World Sepsis Day

Debate between Christina Rees and Sarah Owen

Wednesday 13th September 2023 Westminster Hall

[Christina Rees]

I am very grateful for my hon. Friend’s intervention. I think she must have been looking over my shoulder, because I am just about to come on to Martha’s law. As always, her timing is impeccable.

Over the past couple of weeks, significant media attention has been given to the tragic case of Martha Mills, who died of sepsis aged 13. Martha’s grieving parents have advocated for the establishment of Martha’s rule, which would empower patients to request an immediate second opinion if they feel that their medical concerns are not being addressed adequately. Other preventable deaths include UK Sepsis Trust ambassador Melissa Mead’s son William. The then Health Secretary, the right hon. Member for South West Surrey (Jeremy Hunt), apologised to William’s family after a report found that clinicians missed four opportunities to save his life, and to Jason Watkins, who lost his daughter Maude when she was only two and a half years old.

In order to end these preventable deaths, parents need to feel empowered to advocate for their child—to just ask, “Could it be sepsis?”—and clinicians must be given clear guidance on the appropriate care pathway in cases of suspected sepsis. At the moment, there is room for improvement on the clinical side, because of the confusion created by delays in updating the National Institute for Health and Care Excellence clinical sepsis guideline, NICE guideline 51. In addition, research plays a pivotal role in understanding sepsis better and developing more effective treatments. The UK has a rich history of medical research, and ongoing studies are dedicated to improving our understanding of sepsis. Advances in genomics, microbiology and immunology are shedding light on the complexities of sepsis, paving the way for innovative therapies. Technology is also proving to be a game-changer in the fight against sepsis, with AI-powered algorithms being used to interpret patient data and identify sepsis risk factors early on.

The UK Sepsis Trust is a charity founded by an NHS consultant, Dr Ron Daniels BEM, in 2012. It has led the fight against sepsis after Ron witnessed the tragic and preventable death of Jem Abbots, a 37-year-old father of two. The UK Sepsis Trust aims to end preventable deaths from sepsis and improve outcomes for sepsis survivors. It also strives to raise public awareness of sepsis and works to support anyone affected by this devastating condition with its free, nurse-led support service. It raises awareness by educating healthcare professionals and by instigating political change.

The UK Sepsis Trust aims to protect people by enabling the prevention of severe infection and the treatment of sepsis, while helping to ensure that antibiotics are used responsibly. Its clinical tools are used by healthcare professionals across the country and have been formally endorsed by NICE.

The trust contributed to feedback on a draft update to the NICE clinical sepsis guideline—NG51—in March this year. The final version was due to be released in June, following a request by NHS England to update it in the wake of a statement from the Academy of Medical Royal Colleges about the timing of using antibiotics. However, the publication was pulled at the last minute without any obvious reason. The result is that we are left with a NICE guideline from 2016 that conflicts with the position statement from the Academy of Medical Royal Colleges. This has caused confusion among clinicians, which could lead to patient harm.

[Sarah Owen (Luton North) (Lab)]

I thank my hon. Friend for giving way, and for her powerful and personal speech today. We have heard about the UK death rates from sepsis, but it is really important for us to bear in mind that sepsis is a global killer; one in five deaths globally are attributed to sepsis and one person dies from it every 2.8 seconds somewhere in the world. A lack of access to medical treatment is often a reason for those figures. Because the symptoms of sepsis are often similar to those of other illnesses, as has already been discussed, it is vital that we increase not only public awareness of it but awareness in clinical settings, too. Does she agree?

[Christina Rees]

I thank my hon. Friend for her very important intervention, and what she says is why World Sepsis Day is so important. Sepsis deaths are a global phenomenon and we need to do our bit in the UK to fight sepsis, as well as working globally.

Sepsis is a critical healthcare challenge in the UK and across the world, but it is one that we can tackle with determination, awareness and innovation. Early detection, rapid intervention, research and support for survivors are the cornerstones of our battle against this silent killer. I urge everyone to take sepsis seriously, to educate themselves and others about its signs and symptoms, and to support the ongoing efforts of the healthcare professionals and organisations working tirelessly to save lives and improve outcomes. Together, we can make a significant impact and reduce the devastating toll that sepsis has on our society.

On World Sepsis Day, we remember those who have lost their lives and those whose lives have been affected by sepsis. We stand by their families and friends, and we try to support them in any way we can. Their stories must be told. I ask the Minister to meet me, Dr Ron Daniels and Sarah Hamilton-Fairley from the UK Sepsis Trust, to discuss the help she can give to set up a national sepsis register.

When will the updated NG51 guideline be published? Can the Minister update us on the recent announcement by the Health Secretary in the main Chamber that he is exploring the introduction of Martha’s rule? He referred to Ryan’s rule, which has been successfully established in Queensland, in Australia, and which has prevented several potential tragedies. Ryan’s rule provides patients and their families with the opportunity to request a clinical assessment from a doctor or nurse when the patient’s health is deteriorating or not showing expected improvements. When will Martha’s rule be implemented?

The Swiss Government have recently announced 10 million Swiss francs of state investment—around £9 million—over a five year period for implementing sepsis improvement across five workstreams. The best possible way to mark World Sepsis Day would be for the Minister and the Government to commit to a similar investment in sepsis improvement work in the UK and, in so doing, prevent the UK from falling rapidly behind the international curve, when it should be leading.