Sepsis Awareness

Wednesday 9th October 2024 Westminster Hall

16:30

[Lee Anderson (Ashfield) (Reform)]

I beg to move,

That this House has considered sepsis awareness.

It is a pleasure to serve under your chairmanship, Sir Christopher. Sepsis is one of the least well known medical conditions and the No. 1 cause of preventable death in the world. Eleven million people die each year in the world from sepsis, and that represents one in five of all deaths in the world. Sepsis can be very difficult to detect and hard to distinguish from other illnesses. Sepsis claims more lives than lung cancer, bowel cancer, breast cancer and prostate cancer put together. That is truly astonishing. Across the UK alone, 48,500 people a year die from sepsis. The Academy of Medical Royal Colleges suggests that the figure is much higher—about 68,000 a year. That is incredible.

Given that there are approximately 200,000 cases of sepsis each year in the UK, it costs the NHS between £1.5 billion and £2 billion every single year and the wider economy at least £11 billion a year—some people think the figure is closer to £15 billion. The direct cost of sepsis to the NHS is 1% of its budget.

One reason why I requested this debate today is that I have many constituents who have been unfortunate enough to suffer from sepsis. I have a very brave young lady in the hall today. That is Abbi; she is sitting at the back. I am incredibly proud of the strength and determination she has shown to overcome this illness—she is a survivor. I will tell Abbi’s story. On 28 November 2022, she had been to her doctor’s for some antibiotics for her tonsils, because she was a long-time sufferer of tonsillitis and thought it was tonsillitis again. She had suffered with that all her life, so that was understandable. At 6 pm on that day, she was blue-lighted to King’s Mill Hospital in Ashfield, to the accident and emergency department, because she was fighting for breath and literally dying in front of her husband, Steve, who was sat there. She was given numerous injections of adrenaline while travelling to the hospital, because it was thought that she was having an anaphylactic fit and it was a reaction to the antibiotics that she had had that morning. When she arrived at A&E, she was put on 10 litres of oxygen by the staff, but it was evident that that was not enough; it was not doing the job. But they did not, unfortunately, administer any antibiotics or put her on IVs at that time; no blood tests were taken. Her husband, Steve, was constantly asking the staff, “Is there something else we can do for Abbi?” Only now, looking back a few years later, is it clear that sepsis was never thought of at the time.

Abbi very quickly deteriorated, so she was transferred to the intensive care unit at King’s Mill Hospital, where she was placed in an induced coma. She was fighting for her life, and all her organs began to shut down at a very rapid rate. Only when the ICU did some tests, when the results started to come through, did staff realise how ill she was and that she had actually got pneumonia, strep B and sepsis.

However, that was just the start of Abbi’s journey. When the ICU team realised that the situation was far more complicated than they could deal with at King’s Mill, they contacted Glenfield general hospital in Leicester. She was transferred there to be placed on an ECMO machine, which takes the place of the heart and lungs—I suppose it is a life support machine. She was lucky to have fitted the criteria to go on that machine. She stayed on it for the next three weeks, in a coma and fighting to stay alive. Without it, she would not be here today. There are only five of those machines in the UK, and it costs the NHS £20,000 per day, per patient. While she was on the ECMO machine, it was visible to Abbi’s family that she would lose both hands and both legs beneath the knee, because sepsis had taken over her body and given her gangrene.

On 17 December, Abbi was transferred back to the ICU at King’s Mill hospital because she no longer had to be on the ECMO machine at Leicester, but she still needed round-the-clock intensive care treatment. On 9 February, she was transferred to the burns and plastics ward at Nottingham city hospital, where she would wait for her amputations. Imagine that—having to wait in hospital knowing that they were going to take her arms and legs away, after everything she had been through. On 4 May, she was discharged after spending six months in hospital, coming out as a quadruple amputee. She told me just before the debate began—she sometimes forgets—she also lost the sight in her left eye. Incredibly sad. Incredible, brave lady. That is Abbi’s story, and I thank her for sharing it with me.

Other constituents have contacted me about sepsis, including Karen from Ashfield. Her elderly mother contracted sepsis and had an awful time at the hospital. Her diagnosis was slow. It was not picked up properly, and, just a few months later, she sadly collapsed and passed away. Neil from Ashfield was much luckier. It was picked very quickly. They got the antibiotics into his body and he made a full recovery. With Pam from Ashfield, it was lucky for her husband that she was a former nurse. She recognised the symptoms and insisted that the hospital put the IV antibiotics into his body very quickly. There is a window of about 12 hours to get the antibiotics in. The point of today’s debate is to get the awareness out there, not just in the wider community but in hospitals, because it is very unfortunate that sepsis is being missed. Maybe if they had picked it up quicker in Abbi’s case, we would not be sat here—I do not know. Shirley from Ashfield had a better experience. The hospital picked it up very quickly and she made a full recovery, so there are people making full recoveries.

We all know about the sad story of our colleague, Craig Mackinlay—Lord Mackinlay now. I have had conversations with him over the past few weeks about this debate, although he could not be here today. He had a torrid time. His wife was told he was going to die, but he fought back. I think she put pictures of his family on the ceiling of his room at the hospital. He is a fighter, is Craig. It nearly took his life and it has taken him several months to get over it. We did not know where he was; we thought he was just on holiday somewhere at first. We did not see him for months and then we heard what condition he was in. He came back to Parliament a few months back. I will be honest: there was not a dry eye in the House when he walked in as the bionic man. It was so emotional. He is living proof that we can fight back from this disease and have a reasonable quality of life, given the right support and a good hospital.

As I have said, 48,500 people a year die from sepsis. Other organisations put that figure much higher. That is almost 1,000 people a week dying from sepsis in this country, but if somebody was stopped in the street and asked what it was, they would probably struggle to say. The symptoms are a very high or low temperature, uncontrolled shivering, confusion, passing less urine than normal, and blotchy or cold arms and legs. I know that because a few years back, my wife had those symptoms. My wife has cystic fibrosis and she is post double lung transplant, so she has all sorts of medical problems as well, and we thought that it was maybe a rejection of the lungs or pneumonia. We managed to get her to the hospital, and it was sepsis. They told us at the hospital that if we had left it any longer, she would have died—simple as that—because of other complications and she has no immune system. Last year, when she had it again, we knew straightaway what it was. She had the same symptoms, so we got her there pretty sharpish.

I also learned today from Abbi that, on her road to recovery she got her prosthetic limbs but she is also—I do not know if the Minister is aware of this—on a list at Leeds hospital to have a hand transplant. She has a prosthetic for her right arm, but she is on the list for a hand transplant—it is absolutely amazing that we are doing that now. It offers people a lot of hope—Abbi does not stop smiling. We have a campaign in this country for strokes and we all know the symptoms now. We have all seen the stroke campaign on TV about the facial symptoms or someone not being able to talk or keep their arms up. We know all that now. I would like to see a campaign for sepsis so that families and, more importantly, our hospitals are fully aware. What does it cost to give somebody some antibiotics as a precaution if they are shaking, are cold, are blotchy and have a fever? For goodness’ sake, what does it cost to put an IV on them and get some antibiotics pumped into them while they do the other checks?

[Helen Grant (Maidstone and Malling) (Con)]

I congratulate the hon. Gentleman on securing this important debate. Does he agree that sharing the stories of all those we know who are affected by sepsis, as he has done so sensitively today about his Abbi, helps to highlight the importance of early recognition of this dreadful disease and the importance of early diagnosis?

[Lee Anderson]

The hon. Member is absolutely right, if I am honest, and that is what this debate is about. It is about sharing stories. As I said earlier, we could probably ask 100 people on the street what sepsis is and the vast majority would struggle to tell us what it is and what the symptoms are. What we need, and it is quite right, is a campaign for awareness, whether that is through schools or on social media or the TV. I would really like to see a campaign on sepsis so that everybody knows the symptoms. I am going to wrap up now—I have spoken for 13 minutes. I know there are lots of colleagues present who want to speak as well and I am conscious that we have only an hour.

16:43

[Mike Wood (Kingswinford and South Staffordshire) (Con)]

I congratulate the hon. Member for Ashfield (Lee Anderson) on securing this debate on such an important issue, which is very close to my heart personally. I hope that hon. Members will forgive me if I start by just speaking about myself a little.

In January 2017 after the Christmas break, I came back to Parliament, like many colleagues did, with a bit of a cold. Of course, we carry on working—after all, it is just a cold. Weeks went by and it was getting a bit worse, so I took a course of antibiotics. I suspect, like the hon. Gentleman, a seven-day course of antibiotics very rarely clears up an infection for a gentleman of my physique. Within a short period, the infection was starting to come back and I had a sore throat. Nevertheless, it was only a sore throat, so I went out to Strasbourg for the Parliamentary Assembly of the Council of Europe meeting that week, and while there, my condition deteriorated.

I was feeling really grotty on the Tuesday morning so I just stayed in my hotel room. On Wednesday, things were so bad that I asked someone to do me a favour and go to a chemist. By Thursday, they had got so terrible that I booked an appointment with a GP in Strasbourg, which, as a typical man, was very much a last resort. The GP did the normal checks—blood pressure and the like—and gave me a throat spray. I was feeling pretty awful, so I flew back that evening and struggled through constituency events on Friday. By Saturday morning, I was getting up and putting on my suit on top of my pyjamas and telling my wife that I had to come down to Westminster to vote. She recognised that that was not entirely typical behaviour and phoned for an ambulance.

Within a few hours I was in an induced coma. I remained in a coma for the next 11 days after a septic shock diagnosis. The consultants told my family I had about a 10% chance of surviving and that if I were to pull through it would almost certainly be with life-changing effects—amputations, brain damage or other severe effects. Fortunately, of course, I was extremely and unbelievably lucky, largely because of the amazing care that I received from the staff at Russells Hall hospital in Dudley. Above all, I was lucky that on that Saturday morning as I presented at A&E, the nurse walking past happened to recognise that the symptoms, which looked much like any number of other conditions, particularly meningitis with a rash, could be sepsis.

Sepsis is a life-threatening condition. It is a response to infection that can lead to tissue damage, organ failure and death if not treated promptly. Despite its severity, the number of deaths and the many, many other people left with their lives fundamentally changed by sepsis, very few people are able to spot the signs, which of course delays diagnosis and treatment. Even the GP in France, who I am sure was an extremely well qualified and professional physician, did not spot that my symptoms could be sepsis.

That lack of awareness contributes to the staggering statistics that the hon. Member for Ashfield went through. There are around 48,000 deaths a year in the United Kingdom due to sepsis, which means that by the end of this 60-minute debate, the chances are that five more people will have lost their lives to sepsis. A further 25 people will have had their lives changed by sepsis. Globally, it affects around 49 million people, with probably around 11 million losing their lives each year. There is a growing body of opinion that believes that the majority of covid deaths were probably covid deaths where the infection triggered a septic response.

I keep saying “probably” because, frightening as the figures are, they are best guesses. We do not know. Although the reporting in the United Kingdom is better than in almost any other country, it is still not consistent. It is possible that a death will be recorded just as a multiple organ or respiratory failure despite it being a case of sepsis or of septic shock. It is important that we step up to the challenge of reducing those deaths, which, as has been said, represent more than the number of lives lost to breast, bowel and prostate cancers combined every single year. We need a sepsis register so that we know how many cases there are and how those cases progress.

One of the most alarming aspects of sepsis is that it often goes unrecognised until it is too late. I was lucky that it was spotted as I presented at A&E—even two or three hours later might have made the difference between a 10% chance of survival and a quite minuscule chance. Our friend and former colleague Lord Mackinlay was similarly fortunate; although his condition deteriorated at an astonishingly rapid rate, it was caught just in time for him to survive.

Early identification and diagnosis are important because, in most cases, timely broad-based intravenous antibiotics will be enough to stop the infection from triggering a septic response. Promoting Sepsis Awareness Month is therefore not just about sharing statistics or stories; it is about saving lives. By educating the public and healthcare professionals about the signs and symptoms of sepsis, we can ensure that more people receive the urgent care they need.

The UK Sepsis Trust, which does so much amazing work and is led by the incredible Dr Ron Daniels, has a three-point plan that we all need to get behind. We need to be able to measure and publish performance data on sepsis care pathways, so that we can see how they are responded to and can measure successes and where things have not been done correctly. We need fast and reliable diagnostics, to allow those on the frontline to make the correct decisions quickly, without lengthy waits for test results to be returned from central laboratories. We also need to increase awareness of sepsis, as the hon. Member for Ashfield is doing so well with his debate today, to ensure that medical professionals and the public are able to ask the question: could it be sepsis?

I am speaking with a slightly croaky throat, but I am fairly sure that this time it is not the strep B infection that triggered that septic shock in January 2017. I can be confident because, unlike nearly eight years ago, I am all too aware of the signs and symptoms of sepsis: slurred speech or confusion, extreme shivering or muscle pain, passing no urine for a day or more, severe breathlessness, skin that is mottled or discoloured, and a feeling normally described as “like you are going to die.” Having had it, I would say, “It feels like you want to die.”

If the public and healthcare professionals across the system are aware, can look out for those six signs, and ask that question—could it be sepsis?—then many more lives could be saved. Sepsis could then be spotted earlier in people like Abbi, whom the hon. Gentleman spoke so movingly about, and Lord Mackinlay, and we can ensure that life-changing conditions can be dealt with far sooner.

16:53

[Robin Swann (South Antrim) (UUP)]

I thank the hon. Member for Ashfield (Lee Anderson) for moving the motion and for speaking about not just the political side but the personal side of this debate, through the story of Abbi. I congratulate her on her bravery and on being here to hear the debate.

In reflecting on what the hon. Member said, what I will say to the Minister is that although we talk so much about health being devolved to the other nations, at times we have to take a step back and see what our national health service can do at that national level. The hon. Member’s ask for a sepsis awareness campaign is surely something that our public health agencies, health trusts, Ministers and Departments across this United Kingdom can take on and look at on a four-nations basis. Sepsis affects everybody and every region equally, so that is something that we can do. I thank the hon. Member for raising the issue here today.

I was Health Minister in Northern Ireland for three and a half years and, looking back, sepsis was not an issue that was high on our agenda—or even my agenda—at that time. There is a realisation from the stories that we have heard today, including those of Abbi, the hon. Member for Ashfield and the hon. Member for Kingswinford and South Staffordshire (Mike Wood), that brings home the seriousness of it. I looked back to see what had been done in Northern Ireland on raising awareness of sepsis. In 2019, Unison ran an awareness campaign in Northern Ireland for its members and, in 2020, the South Eastern health and social care trust—one of our five geographical health trusts— ran a campaign, but I could find nothing done centrally or pushed out by our public health agency. There is so much more we can do.

I found one positive thing: a piece of work was published last month by Sepsis Research FEAT and the James Lind Alliance, in which they identify the top 10 research priorities that could shape the future of sepsis treatment and care, with the goal of saving tens of thousands of lives each year, as well as addressing the financial implications that the hon. Member for Ashfield talked about. Those top 10 priorities address critical questions, including how to improve the accuracy and speed of diagnosis, which has been mentioned today; exploring alternatives to antibiotics; and investigating the long-term effects of sepsis, which is now referred to as post-sepsis syndrome because of the after-effects of having that illness. As a life-threatening condition that can affect anyone, sepsis often progresses rapidly, leading to death or life-altering consequences for survivors, with post-traumatic stress disorder even being identified in previous sufferers.

I mention that research because it was co-led by a professor from Queen’s University Belfast. It suggests that work on sepsis can be brought forward, so I encourage the Minister to look at that research, which was published last month and also involved professors from Cambridge and Edinburgh. The Minister can take that work forward after this debate, but he should also engage with his ministerial counterparts across the United Kingdom and follow the hon. Member’s appeal for UK-wide awareness of sepsis and what can be done to prevent it. In closing, I congratulate Abbi once again for being here to put a personal face on a very challenging condition. Hopefully, today’s debate will have a positive outcome.

16:57

[Graham Leadbitter (Moray West, Nairn and Strathspey) (SNP)]

It is a pleasure to serve under your chairmanship today, Sir Christopher. I want to recount the experience of my constituency colleague and friend, Richard Lochhead, Member of the Scottish Parliament for Moray. Late last year, Richard became ill with flu-like symptoms at an event in Edinburgh. Days later, back in Elgin in the constituency, he collapsed at home and was blue-lighted to Dr Gray’s hospital in Elgin, and then on to the Aberdeen Royal infirmary. He had, of course, developed sepsis from what seemed like common flu-like symptoms.

Richard has said publicly:

“There’s no doubt that I’m lucky to be here.”

The sepsis had attacked his heart and he required emergency open heart surgery. He was an otherwise healthy individual who enjoys cycling and, hopefully, he will be able to get back to that—I certainly think he will, given how he looked when I saw him most recently. He spent six weeks in hospital and said there were times when he “couldn’t do anything”. He also described having to learn to walk again. He lost his voice and that took several weeks to return. For any politician, obviously, losing their voice is a difficult thing to deal with.

Richard has thankfully made a faster than expected recovery, having been at death’s door, although that recovery has still been many months. He is now back representing his constituents in his inimitable style, and carrying out his ministerial duties in the Scottish Government most effectively. I am sure colleagues will join me in wishing him well for his continuing recovery, albeit that he is most of the way there now. A combination of expert care, his own determination and, arguably, some luck, got him to that point, but many others—as we have heard from colleagues today—are not so lucky.

It was reported in the excellent Press and Journal newspaper that in the last year alone almost one person a day in Grampian, Highland and Islands has died from sepsis. More than 2,200 patients needed ward treatment, with around six admissions a day in an area represented by just 11 MPs. With more than 600 MPs in this place, that gives an indication of how big and shocking the impact of sepsis is.

This is bluntly a life and death issue, and I commend the hon. Member for Ashfield (Lee Anderson) for bringing forward this debate and, vitally, for keeping the issue in the spotlight. The symptoms that have been described by others are critical for people to understand. No one should gamble on whether it may or not be sepsis. If they have the slightest inkling that sepsis might be the cause of an illness, they should get to a doctor and a hospital and get checked out.

17:00

[James McMurdock (South Basildon and East Thurrock) (Reform)]

I thank my hon. Friend the Member for Ashfield (Lee Anderson) for this debate. It is hard to think of a more appropriate topic. I also thank Abbi—who has shared with us the warmest smile that I have seen in a long time—and her husband for being here; it is a privilege to meet them.

I want to take a moment to share a personal story, to show why drawing attention to this subject is one of the most appropriate things we can do as Members of Parliament. I have four young children at home. After the birth of the most recent one, my wife began to suffer some of the symptoms we have discussed today, but—very much like the hon. Member for Kingswinford and South Staffordshire (Mike Wood)—tough Brits do not easily give in to the hospital. As fate would have it, though, we had a meeting that morning with a carer who was checking on women who had recently had children. She popped round to check on the welfare of baby and mother, and although my wife and I were adamant that everything would be fine, this skilled professional spotted the symptoms immediately and demanded that we were rushed to hospital. We were there within half an hour and, within another 20 minutes, there were around a dozen doctors, nurses and support staff rushing around like maniacs. Although I cannot remember the specific number of signs, they were tenfold, fifteenfold, twentyfold what they should be in a healthy person. The staff may have saved my wife’s life in very real terms.

That is why I wanted to take this moment to recognise why this issue is extremely appropriate. The consequences of catching sepsis are minor, but the consequences of not catching it are extraordinarily severe. The difference is cheap: it is education; it is information that we can all carry with us for free, but which can potentially benefit someone’s life.

I want to take one last moment to again thank Abbi for sharing her story and my hon. Friend the Member for Ashfield for allowing us to hold this debate, and to thank the extraordinary staff at Basildon University Hospital.

[Sir Christopher Chope (in the Chair)]

There are two more speakers and six minutes to go, so that is three minutes each.

17:03

[Jim Shannon (Strangford) (DUP)]

First, I thank the hon. Member for Ashfield (Lee Anderson) for raising this issue. He and I spoke this week, and his perseverance and hard work have given us a chance to make a contribution. I also commend Abbi for coming here today and for giving her personal story, which the hon. Member for Ashfield referred to. I salute her courage and bravery through all these hard times, as well as her wonderful smile, which the hon. Member for South Basildon and East Thurrock (James McMurdock) mentioned.

As the DUP’s health spokesperson, I add my voice to those of other hon. Members to raise awareness of sepsis. With superior hygiene and antibiotics available on tap, we have a tendency to think that sepsis is a disease of the past, when it clearly is not. The sad fact is that, during this one-hour debate, five people in the UK will lose their lives. This debate is to hammer home the need for people to be aware of the signs of sepsis.

My dad had sepsis in hospital a long time ago. It was a minor case, with the advantage that he healed quickly. He was right there in the hospital where the nurses were and the reaction was immediate to ensure that he survived.

Most parents are aware of the glass test for meningitis, which has been hammered home on multiple occasions. However, when I did a quick survey of my office staff—three of the five are parents and one had training from St John Ambulance—it shocked me that the only person who knew what sepsis was was the St John Ambulance volunteer; the others talked about extremities turning black, which is almost end-stage sepsis. We need to be aware of the symptoms before that, and that quick survey has pushed me into thinking that there needs to be more awareness among parents and communities as a whole. I know that the Minister will try to respond—he always does and he is assiduous in what he does.

The charity Sepsis NI said that we currently have no recovery protocols in place in Northern Ireland for sepsis, although that is not just a problem in Northern Ireland. When patients leave hospital, the fact that they may have been treated and survived does not mean that they are in any way better; in fact, most are still seriously ill and need both physical and psychological help. We still need to work on a GP and hospital after-care plan, and I hope the Minister will share some of his ideas with the Assembly back home. The situation must change, and we need a UK-wide strategy to deal with this issue across the UK.

Lastly, this statistic is a good one to put on record: the best guess for Northern Ireland is that 7,020 people will be affected by sepsis this year and 1,240 will die. If those facts do not scare us, they need to. People need to be aware of the symptoms: the fast breathing, dizziness, pale and mottled skin, high temperature and cold body. We all need to be able to call those to mind as quickly as we do with other major killers, such as meningitis.

This debate is a good step in raising awareness. I very much support my colleagues in asking for more to be done centrally, using a co-ordinated approach to raise awareness UK-wide of the killer that is sepsis. I again thank the hon. Member for Ashfield.

17:06

[Richard Tice (Boston and Skegness) (Reform)]

It is an honour to speak under your chairmanship, Sir Christopher, and I congratulate my hon. Friend the Member for Ashfield (Lee Anderson) on securing the debate.

These are extraordinary tales that we hear from loved ones and family. A very good friend of mine nearly died of sepsis seven years ago, but—I have to be honest—I had never heard of it until that moment when he nearly passed away. This could be one of the most extraordinary opportunities for our healthcare system to make a rapid difference.

Sepsis is so quick but so preventable. In the pressured environment of our hospitals and our GPs’ surgeries, it is so easy for healthcare professionals to miss it. If it becomes embedded in all of us through a major publicity campaign, which could be organised relatively quickly, to ask ourselves that simple question, “Could it be sepsis?”, in the same way that we often ask, “Could it be meningitis?”, and if we could help medical professionals by asking them that question too, we will have the ability to prevent death or major life-changing injuries and to save money for the NHS. It is a massive win-win, and I hope the Minister can rapidly respond both positively and appropriately.

17:08

[Alison Bennett (Mid Sussex) (LD)]

It is a pleasure to serve under your chairmanship, Sir Christopher, and I congratulate the hon. Member for Ashfield (Lee Anderson) on bringing this important debate forward today. I also want to take a moment to recognise Abbi, who is in the Public Gallery, for her bravery in all she has done and for coming here today and the work she is doing just by being here and raising the profile of sepsis.

While initiatives such as sepsis six have helped to improve outcomes for people who have sepsis in recent years, urgent challenges remain, in terms of both the awareness and the treatment protocols we have, and the resources we put into treating the condition. In preparing for the debate, I was able to grab five minutes with a constituent and a dear friend. She has looked after her mother, who was hospitalised and very ill for a long time, after being bitten by the family dog and developing sepsis. Eventually, over a number of years, she has been able to come home.

As well as caring for her mother, my friend is a consultant geriatrician locally to me in Mid Sussex and has a great deal of experience of what it is like treating sepsis in hospital. She wanted to emphasise that awareness of sepsis has grown among healthcare professionals and is much better understood than it once was. The UK Sepsis Trust, through its action and activism, has seen a real increase in public awareness of sepsis. In 2012, only 27% of people understood the severity of the condition, but that figure had soared by 2019 to 76%. Awareness is going in the right direction, although more certainly needs to be done.

While raising awareness is a part of this, public awareness alone is not enough. We must improve things such as diagnostic testing for sepsis through investment in hospital equipment and increased laboratory capacity. We cannot expect healthcare professionals to act swiftly if they are not given the tools they need to do their job to the best of their skilled ability.

I was grateful to the hon. Member for South Basildon and East Thurrock (James McMurdock) for raising the issue of maternal sepsis. In September, the Care Quality Commission reported that 48% of trusts were rated “Inadequate” or “Requires improvement” for maternity services. Sadly, that includes my own trust, the University hospitals Sussex NHS foundation trust. Sepsis is just one risk factor in having poor maternity provision. All maternity units must meet high standards of care. That includes having adequate facilities and equipment and access to best practice care around the clock, especially for those experiencing miscarriage.

Moving on to emergencies, we know that demand for ambulances is intense, not just because of the winter pressures that come around every year but because of longer-term pressures. In my seat of Mid Sussex, the South East Coast Ambulance Service is predicting a 15% increase in demand for ambulances over the next five years. Response times for urgent conditions such as sepsis need to be improved. Across England last year, the NHS failed to meet response targets in every region for category 2 emergencies, which includes sepsis. We need to increase the number of staffed hospital beds and improve social care to cut delays in ambulance handovers, and it is imperative that the Government publish localised reports on ambulance response times. We must create an emergency fund to reverse the closure of community ambulance stations.

In conclusion, while we have made significant progress in raising awareness of sepsis, the fight is far from over. We must continue to push for better diagnostics, increased funding and improved care standards, ensuring that everyone, regardless of their background, has access to the best possible treatment.

17:12

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

It is a pleasure to serve under your chairmanship, Sir Christopher. I congratulate the hon. Member for Ashfield (Lee Anderson) on securing a debate on this very important topic. I should also declare an interest as an NHS consultant paediatrician. I have cared for and continue in my work to care for people with this condition.

I would like to thank Abbi for coming today. It was an honour to meet earlier today and to hear her story from her MP, which highlighted both the difficulties she faced in getting good immediate care for sepsis and the consequences of that. I commend her for the bravery she has shown in coming today and for raising this issue for the benefit of other people. This debate will increase awareness, which is a very positive thing.

I remember sitting in the Chamber earlier this year when the former hon. Member for South Thanet re-entered Parliament to a standing ovation—an exceptionally rare occurrence in the House of Commons. It is truly humbling to reflect on the journey that he has been through in such a short space of time. Little over a year ago, he had no outward signs of sepsis at all. He has now become one of the most well-known advocates for people with it. His case brought renewed attention to this disease, which kills nearly 50,000 people in the UK every year. As the hon. Member for Ashfield said, that is around the same number of people who die from bowel, breast and prostate cancer combined.

The case of our former colleague speaks to not only a remarkable recovery but the suddenness with which sepsis can utterly change someone’s life. As many people have said today, early identification is vital. Under the previous Government, awareness of sepsis improved significantly, as did the clinical recognition of symptoms, screening rates and the administration of antibiotic treatment, but there is much more to do.

I want to commend the UK Sepsis Trust and other public campaigners who played a significant role in improving awareness among the general public. A recent YouGov survey showed that the UK has high levels of public awareness compared with other countries. Will the Minister say what steps the Government will take to work with NHS England and patient groups such as the UK Sepsis Trust to raise public awareness, so that people can more easily identify the signs of sepsis? I have also asked this of another Minister, but have not yet received an answer. The Chancellor said that she was cutting the communications budget—can the Minister confirm that those cuts will not affect the important public health messaging for campaigns like this? It is important that we do not cut budgets that will save people’s lives and, indeed, save the NHS money. It is also important to raise awareness not just across the general public, but among health professionals, including medical staff in both hospitals and communities.

The national early warning score has been introduced and is being rolled out, along with the sepsis six, which was developed with the UK Sepsis Trust. The six—oxygen, cultures, antibiotics, fluids, lactate management and urinary output monitoring—must all be carried out within the first hour. Has the Minister established how well those measures are being rolled out across the UK, and what is he doing to ensure that is being done effectively? The National Institute for Health and Care Excellence updated its guidance earlier this year. Will the Minister update the House on how effectively that guidance has been implemented across the UK? Martha’s rule was introduced before the election; the rule relates to the ability for people to get a second opinion from another health professional if they remain concerned about their loved one or themselves. Will the Minister update the House on the work the NHS is doing to roll that out, too?

Research is the cornerstone of transforming sepsis care, and the last Government invested more than £1 billion through the National Institute for Health and Care Research. It is important that we research the causes of and treatment for sepsis, but we must also research new antibiotics, because we are starting to see antibiotic resistance to infections. If we do not invest in antibiotic research, new antibiotics will not be developed—we are essentially asking people to develop a drug to be kept on the shelf for when we need it, and there is no money in that, so it will not get commercial take-up. It is therefore important that the Government invest in that.

The UK Sepsis Trust is calling on the Government to publish data on the sepsis care pathway so that we can see where it is performing well and where it is performing less well. I urge the Government to do that. It would be helpful if the Minister could confirm today that they will do so.

As we close the debate, let us remember what we are fighting for. Sepsis takes the lives of 50,000 people every year. It strikes suddenly and often without warning, as Lord Mackinlay’s case reminds us so powerfully. Early identification and rapid treatment are the keys to saving lives; we have made strides, and awareness is growing, but we must do more. We must continue to improve recognition, strengthen control and push forward with life-saving initiatives. I urge the Government today not just to maintain their commitment but to strengthen it by partnering with NHS England, publishing more data, researching the causes of sepsis and ensuring we can fight this disease together.

[Sir Christopher Chope (in the Chair)]

I thank the Front Benchers for sticking to their five minutes, which means the Minister now has 10 minutes; there will hopefully also be a couple of minutes for the proposer to reply.

17:18

[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

It is good to serve under your chairmanship, Sir Christopher. I start by welcoming new Members to this House. I know it has been three months since the general election, but this is my first opportunity as a Health Minister to welcome those who have a clear interest in public health and prevention matters. I assure Members of the House that I will work with all Members to try to get those better outcomes. Working across party is how I always operated in opposition, and I seek to do the same in government. I also want to welcome the shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson), to her post. We very briefly went head to head in the past when I shadowed her—I hope that she gets to shadow me for longer.

I congratulate the hon. Member for Ashfield (Lee Anderson) on securing this important debate. He is a chap who always wears his heart on his sleeve. Whether we agree with him or not, he is always forthright and passionate about the causes that he cares for. This is a cause for which there is commonality across the House, and I want to thank him sincerely for putting forward such an eloquent case to me, as the new Public Health and Prevention Minister, and for setting out the story of his constituent, Abbi. I am going to make her blush, and we have all said it, but she has a wonderful smile—she really has. I hope she will still be smiling at the end of the debate because I want to ensure that the Government do more on raising awareness of sepsis.

I have always taken the view that Members vastly enrich our debates with their own experiences and those of their constituents, and we heard it again in contributions over the course of the debate. I want to start by saying as the Minister that my deepest condolences go to the families and friends of everyone lost to sepsis, including those watching the debate elsewhere. Sepsis is a devastating condition. Last month was Sepsis Awareness Month. I want to pay tribute to the outstanding sepsis charities, including UK Sepsis Trust and Sepsis Research FEAT. They do so much to raise awareness, support families and fund research.

The shadow Minister mentioned Martha’s rule, and I want to touch on that. Throughout the history of the NHS, families have been at the heart of driving change and, indeed, holding our health service to account. Members may have read, as I did, Merope Mills’ article in the Guardian describing her daughter’s last few days in hospital. It was a difficult read—there is no getting away from that—and I cannot even begin to imagine how difficult that article was to write. At just 13 years old, Martha was a bright, bubbly young girl and, in her mum’s words, a “feminist in the making.” She should not have died. Her parents should have been listened to, they should have been kept in the loop, and they should have been treated with the respect they deserved. Talking to families should never be some tick-box exercise. On the contrary, nobody knows their child better than a mum and dad, as we know. Families have a critical part to play in their own care, and we need to ensure that their concerns are heard and acted on.

Thanks to Martha’s parents and other campaigners, NHS England will roll out Martha’s rule across 143 hospital sites by March next year. That initiative will enable patients and their families to seek a second opinion or a rapid review from someone outside their care team if they are concerned that their condition is deteriorating.

On sepsis training, NHS England has developed specific sepsis training resources to improve sepsis recognition for clinical and non-clinical staff in the NHS. Guidelines for recognition, diagnosis and early management of suspected sepsis were updated earlier this year. It is critical that those updates are constantly implemented by frontline clinical staff to drive real improvements on the ground. It is also important that we recognise the life-altering complications of sepsis, such as multiple limb amputations, as again was so eloquently set out by the hon. Member for Ashfield. Again, I want to thank Abbi for being here today—there is nothing more powerful than her presence in the Gallery.

Physical rehabilitation is an important part of the recovery process. It can be a long, difficult and frustrating process, so it is important that the NHS continues to place patients at the heart of rehabilitation services and focuses on meeting individual goals and improving their quality of life.

On public awareness, as has already been said by numerous Members, we all remember that incredible moment when Lord Mackinlay, who had a life-threatening battle with sepsis, walked into the House of Commons Chamber just before the general election was called. His moving testimony shone a spotlight on the physical and emotional pain of sepsis survivors and their families. I welcome his advocacy in that area. In the NHS, our focus must be on improving the early recognition and clinical treatment of sepsis. We should thank everyone who has campaigned on that.

Sepsis is a clinically complex condition. The signs and symptoms vary hugely, particularly in the early stages. Moreover, sepsis is not a single disease; it does not have a single diagnostic test. The NHS has got better at recognising and treating sepsis by the introduction of the national early warning score, a screening and decision support tool now used by 100% of ambulance trusts, and 99% of acute trusts, in England. Last year, NHS England ran a financial incentive scheme to encourage the use of the national early warning score to improve responses to unwell and deteriorating patients, and several trusts have rolled out the national paediatric early warning score to ensure the recognition of deterioration in children. We need to maintain that momentum, continuing to improve care and reduce preventable deaths from sepsis—because they are preventable, and we should do all we can to prevent them.

I want to see patients and families empowered to seek timely medical help. The job of the healthcare system is to ensure that frontline staff can recognise sick patients and respond quickly to provide lifesaving treatment. To support that, in the last five years, the National Institute for Health and Care Research has invested over £19.7 million of funding in 20 research projects on sepsis diagnosis, management and treatment, and it welcomes applications for research on sepsis.

I want to touch briefly on antimicrobial resistance. Our treatment of sepsis relies on effective antibiotics. That is why the Government are focused on tackling antimicrobial resistance by implementing the UK’s five-year national action plan.

On improving awareness, I spend almost every day thinking about prevention—it is in the title of my job—and preventing infection is the best way to avoid sepsis. I agree with the hon. Member for Ashfield, and indeed other Members, that we should be doing all we can to better educate and inform. It is heartwarming that in the latest statistics we have, awareness of sepsis is not only increasing, it is at relatively high levels. But we should never rest on our laurels. We have to keep reminding people of sepsis. That is why I will work with the hon. Member for Ashfield and others to ensure that we get the support we need.

I will work on a four-nation basis with colleagues across the devolved Administrations. One of my first jobs was to talk to Mike Nesbitt, the Health Minister in Northern Ireland, and the Welsh and Scottish Health Ministers, about health issues to which we have a common approach. Sepsis has to be one of those.

Finally, I assure the shadow Minister, the hon. Member for Sleaford and North Hykeham, that the comms budgets will not be cut for public health measures.

17:28

[Lee Anderson]

I thank every hon. Member here for making some wonderful contributions and sharing some stories. I think the hon. Member for Kingswinford and South Staffordshire (Mike Wood) summed it all up perfectly: “Could it be sepsis?” That is the question all health professionals and families should be asking themselves if they see the symptoms.

It has been a wonderful debate. Once again, I thank Abbi and Steve for coming here, because it is real-life stories such as Abbi’s that inspire us as MPs to tell them in this place. If we cannot do anything about sepsis awareness, such as having a campaign, I would be very disappointed. However, I have been very encouraged by what the Minister has said today, and by fellow Members from all parties. All I can say to sum up, Sir Christopher, is, “Could it be sepsis?”

Question put and agreed to.

Resolved,

That this House has considered sepsis awareness.

17:29

Sitting adjourned.