Sepsis Awareness

Mike Wood Excerpts

Wednesday 9th October 2024 Westminster Hall

[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.