A conversation about why acute physical deterioration needs addressing and how the acronym PIER (Prevention, Identification, Escalation and Response) can help do this across system pathways. Featuring Dr Aidan Fowler, National Director of Patient Safety in England and Laura Hailes, Nurse and Senior Improvement Manager at NHS England in the National Patient Safety Team. PIER is referenced on this page - https://www.england.nhs.uk/patient-safety/marthas-rule/ A transcript of this episode is available on our website - https://www.england.nhs.uk/patient-safety/managing-acute-physical-deterioration-through-the-prevention-identification-escalation-response-pier-approach/