
Early diagnosis of sepsis faces ‘ongoing challenges'
HSSIB's reports detail three cases where patients suffered severe harm or death due to delayed sepsis recognition, citing issues such as delayed medication, lack of doctor capacity, and inadequate patient transfers.
A recurring concern highlighted by HSSIB is that family members are often not listened to when they express worries about a loved one's deteriorating condition, which can delay critical interventions.
Experts, including the UK Sepsis Trust, advocate for swift diagnosis, consistent public awareness of symptoms, and the implementation of a standardised " sepsis pathway" to improve patient outcomes.
NHS England states it is supporting initiatives like Early Warning Systems, Martha's Rule, and patient wellness questionnaires to aid in early deterioration detection and empower patients and their families to raise concerns.
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07-07-2025
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Banstead man cycles length of Britain in memory of his late wife
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Spectator
01-07-2025
- Spectator
Martha's Rule should be a model for changing the NHS
What do we really need to change about the NHS? Later this week we will finally get the NHS plan from Health Secretary Wes Streeting which, like all the other big reforms before, promises to make the health service fit for the future and focused on patients. Streeting has been more articulate than many previous ministers about the failings of the current setup, saying the NHS today is often organised around the needs of the system, rather than the people it is meant to serve. One of the most pernicious aspects of this is the way the health service deals with mistakes. Streeting has already trailed 'pioneering AI technology' in the new plan which he says will 'rapidly analyses healthcare data and ring the alarm bell on emerging safety issues'. He hopes it could stop scandals like Mid-Staffs, or the many maternity units still under investigation for dreadful care. This week we also learned that the first six months of the Martha's Rule scheme, which allows families of patients to request an urgent second opinion from a critical care outreach team, has led to changes in care for 465 patients. Martha Mills died of sepsis in 2021 after medical staff repeatedly overlooked her family's concerns about her deteriorating condition and failed to admit her to intensive care. The parents of the 13-year-old campaigned after her death for this right to an urgent second opinion. Martha's Rule is one of those changes that really does show there is a way of changing the way a system runs so that people don't die just because busy medics refuse to have a second think about the decisions they have made. What was alarming for her family, who of course knew best what Martha was like, was that their concerns were largely dismissed as the typical anxieties of overwrought parents, rather than something the healthcare team might want to pay heed to. That dismissal of concerns is a regular problem throughout the NHS, which still adopts a very patrician view of patients and their relatives. A new AI system will not in fact be spotting many things that haven't already been highlighted by human voices. One of the great scandals of Mid Staffs was that so many people had raised concerns: doctors had tried to raise the alarm about what was happening in A&E, and relatives had been campaigning about the treatment and deaths of their loved ones for years. There was not an absence of concern. What was lacking was anyone paying attention to it. Similarly in maternity care, women in pain who are worried about their baby's movements or who have an instinctive feeling that something is going wrong are often dismissed as making a fuss. On a wider scale, we have long known that there are serious systemic issues in maternity, but the system is taking even longer to acknowledge and address those issues. Often relatives campaigning after a death are characterised as being driven mad by grief – and therefore easier to dismiss as being wrong. It is possible to be in the pain of bereavement and entirely right, just as it is possible to be driven mad by the system that repeatedly tells you that you were wrong about the things you saw written down in your child's medical notes (which have mysteriously gone missing), or about your attempts to raise the alarm with staff. Perhaps removing the human from the equation might help: will senior staff, Trust leaders and politicians listen to the warnings produced by an algorithm? Even if they find it harder to dismiss those results, it's worth pointing out that AI has not advanced sufficiently to pick up the signs of a toxic culture in a working environment or across a system. But we already know that the NHS does have a toxic culture when it comes to mistakes. Perhaps Martha's Rule will help shift that culture a little: not much else has before now.


BBC News
26-06-2025
- BBC News
Godstone man's epic cycle ride after wife dies from sepsis
The husband of a woman who died from septic shock is to cycle the length of Britain in her Channevy Walsh, from Banstead in Surrey, died in September last year having recently undergone husband, Ben Chavveny Walsh, her brother-in-law, and a group of friends will set off from Lands End on Saturday and hope to reach John O'Groats on 6 team has already raised more than £27,000, which will be donated to the UK Sepsis Trust and Versus Arthritis. Sepsis is when a person's immune system "overreacts" to an infection and starts to damage the body's own tissues and organs, according to the affects roughly 245,000 people in the UK each year and leads to 48,000 deaths. Ben, Anne's husband, says: "To do this in Anne's honour, to remember her, doing something positive in such a terrible situation and to raise money for charities she either worked for or which raises awareness of the condition that took her life, I feel Anne would be proud of us and something she would have done if the roles were reversed." Help prevent tragedy Anne's sister, Veronique Channevy, said she was unaware of what sepsis was before her sister died from the condition."It's hard to believe that five people die in the UK every hour from the illness yet there is so little awareness," she said."With this in mind, we wanted to do something to raise awareness so that the same tragedy could be prevented for other families."The NHS states that adults experiencing the following symptoms should call 999 or go to A&E:acting confused, slurred speech or not making senseblue, grey, pale or blotchy skin, lips or tongue. These symptoms may be easier to see on the palms of the hands or soles of the feet on people with brown or black skina rash that does not fade when a glass is rolled over itdifficulty breathing, breathlessness or breathing very fast