Parents, carers and children across NSW will benefit from a new hospital initiative aimed at better supporting parents to raise concerns about their child’s condition if they feel it is getting worse.

The new tool will require healthcare workers to regularly ask families: “Are you worried they are getting worse?” to help capture important changes in their child’s condition.

The question will be embedded in paediatric and neonatal observation charts in emergency departments and inpatient units across the state.

The potentially life-saving tool , Worried they’re getting worse, is based on new research from Monash Health and developed by the Clinical Excellence Commission, and recognises parents, families, and carers know their children best.

The question recognises that parents and carers are often able to detect early changes or deterioration in their child’s behaviour or temperament that could signal a clinical concern.

If parents or caregivers indicate they believe their child is getting worse or deteriorating, it will trigger a review by a senior healthcare worker.

All NSW public hospitals will implement the tool by October 2025, and the program will be extended into maternity and adult wards in early 2026.

The tool was first trialled at Hunter New England Local Health District in March 2025 and began its statewide rollout at Sydney Children’s Hospital Network on 21 July 2025.

Separately, the REACH program is also available for parents and carers when they have concerns that their child is becoming seriously unwell. A REACH call prompts an urgent patient review by a senior health worker. This program continues to be accessible in all NSW hospitals, with work underway to strengthen this safety net.

NSW Health Minister Ryan Park said, “When you bring your child into our hospitals, we know that you know them best.

“Parents and carers can recognise small changes in a child’s condition sometimes before healthcare workers can observe changes in things like heart rate or breathing.

“Feedback from parents and carers is critical in capturing information about a child who is becoming seriously unwell.

“When your doctor or nurse asks: 'Are you worried they’re getting worse?' we need you to tell us even if it is something small, because if you’re worried, we’re worried.”

Secretary of NSW Health, Susan Pearce AM said, “We know staff right across the NSW public health system work incredibly hard to deliver the highest quality of care for patients, and we need to ensure the right systems are in place that support them to continue to do so.

“Really listening to parents, carers and family members is critical when caring for children in hospital and this new initiative recognises the vital role they play in their child’s care alongside our excellent healthcare professionals.

“By working together, we can strengthen patient safety for children and babies and provide an environment where parents and carers are encouraged and empowered to raise concerns.”