Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he has taken to help reduce sepsis mortality in patients with leukaemia and other cancers.

Sepsis has no specific diagnostic test, and the signs and symptoms can vary hugely across all patients, making sepsis challenging to diagnose early. It is therefore critical that all acutely unwell patients are treated promptly and appropriately regardless of cause.

Screening, diagnosis, and treatment of suspected sepsis is supported by the use of the National Early Warning Score (NEWS2). NEWS2 supports clinicians to determine the need for immediate care and is used in 99% of acute National Health Service trusts and 100% of ambulance trusts in England.

To further aid clinical staff in diagnosing sepsis early, the National Institute of Health and Care Excellence (NICE) has published national guidelines on the recognition, diagnosis, and early management of suspected sepsis in people aged 16 years old and over. People with a weakened immune system, such as those having chemotherapy treatment, are more likely to get an infection that could lead to sepsis. Therefore, NICE has additional guidelines on the prevention and management of neutropenic sepsis in people with cancer. NICE guidelines provide authoritative, evidence-based guidance on best practice and should be taken fully into account by healthcare professionals in the care and treatment of NHS patients. The guidelines can be accessed alongside NHS England’s online sepsis training programmes.

Additionally, the Department continues to fund research through the National Institute for Health and Care Research, to improve our understanding of sepsis diagnosis and immediate management.

The National Cancer Plan will have patients at its heart and will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care. It will seek to improve every aspect of cancer care to better the experience and outcomes for people with cancer. Our goal is to reduce the number of lives lost to cancer over the next 10 years.