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The Independent UK
The Independent UK
National
Jane Kirby

Martha’s Rule to be rolled out at every hospital A&E in England

  • Martha’s Rule, which guarantees 24-hour access to urgent clinical reviews, is being expanded into NHS hospital accident and emergency departments across England.
  • The scheme was created following the death of 13-year-old Martha Mills, who died from sepsis in 2021 after clinicians failed to act on her parents' repeated warnings.
  • The expansion allows patients, families and staff in A&E to call a dedicated helpline to request a second opinion if a patient's health deteriorates and concerns are being ignored.
  • An eight-month trial across seven hospital trusts resulted in 69 calls, with several patients subsequently receiving urgent surgery or intensive care transfers.
  • The phased rollout across A&Es, as well as maternity and neonatal units, is scheduled to be fully completed by March 2028.

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