Call 4 Concern

Call 4 Concern© (C4C) is an NHS service that gives patients, and their families, friends, or carers, the ability to directly refer to our Critical Care Outreach service. This will trigger an urgent review if you feel an in-patient’s condition is getting worse and you are still worried after speaking to the medical team looking after them. 

Our nurses and doctors monitor all patients closely throughout their admission for any signs of deterioration, however, Call 4 Concern and Martha’s Rule gives you the power to act and be heard if you feel you or your loved one's condition is getting worse, rather than improving, despite treatment. 

During your hospital stay, you will see Call 4 Concern  posters around our Royal Berkshire Foundation Trust site informing you how to activate the service if needed. The service is delivered by the Critical Care Outreach Team - specialist senior nurses in the management of deteriorating and very unwell adults and children.

Call 4 Concern is a patient safety service for detecting deterioration. To report problems regarding your hospital bed, room, food, parking or any other general issues or complaints, please speak to your nurse, ward manager or PALS - our patient advice and liaison service.

• If you are worried you should always seek help.
  Recognise - Have you noticed any worrying changes in a patient’s condition, such as an increased breathing rate, confusion or unusual behaviour, excessive sleepiness or unusual difficulty in waking up, cold, discoloured arms and legs or other unusual physical symptoms?
• Report - If you identify these issues and are concerned speak to the Nurse in Charge and medical team on the ward.
• Refer - If you remain worried request an urgent review by calling Call 4 Concern, any time, day or night 24/7, on 07774751352. The Critical Care Outreach Practitioner will ask for the patient’s name, ward location and the nature of your concern. They will assess the situation and act or advise as necessary. If they are busy due to another clinical situation, please leave a voicemail or text message, and they will return your call at the earliest opportunity.

Please feedback on the Call 4 Concern service by emailing Alison Schofield, Call 4 Concern Lead