vitalpac) for the early recognition of patient deterioration, for which the team won several IT and patient safety awards. Data collected through Vitalpac was used by Portsmouth Hospital’s Clinical Outcomes Research Group (CORG) to model and validate the UK’s National Early Warning Score - NEWS.