Martha’s Rule will be extended to every accident and emergency department in England, giving patients, relatives and staff a way to request an urgent review when they believe someone’s condition is worsening and their concerns are not being addressed. 🏥
The patient-safety scheme lets people seek a review from a different clinical team. It is named after Martha Mills, who died aged 13 in 2021 after developing sepsis in hospital; a coroner concluded she would probably have survived with an earlier transfer to intensive care.
NHS England says it received 17,490 Martha’s Rule calls from September 2024 through June 2026. Of those, 3,174 escalation calls led to changes in treatment, showing how the pathway can alter care after concerns are raised. 📞
The A&E expansion follows an eight-month pilot in seven trusts, during which 69 calls were made and some patients received urgent surgery or were transferred to intensive care. The rollout is due to be completed by March 2028.
The scheme already operates for acute inpatients and has also been extended to maternity and neonatal settings in England. The new emergency-department phase includes waiting rooms, where relatives and patients may raise concerns before admission.