LEIGHTON Hospital is one of 143 NHS sites which will test the implementation of a new patient safety measure.
As part of a major patient safety initiative, hospitals across the country will be testing and rolling out 'Martha's Rule' in its first year.
The purpose of Martha’s Rule is to provide a consistent and understandable way for patients and families to seek an urgent review if their or their loved one’s condition deteriorates and they are concerned this is not being responded to.
The scheme is named after 13-year-old Martha Mills, who died from sepsis having been treated at King’s College Hospital, London, in 2021, due to a failure to escalate her to intensive care, and after her family’s concerns about her deteriorating condition were not responded to.
Other hospitals in the North West joining Leighton include: the Countess of Chester Hospital, Wirral University Teaching Hospital, Warrington Hospital, Alder Hey Children's Hospital and The Christie.
Professor Sir Stephen Powis, NHS national medical director, said: “Rolling out Martha’s Rule to more than 143 NHS sites in this first phase will represent one of the most important changes to patient care in recent years.
"We are pleased to have seen such interest from hospitals right across the country, all thanks to the moving and dedicated campaigning by Martha’ parents.
"That is why this is such an important milestone, with the NHS outlining the 143 sites where this major patient safety initiative will be rolled out later this year, allowing staff, patients and families to immediately raise concerns and bring about an escalation in care in an easily recognisable and fast way."
Martha’s Rule is to be made up of three components to ensure concerns about deterioration can be swiftly responded to.
Firstly, an escalation process will be available 24/7 at all the 143 sites, advertised throughout the hospitals on posters and leaflets, enabling patients and families to contact a critical care outreach team that can swiftly assess a case and escalate care if necessary.
Secondly, NHS staff will also have access to this same process if they have concerns about a patient’s condition.
Finally, alongside this, clinicians at participating hospitals will also formally record daily insights and information about a patient’s health directly from their families, ensuring any concerning changes in behaviour or condition noticed by the people who know the patient best are considered by staff.
Sir Stephen added: "The inclusion of daily insights from families about their loved ones’ condition within patient records is also a really significant step and will help staff identify changes and deterioration using insights from those who know the patient best.
"While thankfully the need for escalation of care will hopefully only be needed in a limited number of cases, this three-step safety net has the opportunity to truly transform patient care and safety."
The first phase of the programme will be in place at the 143 locations across the country by March 2025.
Evaluation of how the system works in these sites over the course of this year will inform proposals for Martha’s Rule to be expanded further across all acute hospitals, subject to future government funding.
Merope Mills and Paul Laity, Martha’s parents, said: "We are pleased the roll-out of Martha's Rule is off to a flying start and the need for it has been so widely recognised.
“It will save lives and encourage better, more open, communication on hospital wards, so that patients feel they are listened to, and partners in their healthcare."
NHS national patient safety director and senior responsible officer for Martha’s Rule, Dr Aidan Fowler, said: “Working closely with Martha’s parents and colleagues across the NHS over the last few months on this rollout, I am in no doubt this programme will deliver clear change.
"It has been so encouraging to see how many hospitals have shown interest in being part of delivering these all-important patient safety measures this year.
“These measures can help us better identify and manage deterioration as part of wider work, which is a key priority for us and will no doubt lead to improvements in the care patients receive.”
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