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Martha's rule rolled out to all acute hospitals in England after hundreds of lives saved

Since April 2024, 4,906 calls to Martha's Rule helplines led to 720 care changes and 794 delays addressed, enhancing patient safety by providing rapid second opinions in acute hospitals.

  • NHS England has rolled out Martha's rule to every acute hospital in England, extending the Martha's rule helpline piloted in 143 hospital sites to all 210 acute inpatient sites.
  • Following ignored concerns about her care, Martha Mills developed sepsis at King's College Hospital NHS Foundation Trust, and a coroner found she would likely have survived if escalated earlier; her parents, Merope Mills and Paul Laity, campaigned for a formal escalation route.
  • Data from NHS England show 4,906 calls to Martha's rule helplines, with almost three-quarters from families, leading to 720 changes in care and 241 potentially life-saving interventions.
  • The escalation process offers 24/7 access to a critical care team for a second opinion, and staff including junior staff can trigger an independent urgent review.
  • An ongoing evaluation will guide possible expansion beyond acute hospitals, while the Welsh Government plans to roll out Call4Concern to all hospitals by the end of next year and the Department of Health in Northern Ireland monitors the English rollout.
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Martha’s rule for second opinion rolled out to every acute hospital in England

Martha Mills developed sepsis while under the care of King’s College Hospital NHS Foundation Trust in south London.

·London, United Kingdom
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Daily News Update broke the news in on Thursday, September 4, 2025.
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