This framework is designed for use in postnatal care settings including the delivery suite, postnatal ward and transitional care unit. It describes at-risk groups and provides an updated Newborn Early Warning Track and Trigger (NEWTT2) chart aligning to current recommendations for newborn care and acknowledging feedback from healthcare professionals. 

The chart encompasses parental concern to acknowledge the importance of the opinion of the family in addition to the wider multi-disciplinary team. The inclusion of parental concern supports concerns highlighted and recommendations made in recent national maternity investigations.

Visit the NEWTT 2 page to view the NEWTT 2 training materials and regional contacts to help with implementation.

NEWTT 2 - A Framework for Practice (PDF)
Appendix 1 - Newborns for NEWTT2 monitoring
Appendix 2 - Guidance for HCPs on completion of track and trigger chart
Appendix 3 - NEWTT2 track and trigger chart
Appendix 4 - Escalation record
Appendix 5 - Review record
Appendix 6 - Joint escalation and review record
Appendix 7 - Survey
British Association of Perinatal Medicine (BAPM) is registered in England & Wales under charity number 1199712 at 5-11 Theobalds Road, London, WC1X 8SH.
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