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Now you can ask for a second opinion at A&E: 'Life-saving' Martha's Rule extended to all emergency rooms

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Cite

Simmons, E. (2026, September 22). Now you can ask for a second opinion at A&E: 'Life-saving' Martha's Rule extended to all emergency rooms. Daily Mail. https://www.dailymail.com/health/article-16148597/marthas-rule-second-opinion-AandE.html?ns_mchannel=rss&ns_campaign=1490&ito=1490

Dated when The Aporia collected the article, usually within hours of publication. Check the original for its exact date and byline.

Daily Mail · collected 2026-09-22 · by Eve Simmons

Quick Summary

NHS chiefs have expanded Martha's Rule to all emergency rooms in the UK, allowing patients, families, and staff to seek urgent second opinions if they are dissatisfied with care or notice worsening conditions. The rule was first introduced following the death of 13-year-old Martha Mills in 2021 due to delayed medical intervention for sepsis. A pilot program involving seven NHS trusts showed promising results, with 69 calls made during an eight-month trial period leading to some patients receiving urgent surgery or intensive care transfers. The full rollout is scheduled to be completed by March 2028.
Written by AI on 2026-09-22, from this article's own text only (the story summary below draws on all the coverage).

AI analysis

Story summary

The NHS in England has expanded Martha's Rule to all hospital emergency departments across the country. Named after Martha Mills, a 13-year-old girl who died from blood poisoning at King's College Hospital in London in 2021, this rule allows patients and their families to call a dedicated phone number if they are concerned about the care being provided or believe that the patient’s condition is worsening. The nationwide rollout began immediately and will be completed by March 2028, following successful trials at seven trusts. Professor Aidan Fowler, national director of patient safety at NHS England, emphasized the importance of this rule in improving patient care and potentially saving lives in emergency departments. Martha's parents, Merope Mills and Paul Laity, initiated the rule after their daughter’s tragic death when her family's concerns about her condition were ignored.

Written for “Martha's Rule Expanded England” on 2026-11-02, grounded in this article and the 1 other(s) covering the same event.

Story

📰 Martha's Rule Expanded England
Health · 2 article(s) covering the same event. See how they differ ↓

Compared with similar articles

This article reads unscored and hedges 16% of its claims. Each row says how that neighbour differs.
BBC News
Hedges 0 of 18 claims Outlet record 68/100
Evening Standard
Hedges 1 of 12 claims Outlet record 65/100
“While both articles discuss the extension of 'Martha's Rule', they refer to different stages: Article A covers the initial announcement following a teenager's death, while Article B discusses its subsequent nationwide extension.”
How this article was measured signals, leaning charts, publisher record, byline, topics and claims

Signals How these are calculated →

Claims extracted
19
sentences that state something as happening or true
Uncertain
16%
3 of 19 hedged ("reportedly", "may", "according to")
Leaning
withheld
no quote in the article backed the model's score
Publisher signals
68/100
Daily Mail's corrections and hedging, across everything collected from it. Not a measure of accuracy.
Outlets on this story
2
Health
Same framing elsewhere
1
articles that frame the event the way this one does
Analyzed 2026-09-22 · how these are computed

How this is being covered How these are calculated →

Article leaning vs. publisher reliability
Source leaning vs. consistency

Publisher

Daily Mail · 8720 article(s) · 21 correction(s) detected
Running correction rate · 21 correction(s)

Who wrote this

Eve Simmons
3 article(s) here · 1 carrying a prediction
🔮 As a health editor with more than a decade of experience writing about diet and nutrition, I will put my reputation on the line by stating the fast food giant isn't actually that bad for you.
🔮 British patients who are unhappy with their care in A&E will now be granted an urgent second opinion, according to new rules.
🔮 It only takes a couple of minutes and it could save your life.'
Also by Eve Simmons
Nothing else under this byline is closely related to this article, so these are simply their most recent.

Topics

London Martha's Rule Martha’s Rule NHS NHS England

Subjects

NHS ORG · 4× London GPE · 2× Martha Mills PERSON · 2× NHS England ORG · 2× British NORP · 1× King's College Hospital NHS Foundation Trust ORG · 1× King’s College Hospital NHS Foundation Trust ORG · 1× Martha PERSON · 1× Merope Mills PERSON · 1× Paul Laity PERSON · 1×

Narrative

Professor Aidan Fowler, national director of patient safety at NHS England, said: 'A&Es see some of our most vulnerable patients, so the ability to raise concerns about deterioration quickly and trigger a rapid review of care is essential.' He added that Martha's Rule will act as a 'critical new lifeline' to help improve care and save more lives in the UK's A&E departments.
framing: assertive · carried by 1 article(s) · first seen 2026-09-22
🔮 British patients who are unhappy with their care in A&E will now be granted an urgent second opinion, according to new rules.

Claims (19 extracted, 3 hedged)

British patients who are unhappy with their care in A&E will now be granted an urgent second opinion, according to new rules. uncertain
who → grant → rules
NHS chiefs have announced that Martha's Rule – which gives patients access to alternative senior doctors – has been extended to UK emergency rooms. asserted
which → announce → rooms
The rule was first introduced in 2024, following the death of 13-year-old Martha Mills, who died in hospital after medics failed to escalate her care. asserted
medics → introduce → care
Martha developed sepsis while under the care of King’s College Hospital NHS Foundation Trust in south London in 2021. asserted
Martha → develop → 2021
A coroner subsequently ruled she would have survived if medics had transferred her to intensive care earlier. asserted
medics → rule → care
Her parents, Merope Mills and Paul Laity, have said their concerns about her deteriorating condition were repeatedly dismissed. asserted
concerns → say → condition
The new rule means patients, families and staff will be able to call a dedicated phone number to trigger an urgent review if a patient’s condition is deteriorating and they think their concerns are not being listened to. asserted
concerns → mean → review
Martha Mills, pictured, who would have been 19 today, died after developing sepsis while under the care of King's College Hospital NHS Foundation Trust in south London This applies to those being treated by A&E doctors, and those in the waiting room who haven't yet received care. asserted
who → picture → care
The rollout of the initiative in NHS hospitals will be completed by March 2028, health chiefs pledge. asserted
chiefs → complete → March
An eight-month pilot across seven NHS trusts has already tested whether Martha’s Rule could work safely in A&E. During the trial period 69 calls were made to Martha’s Rule phone numbers, with some patients going on to have urgent surgery or being transferred to intensive care, NHS England said. uncertain
England → test → care
Professor Aidan Fowler, national director of patient safety at NHS England, said: 'A&Es see some of our most vulnerable patients, so the ability to raise concerns about deterioration quickly and trigger a rapid review of care is essential.' He added that Martha's Rule will act as a 'critical new lifeline' to help improve care and save more lives in the UK's A&E departments. asserted
Rule → say → departments
It follows the introduction of the rule in Britain's maternity services last summer, amid several reviews highlighting serious and sustained failures in units across the country. asserted
It → follow → country
A 2024 Daily Mail investigation revealed the NHS Trusts with the highest percentage of patients waiting at least four hours for treatment in A&E. asserted
investigation → reveal → A&E.
Under health service guidelines, 76 per cent of casualty patients should be admitted, transferred or discharged within four hours asserted
cent → admit → hours
Donna Ockenden’s review – the largest into maternity and neonatal services in NHS history – considered the experiences of maternity care for 2,500 families and found women ignored or complaints dismissed, missed opportunities to identify deteriorating patients and a culture of silencing both junior staff and parents. asserted
complaints → consider → staff
As per Martha's Rule, every parent can now request a rapid review from an independent medical team if a baby or mother’s condition is deteriorating and they are concerned this is not being responded to. asserted
this → request → team
Latest figures for July 2026 show the highest-ever monthly total of calls made via Martha’s Rule was 1,678. In January, a report found the UK could be trailing countries such as Norway, Switzerland, Japan, Spain and Italy when it comes to patient safety. uncertain
it → show → safety
A chart of the safest places to receive care from 38 countries in the Organisation for Economic Co-operation and Development ranked the UK in 21st place, but this was based on 2021 data. asserted
this → receive → data
The global state of patient safety 2025 study, from Imperial College London, included key aspects of patient safety, one of which was deaths from treatable causes, such as from sepsis and blood clots like venous thromboembolism. asserted
one → include → thromboembolism
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