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Martha's Rule rolled out at every A&E department in England

Patients, families and staff can call a dedicated number to trigger urgent reviews when they fear deterioration is being missed.

  • NHS England is expanding Martha's Rule to accident and emergency departments across England, guaranteeing patients and families 24-hour access to urgent clinical reviews when health concerns are dismissed.
  • The scheme was established following the death of 13-year-old Martha Mills at King's College Hospital NHS Foundation Trust in south London in 2021. Her parents, Merope Mills and Paul Laity, reported that medical staff repeatedly ignored warnings about her deteriorating condition.
  • A trial across seven hospital trusts evaluated safety in emergency settings. During an eight-month pilot, 69 calls were made to Martha's Rule phone numbers, with some patients receiving urgent surgery or transfers to intensive care.
  • Prof Aidan Fowler, national director of patient safety at NHS England, called the expansion "a critical new lifeline" to improve care. Health minister Baroness Merron said the initiative is part of "wider efforts to put patient safety at the heart of the NHS."
  • The phased rollout is due to be fully completed by March 2028, with hospitals also expected to extend Martha's Rule to maternity and neonatal units. Scotland is beginning to use the scheme, while Northern Ireland is considering adopting it.
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Worcester NewsWorcester News
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Martha's Rule explained as major change comes to A&E departments in England

Martha's Rule allows patients, families, and staff to request an urgent clinical review if they believe a patient’s condition is…

·Worcester, United Kingdom
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The Independent broke the news in London, United Kingdom on Monday, September 21, 2026.
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