Sepsis Awareness Month Debate
Full Debate: Read Full DebateAllison Gardner
Main Page: Allison Gardner (Labour - Stoke-on-Trent South)Department Debates - View all Allison Gardner's debates with the Department of Health and Social Care
(1 month ago)
Commons Chamber The hon. Lady makes a really important point. We know how these conditions can come round in a cycle. In order to break that cycle, we will need multiple years of vaccination.
The modern service framework contains a number of vital commitments, but I particularly welcome: action 4 on improving the audit and feedback of sepsis-related clinical data across trusts; action 5 on updating training for NHS staff, social care workers and unpaid carers; action 9 on optimising care pathways and expanding access to rapid diagnostics and specialist advice; action 11 on standardising digital specifications for early warning systems such as NEWS2; and action 12 on reviewing and addressing capacity gaps in critical and enhanced care.
A strategy on paper will not be enough to save a deteriorating patient on a cold winter weekend in an overcrowded emergency department. In the other place, my noble friend and our former colleague Lord Mackinlay of Richborough, who has spoken with enormous courage about his own life-altering encounter with sepsis, has repeatedly tabled written questions seeking clarity on how this framework will be delivered. Regrettably, the answers provided by Ministers in the Lords to date have been rather generic and vague, and lacking in operational detail. We cannot accept boilerplate responses on a condition that kills 48,000 people each year, so I have two direct questions that I hope the Minister will answer in her response to today’s debate. First, what are the specific milestone-driven timelines for the delivery of each of the actions set out in the modern service framework, and when will trusts and integrated care boards be expected to have these standardised pathways fully operational? Secondly, can the Minister assure the House that the Department of Health and Social Care is prepared to commit the dedicated investment required to make this framework work?
When we call for investment, we must be clear that funding sepsis care is not an open-ended cost. It is one of the most cost-effective investments that the Department can make. Sepsis currently places an enormous financial burden on the national health service and the wider economy. Too often, cases of missed or delayed diagnosis and treatment result in weeks of high-cost intensive care unit admissions, in emergency readmissions due to incomplete recovery, in complex surgical interventions including amputations requiring lifelong prosthetic and social care support, or in the permanent loss of working-age adults from the workforce. Investing in rapid bedside diagnostics, digital early warning systems, specialist outreach teams and structured post-sepsis rehabilitation can dramatically reduce the lengths of stay in intensive care, lower readmission rates and keep people in work. Early intervention is not only clinically imperative; it is economically sound, and the theme “Invest in sepsis—save lives” is a call for smart preventive healthcare investment.
Dr Allison Gardner (Stoke-on-Trent South) (Lab)
Prevention is key, and an estimated 20% to 30% of sepsis cases are urosepsis. I have just learned today from my campaign with Good Housekeeping magazine of a gentleman who lost his wife due to urinary tract infection-related sepsis. Does the hon. Gentleman agree that if we are to really tackle sepsis, we also need to look at infection sources and get better diagnostics and treatment for those, particularly for ones such as UTIs, that are still not properly focused on?
Absolutely. Of course, some infections are almost unavoidable, but where infections such as UTIs can clearly be reduced with the right care and precautions, we must do everything we can to reduce those risks.
Every Member in this Chamber has constituents whose lives have been permanently transformed by sepsis. Some Members have been directly impacted or have watched as close family and friends have encountered sepsis. We know the speed with which it strikes, but we also know that with early detection, immediate treatment and high quality critical care, thousands of lives can be saved. We have the clinical evidence and we have the modern service framework. What we now need is clear delivery timelines, rigorous parliamentary accountability and the necessary financial backing to make this ambition a reality. If the Minister can deliver this and provide the resources and tools that the NHS needs to implement it, the modern service framework truly can be a turning point in the fight against this silent killer and the battle to save thousands of lives.
Jim Dickson
What the hon. Member and I have described is the mark of the man. Not only has he suffered that appalling setback in his life, come through it with huge brio and is an active Member of the other place, he has gone the extra mile to help others in the same predicament. I cannot thank him enough for the work he has done for those who have experienced sepsis and for my constituent John.
As Craig himself would say, sepsis remains something we do not know enough about, and what knowledge we have is not as widely known as it should be. I thought it would be helpful to remind all those present and anybody watching of the signs to look out for in adults, as set out by the UK Sepsis Trust: slurred speech or confusion; extreme shivering or muscle pain; passing no urine in a day; severe breathlessness; it feels like you are going to die; and skin mottled or discoloured. If you or another adult develops any of those signs, it is important to seek urgent medical attention.
John’s story highlights both the work we need to do to raise awareness of the early signs of sepsis and how we support those who have been diagnosed with it. There remains too little data on sepsis, with inconsistencies in the definitions used across the country. Office for National Statistics data indicates that sepsis was mentioned on the death certificate in 27,971 deaths in England in 2025, but that is almost certainly not the full story.
Dr Gardner
There is also the issue that the infection source is not recorded. Does my hon. Friend agree that we need to make significant improvements to this if we are to prevent sepsis? It is a slight repetition, but the lack of data collection worries me.
Jim Dickson
Absolutely. The data problems are much wider than simply understanding who has died with sepsis as a related cause and who has suffered sepsis at some point in the system. All the prevention and early diagnosis issues that my hon. Friend has highlighted go to the heart of the problems we have with data, and I hope the Minister will address that in her response.
I very much welcome the sepsis modern service framework, which was published last July and contains a much-needed plan to improve prevention, recognition, diagnosis, treatment and recovery for people affected by sepsis. It should mean that doctors are equipped to spot sepsis sooner and improve outcomes for patients like John and others who have been mentioned this evening. I hope the Minister will outline how the modern service framework will change the way the NHS supports John and others recovering from sepsis, so that the delays he has experienced in getting his prosthetics and the delays other people have experienced in the system become a thing of the past.