Martha’s Rule is an important new initiative in the NHS England that aims to ensure that patient, family and caregiver concern for deterioration is heard and acted upon. This is because evidence shows that these groups recognise deterioration earlier, and there are cases, as with Martha Mills, where these concerns are not acted upon quickly enough to prevent harm, or even death. We should all reflect on Martha’s story and Martha’s Rule.
Check out details and statistics on Martha’s Rule at the NHS Website.
You can find NZ Sepsis pathways at the HQSC and Sepsis Trust websites below.
https://www.hqsc.govt.nz/our-work/improved-service-delivery/sepsis/
https://www.sepsis.org.nz/clinical-tools/
Check out the Paper from The Lancet.
Mills E, Lin P, Asghari-Jafarabadi M, West A, Craig S. Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. Lancet Child Adolesc Health. 2025 Jul;9(7):450-458. doi: 10.1016/S2352-4642(25)00098-7. Epub 2025 May 29. PMID: 40451224.
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