What is RRAILS

The Rapid Response for Acute Illness Learning Set (RRAILS) programme brings together all health boards and trusts in Wales to reduce harm and death caused by acute deterioration, and aims to achieve consensus on an integrated approach to the treatment of sepsis and Acute Kidney Injury (AKI).

RRAILS was formed in 2011 with the purpose of introducing the National Early Warning Score (NEWS), sepsis screening and implementation of the Sepsis 6 Care bundle.

In 2013 NHS Wales became the first large healthcare system in the UK and Ireland to implement NEWS as standard practice in all secondary care hospitals. The life-saving assessment tool is now an integral part of care in every community and acute hospital across Wales, as well as in the Welsh Ambulance Service Trust (WAST) and in many community and primary care settings (there is lots of work happening to identify and treat Sepsis out of hospital.

Since the implementation of NEWS, it is believed that NHS Wales has experienced a significant reduction in deaths associated with two Sepsis codes.

Much of the success of the RRAILS programme is a result of the standardisation of NEWS in every Welsh hospital and the empowerment of junior staff to raise concerns and escalate treatment at an early stage.

In 2016, NHS Wales received a Global Sepsis Award for progress in improving the treatment of Sepsis.

While work continues in embedding NEWS as standard practice in hospitals, focus has recently moved to include Out of Hospital settings (care homes, district nursing and acute response teams) and Paediatrics.

RRAILS resources 


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