Sepsis Awareness Month

(Limited Text - Ministerial Extracts only)

Tuesday 15th September 2026 Commons Chamber

[The Minister for Public Health and Patient Safety (Dame Diana Johnson)]

I start by congratulating the hon. Member for Kingswinford and South Staffordshire (Mike Wood) on securing this important debate on the Floor of the House of Commons from the Backbench Business Committee during Sepsis Awareness Month. I also thank him for his tireless advocacy on sepsis as the co-chair of the APPG. In his excellent opening speech, he spoke very movingly about his own experience. He said that consultants gave him a 10% chance of survival when he was ill with sepsis, so the odds were that he would not be with us today, but I am very grateful that he is and that he is looking so well, and that he can be such a strong voice in this place on sepsis.

I also compliment Lord Mackinlay on the work that he carries on in the other place. Like the shadow Minister, I remember the standing ovation he received when he returned to the House of Commons after battling life-threatening sepsis in 2023, resulting in four limb amputations—what a brave and decent man! Many tributes have been paid to him across the Chamber this afternoon.

I will refer to some of the contributions that have been made. My hon. Friend the Member for Dartford (Jim Dickson) spoke powerfully on behalf of his constituent John, who fought sepsis and is a quadruple amputee. He talked very movingly about how the community had rallied around the family to provide support, but also spoke about how we need to do much more to support people like John in the post-recovery period.

My hon. Friend the Member for Carlisle (Ms Minns) spoke eloquently about her mum, who she lost to sepsis last year—I hope she will accept my condolences—and also her constituent, Kelly Pattison. She reminded us that sepsis affects people in different ways and how important it is to remember that. The hon. Member for Winchester (Dr Chambers), who speaks on behalf of the Liberal Democrats, highlighted the particular risks that people with cancer face from sepsis. I will certainly take back to the Department the concerns that he has raised today.

Sepsis is a devastating condition. It also costs the NHS significant sums of money—more than £1 billion between 2024 and 2025. During Sepsis Awareness Month, I pay tribute to the charities, such as the UK Sepsis Trust and Sepsis Research FEAT, that do so much to support families, raise awareness and fund research. Their contribution to the new sepsis modern service framework was invaluable, and they acted as a megaphone for so many people whose lives have been devastated by sepsis. My deepest condolences go out to everyone who has been affected, not least Merope Mills and other campaigners, but I know that people are not seeking my sympathy today; they want the Government to support the case they are making.

Turning to the sepsis modern service framework, we worked hand in hand with patient representatives, clinical experts, professional bodies, NHS organisations and charities to build the framework. It has entered the history books as the first-ever large-scale engagement process for improving sepsis care. The framework spells out this Government’s commitment to transform sepsis care by 2035. It sets out priority actions to improve prevention, recognition, treatment and recovery while accelerating innovation.

I completely understand that people will say, “Okay, you have now got the framework. What happens next?” We are going to make real progress, and by doing that, we are going to raise our game in a number of areas, including science, technology and data. The National Institute for Health and Care Research, working with academia, industry and other partners, will develop a national research and innovation action plan for sepsis by March next year. That will include research calls that cover sepsis improvement priorities, whether it is vaccination and screening, faster and more accurate diagnosis or innovative treatments.

It is true that the most recent data from the Office for National Statistics suggests that sepsis deaths went down in 2024. However, the data is incomplete and inconsistent. That is due to changes in awareness, diagnosis and recording, making it harder to understand variation and improve care. Without that data, we do not have a full picture, and that is why the framework commits to collecting better sepsis data and why NHS England is commissioning a national infection and sepsis audit. That should give us a clearer picture of mortality, underlying causes and which groups are most affected.

Turning to understanding, it is right to say that Members have highlighted that sepsis is a complex condition that is difficult to recognise because of the variation in symptoms. Many people are unaware that sepsis can develop from common infections, such as urinary tract infections, and few can recognise the full range of symptoms. That is precisely why raising awareness is so important. As we have heard from Members across the House today, the work of campaigners has had a huge impact across the NHS and wider society. The NHS now has a planned, targeted public communications campaign to improve awareness of sepsis symptoms and the actions to take.

[Greg Smith (Mid Buckinghamshire) (Con)]

As was mentioned earlier, the UK Sepsis Trust had a big bang in 2016 with the famous orange and red posters saying, “Just ask ‘Could it be sepsis?’”, which can be seen in many GP surgeries, hospital waiting rooms and so forth. However, those information campaigns dwindle; they become samey, and people get used to seeing them and then not thinking about them. How can the Government organise an almost permanent campaign that refreshes awareness of such a huge killer in our country in the minds of the clinicians and doctors who do such wonderful work, but are under such incredible pressure that they need a constant reminder of conditions such as sepsis?

[Dame Diana Johnson]

I entirely take the hon. Gentleman’s point. We are working all the time on maintaining good public campaigns on issues such as this, and we are reviewing what works and the best methods to use. A campaign of this kind should not be limited to one point in time; it must be ongoing.

The NHS has got better at recognising and responding to all causes of deterioration, including sepsis, since the introduction of the national early warning score. This system helps to identify patients who are seriously ill through clear, scored measurements that are routinely recorded by their bedsides. It is used by every ambulance trust and 99% of acute trusts in England, and the sepsis modern service framework will improve the consistency of its use. To further support the way in which we identify sepsis, the framework prioritises advances in faster, more accurate diagnosis to improve outcomes and the correct use of antibiotics. It will support better access to rapid tests in urgent and emergency care to tackle the problems that occur with the services that are often under the most pressure, where sepsis can slip through the cracks. In the longer term, the Government are promoting wearable health technologies as part of our 10-year plan. The framework will also explore new point of care tests that can determine exactly what kind of infection someone may have, alongside the use of those wearable technologies to support the monitoring of high-risk groups.

No one knows a child better than his or her parents or carers, which is why listening to patients, carers and families is vital to supporting sepsis recognition and escalation. Too many cases have shown the devastating consequences when deterioration concerns are not heard. The death of Martha Mills was an avoidable tragedy, but I hope that her parents take some consolation from knowing that Martha’s rule is saving lives and helping thousands of patients to benefit from changes in their care. I thank them for their tireless campaigning in Martha’ memory, and the real change that it has brought.

Let me remind the House that Martha’s rule means that patients, their families and staff can request a rapid review from a different team if deterioration concerns are not being recognised. Between September 2024 and June this year, nearly 17,500 Martha’s rule calls were made, 5,000 of which were made when a family feared that their loved one’s condition was deteriorating rapidly. Of those, 60% required changes in treatment, with 13% leading to transfers to intensive care and 47% leading to other care changes, including investigations and procedural interventions. Today, Martha’s rule is being rolled out in all acute hospitals in England.

As Members have pointed out this afternoon, it is important to note what happens to people who survive sepsis. They may experience a range of long-term physical, psychological and cognitive health consequences. As the Secretary of State has said, the NHS is cradle to grave, and that means everything in between. It is not acceptable that when someone has been through the worst experience of their life, they are just left to get on with it. That is why we are committed to improving access to post-discharge support and rehabilitation, with priority actions set out in the framework.

Of course, the best way in which to stop sepsis is to prevent infection. Vaccination and infection prevention and control are fundamental. As was mentioned earlier, the outbreaks of meningitis B in England this year demonstrated how quickly infection can lead to sepsis and death. Those outbreaks highlighted the importance of prompt treatment and the benefits of vaccination. The one-off NHS menB vaccination programme has successfully delivered nearly 250,000 first doses to eligible young people across England since its launch on 20 July 2026. I encourage everyone who has not yet come forward to do so, and to ensure that they obtain both doses of the vaccine for proper protection.

The framework commits to improving vaccine access. The shadow Minister put a number of questions to me. I will respond in writing, as I am conscious of the time. The framework also recognises the tension between prompt antimicrobial treatment for sepsis and the risks of unnecessary antibiotic use, and it complements initiatives within the antimicrobial resistance national action plan.

The hon. Member for Kingswinford and South Staffordshire raised a specific question about funding. I want to make it clear that the immediate and short-term actions will be delivered within existing funding under the current departmental allocation, following the 2025 spending review. Longer-term funding is subject to future spending reviews. The Department and NHS England are committed to prioritising funding for sepsis in future spending bids. The framework is a 10-year plan. I do not pretend that we will deliver everything overnight, but it sets clear targets to reduce deaths by a quarter over the next 10 years. That is a clear metric by which to judge our success and to hold Ministers to account. Implementation will be overseen by the National Quality Board.

In conclusion, it has become a bit of a cliché to say things like, “World Sepsis Day is marked once a year, but our work continues all year round.” However, I can assure hon. Members that the sepsis modern service framework is doing just that. For every single day over the next 10 years, the framework will keep pushing us to do better. Let me end by again thanking the hon. Member for Kingswinford and South Staffordshire for securing the debate and for his leadership of the APPG. I look forward to working with him constructively going forward.