NHS reference sources¶
These are reference materials, not evidence of clinical approval of the digital component. Preserve downloaded PDFs unchanged; record a new source revision rather than overwriting an existing clinical baseline. NHS England source material retains its original ownership and notices.
Emergency department charts with GCS¶
Retrieved on 10 November 2026 from the NHS England chart publication page, linked from the PEWS programme page. The publication page labels all four ED PDFs as updated 3 November 2026. Each downloaded file is a two-page PDF; filenames and bytes are preserved from the source.
| Age band | Local PDF | Download URL | SHA-256 |
|---|---|---|---|
| 0 to 11 months | ED chart | NHS England | 3300f9614d378c5ef90e8773c35c369fab26330bf3451cfed23d1beda3f65ca7 |
| 1 to 4 years | ED chart | NHS England | a5c2e2cb01589d7b09a51ab3059e6595bf4ca281b1417fb4169875073c619aa9 |
| 5 to 12 years | ED chart | NHS England | 21ac8c667108da432aebf8a738db9200643270ac564b373af86f9096b217e166 |
| 13 years and over | ED chart | NHS England | feb0c96bbb07a2bbddb7f1bec232815f7149eb18a6f71dad0eb40deed9eedb59 |
NHS England identifies the ED chart with GCS and neurological assessment as the default. Other ED variants and A3/A4 formats are referenced on SPOT NHS Futures (login required); they are not included in this public download set. The draft inpatient/ED digital specification is also referenced there and has not yet been obtained for this work.
Existing inpatient baseline¶
The four original pews-observation-and-escalation-chart-*-updated.pdf files and their images/chart-*.png exports remain unchanged. The publication page now links to newly named November 2026 inpatient PDFs; those have not been substituted for this baseline or assessed for changes.
See the ED development scope before using these references to change scoring or presentation, and the specification index for the existing SPOT source transcriptions.