Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will consider requiring Jess’s Rule to be applied across all primary care contact points, including A&E and Child Assessment Units.

Jess’s Rule is an NHS England patient safety initiative for primary care. It is designed for general practitioners and supports them to reconsider a patient’s presentation and/or diagnosis where the patient has attended general practice three or more times and symptoms have escalated, or the diagnosis is uncertain.

Martha’s Rule is an NHS England patient safety initiative for secondary care. It enables patients, families, and carers to request an urgent, independent review if they believe a hospital inpatient’s condition is deteriorating and is not being adequately addressed. This includes all acute hospitals in England, including paediatric acute inpatient service.