The Early Deterioration Project | See what they have to say


About the Early Deterioration Project

Developed in September 2020, the Project’s mission was to explore the concept of how domiciliary care could better contribute to the early identification of changes to a person’s habits and routines, which may indicate declining health in that person. It is believed that with a successful ‘managing deterioration’ tool and the aid of digital technology, the Project can demonstrate the benefits of new ways of working between adult social home care and healthcare, with the result being better experiences and outcomes for care recipients.

*The project has now been extended to March 2022 following some overwhelmingly positive results and feedback.

How it works

The Managing Deterioration tool enables care workers to recognise and respond to ‘soft sign’ changes. When concerns for a client’s health are identified, the Level 2 Care Worker – a senior, trained care worker – will perform medical observations which are shared with Primary Care professionals via Birdie’s digital care management app.

These observations draw on the RESTORE2 framework and include NEWS2 vital sign measurements and a structured handover of the care recipient’s health (the SBARD communication tool).

This new technology enables effective collaboration between social and health care professionals that wasn’t there before. By identifying concerns at the earliest possible stage, we are ensuring that people can continue to live as independently as possible and receive the right level of care, in the right place, at the right time.


Simon Hulbert | Son of a service user receiving care from the Early Deterioration Project

Download Simon’s interview here

Barbara Marczuk | Level 2 Carer for the Early Deterioration Project

Download Barbara’s interview here

Key Partners:
Primary Care Network in Newark | Nottingham and Nottinghamshire CCG | Nottinghamshire County Council | East Midlands Academic Health Science Network | Birdie Care Services Ltd | Nottinghamshire Alliance Training Hub

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