Martha’s Rule: Detecting deterioration

You know yourself or your loved one better than anyone. If you’re worried about a health condition getting worse, talk to us.

What is Martha’s Rule?

We have introduced Martha’s Rule to help spot any unexpected signs of deterioration early and give you the right to request a rapid review if you’re worried that your or your loved one’s condition is getting worse.

You may notice small changes before they show up in our routine measurements. These changes could be early warning signs of deterioration.

How we monitor patients

While someone is in hospital, we regularly check their vital signs and other important health measurements. The frequency of these checks will depend on the patient’s individual condition and needs. Sometimes we may need to wake patients to do these checks.

In addition, we will also ask at least daily if patients are feeling better or worse. This is to monitor any unexpected changes in their condition.

What to do if you’re worried

1. First, speak to the team caring for you or your loved one

2. If, after speaking to the care team, you remain worried and feel your concerns are not being addressed, call for a rapid review. Phone: 0116 258 5899

When you call, you will need to know:

• The name of the patient, child or infant you are concerned about
• The name of theward and hospital site they are currently staying on
• A brief description of your concerns

The service is available 24 hours a day, seven days a week.

Our commitment

We will regularly ask for your views and take your concerns seriously. We see you as a partner in the care we are providing and want you to raise any worries and concerns you may have.

Difference between Martha’s Rule and second opinion

Martha’s Rule allows hospital inpatients and their families to seek a rapid review if their condition, or the condition of a loved one, is deteriorating.

A second opinion is when you would like to see another consultant to discuss any diagnosis or treatment.

What to do if you have other concerns

If you are worried about things that are not related to your health or your family member’s health, like your experience in the hospital, or issues with food or parking, you can speak with the nurse in charge of the ward or contact our Patient Advice and Liaison Service (PALS).