 This study is to validate the use of the modified early warning score MEWS in an adult oncology ward as a predictor of 7 day mortality or intensive care unit ICU admission. It is expected that either a MEWS score 4 or a change in score of 2 from the initial reading will be associated with an increased risk of death or ICU admission, and should be regarded as a MEWS Alarm. If MEWS is proof to be a reliable alternative tool, early diagnosis and aggressive management of life-threatening complications in oncology patients, results in dramatic improvements in overall survival rates. 