Martha's rule to be introduced in NHS hospitals from April

Martha Mills was enjoying her summer holidays before injuring her pancreas in a cycling accident

Hospitals in England will be offered funding from April to introduce "Martha's rule", the NHS has announced.

The government has backed plans to roll out a system giving seriously ill patients easy access to a second opinion if their condition worsens.

About two-thirds of hospitals - at least 100 - will initially be able to apply to participate in the scheme.

It follows a campaign by the parents of Martha Mills, 13, who died of sepsis because her symptoms were missed.

Martha's mother, Merope, told BBC R4's Today programme she believed the new system would save lives and mean her daughter had not died "in vain".

Ms Mills previously said she and her husband, Paul Laity, had been ignored when they had raised concern about Martha's care and asked for her to be transferred to intensive care.

'Rapid review' of care

Under the new scheme, participating hospitals will receive government funding for posters and leaflets informing patients and their families that they can directly ask a team of critical-care medics for a "rapid review" of treatment, NHS England said.

The reviews will be carried out by a senior doctor or nurse from elsewhere in the building, who specialise in the care of patients who are deteriorating.

Medics will also formally record families' observations of a patient's condition or behaviour.

• Hospital says second opinion phone line saves lives

The British Medical Association (BMA), which represents doctors, said it welcomed the scheme, but said it would need to be carefully monitored before being fully rolled out.

Dr Vishal Sharma, who chairs the BMA consultants committee, said: "For this to result in improvements for patients, it is essential that the current workforce crisis is addressed so that critical care outreach teams have the necessary staff they need to deliver this initiative."

Ms Mills said she was "pleased", because patients and families had a "role to play".

"Sometimes, doctors are incredibly overstretched," she said.

"And they cannot always spot the same changes in a patient that family and patients themselves can."

The new system would have saved Martha's life, Ms Mills said.

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Merope Mills says her daughter Martha's death was preventable

Martha was admitted to King's College Hospital, south London, in 2021, after injuring her pancreas slipping on to the handlebars of her bike while cycling.

She later developed sepsis - but with better care, could have survived, an inquest found.

The hospital apologised for its mistakes.

Ms Mills said: "We told three different consultants that we were worried about her and we were just told she would be fine and this was a normal infection she had.

"And when I had my doubts, still, I had nowhere to go. There was no ripcord to pull. I just had to trust the doctors."

Patients already have the right to a second opinion if their condition deteriorates - but trusts currently operate different systems.

Challenging doctors could be "difficult", Ms Mills said. And without the new scheme, many patients and their families would not know how.

NHS England chief executive Amanda Pritchard said: "NHS teams have been piloting ways to better identify and respond in these cases, over the last year, and the rollout of a national programme to give patients and families 24-7 access to a rapid clinical review will now help ensure that those experiencing acute deterioration can be identified and treated much more quickly.

"While the need for escalation will hopefully only be needed in a small number of cases, I have no doubt that the introduction of Martha's rule has the potential to save many lives in the future."

Health Secretary Victoria Atkins told BBC Breakfast the service would be rolled out across England "step by step".

"This is something I believe very strongly in, and indeed the whole of government does, and so we will be rolling this out across England and supporting hospitals to make sure that this service is as we'd all expect it to be.

"Namely it is there to help divert the horrific circumstances that we saw happen to Martha is prevented and [to ensure] no other family has to go through what Merope and Paul have had to go through."

The scheme rollout would be evaluated over the next year and may be followed by further funding to include all acute hospitals, NHS England said.

Proposals to adapt it for community hospitals and mental-health trusts are also being considered.