NHS to roll out Martha’s rule
The patient safety initiative, known as Martha’s rule, is set to be rolled out to at least 100 NHS sites from April. It will give patients and their families round-the-clock access to a rapid review from an independent critical care team if they are worried about their or a loved one’s condition.
It follows a campaign by the parents of Martha Mills, 13, who died of sepsis because her symptoms were missed.
This escalation process will be available 24/7 to patients, families and NHS staff, and will be advertised throughout hospitals, making it quickly and easily accessible.
Evaluation of the initial roll-out from at least 100 trust sites during 2024/25 will inform proposals for Martha’s rule to be expanded further across all acute hospitals, subject to government funding.
NHS teams will also identify ways to roll out an adapted Martha’s rule model across other settings, including community and mental health hospitals, where the processes may not apply in the same way.
Responding to the announcement, Healthwatch England CEO Louise Ansari said:
“The news that Martha's rule will be implemented in NHS hospitals is hugely welcome.
"Patients can already request second opinions on their treatment, and most doctors respect these requests. However, the new rule will help shift the balance of power from medical discretion towards the patient or their family, who will be able to trigger a second opinion directly.
"If implemented correctly, with clear communications to raise awareness about people’s rights, the introduction of Martha's rule will help to reassure patients and their families and save more lives in future.”
