17/04/2026
Following on from last weeks post on Meningitis we also wanted to give you a reminder about
Martha’s Rule is a patient safety initiative to provide a way for parents, families and staff to seek an urgent review if they detect deterioration in their loved one or they feel they are not being listened to
Martha Mills was a 13 year old who died of sepsis in 2021 after there was a failure to escalate her to intensive care when her family became concerned. Medics did not respond to the families requests for a review. A coroner ruled that Martha would probably have survived had she been moved to intensive care sooner
Following this Martha’s parents have campaigned for Martha’s Rule to be rolled out across the NHS. Some hospitals have named it Call4Concern
There are 3 parts to Martha’s Rule
1. An escalation process should be available 24/7 with clear advertising to families to contact the critical care outreach team directly
2. The process should also be available to staff who have concerns regarding a patients condition
3. Clinicians should formally record information daily from families regarding the patients health as it is recognised that you know them and their behaviours best
We have always talked in our Parent classes about getting a second opinion if you are concerned about the condition of your child or family member and/or you are not reassured by the advice you have been given. These initiatives give a more formal, recognised way of raising concerns to receive that escalation or second opinion from the correct team in a timely manner
You usually know your family best, you are the person who knows their normal behaviours, if you are worried, let someone know