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| Version 2 | Version 3 |
|---|---|
| Sepsis: Some NHS hospitals missing treatment target | Sepsis: Some NHS hospitals missing treatment target |
| (25 days later) | |
| One in four NHS hospital trusts is failing to give antibiotics to half their patients with sepsis within the recommended time, new figures suggest. | One in four NHS hospital trusts is failing to give antibiotics to half their patients with sepsis within the recommended time, new figures suggest. |
| Figures from 104 trusts seen by BBC Panorama show 78% of eligible patients are being screened and 63% are getting antibiotics within one hour. | Figures from 104 trusts seen by BBC Panorama show 78% of eligible patients are being screened and 63% are getting antibiotics within one hour. |
| Health Secretary Jeremy Hunt said the NHS had "more to do" to stop "preventable" sepsis deaths occurring. | Health Secretary Jeremy Hunt said the NHS had "more to do" to stop "preventable" sepsis deaths occurring. |
| Sepsis is a rare but serious complication of an infection. | Sepsis is a rare but serious complication of an infection. |
| Without prompt treatment, it can lead to multiple organ failure and death. | Without prompt treatment, it can lead to multiple organ failure and death. |
| In 2015, concerned at the growing number of sepsis cases going undetected, the NHS told hospital trusts to examine how successful they were at identifying patients with the condition. | In 2015, concerned at the growing number of sepsis cases going undetected, the NHS told hospital trusts to examine how successful they were at identifying patients with the condition. |
| The figures seen by Panorama cover the 12 months to March 2017. | The figures seen by Panorama cover the 12 months to March 2017. |
| 'I've never felt this ill before' | 'I've never felt this ill before' |
| Alistair Jackson, a reporter for Panorama, decided to investigate sepsis after his mother, Margaret, died two years ago. | Alistair Jackson, a reporter for Panorama, decided to investigate sepsis after his mother, Margaret, died two years ago. |
| Margaret had been treated by her GP for a urinary tract infection. | Margaret had been treated by her GP for a urinary tract infection. |
| She was admitted to Queen's Hospital in Burton upon Trent, Staffordshire, shortly afterwards with chest pains and a high temperature. | She was admitted to Queen's Hospital in Burton upon Trent, Staffordshire, shortly afterwards with chest pains and a high temperature. |
| Alistair's father, John, remembers how quickly his wife deteriorated. | Alistair's father, John, remembers how quickly his wife deteriorated. |
| "She woke up in the morning and said 'I've never felt as ill as this before'. | "She woke up in the morning and said 'I've never felt as ill as this before'. |
| "She quite clearly said to me at one point 'oh God is this the end?' and I said 'no don't be silly, of course not' and I think those were virtually the last words she ever uttered." | "She quite clearly said to me at one point 'oh God is this the end?' and I said 'no don't be silly, of course not' and I think those were virtually the last words she ever uttered." |
| Sepsis was not recorded as having contributed to Margaret's death. | Sepsis was not recorded as having contributed to Margaret's death. |
| Dr Ron Daniels is one of the world's leading sepsis experts and chief executive of the Sepsis Trust. He reviewed Margaret's treatment for Panorama. | Dr Ron Daniels is one of the world's leading sepsis experts and chief executive of the Sepsis Trust. He reviewed Margaret's treatment for Panorama. |
| "There's no evidence from the notes that sepsis itself was considered even in the face of abnormal observations and even when she started to deteriorate very quickly," he said. | "There's no evidence from the notes that sepsis itself was considered even in the face of abnormal observations and even when she started to deteriorate very quickly," he said. |
| 'Too late' | 'Too late' |
| Margaret was eventually prescribed antibiotics but there was a three-hour delay in administering them. | Margaret was eventually prescribed antibiotics but there was a three-hour delay in administering them. |
| "She received them eventually but I think it's quite clear that she received them too late. There was opportunity to administer antibiotics several hours before they were ultimately administered," said Dr Daniels. | "She received them eventually but I think it's quite clear that she received them too late. There was opportunity to administer antibiotics several hours before they were ultimately administered," said Dr Daniels. |
| "I think it's unlikely that earlier antibiotics would have done any harm and it's entirely possible that they might have improved her chances of survival." | "I think it's unlikely that earlier antibiotics would have done any harm and it's entirely possible that they might have improved her chances of survival." |
| Burton hospital says it has made vast improvements in the past six months and is now screening 98% of in-patients. | Burton hospital says it has made vast improvements in the past six months and is now screening 98% of in-patients. |
| Speaking to Panorama about the new figures, Health Secretary Jeremy Hunt said: "There are preventable deaths happening but we're bringing them down and I think that the picture is much improved from two years ago. but there's a long way to go. | Speaking to Panorama about the new figures, Health Secretary Jeremy Hunt said: "There are preventable deaths happening but we're bringing them down and I think that the picture is much improved from two years ago. but there's a long way to go. |
| "Safety is at the top of the NHS's in-tray… and sepsis is, if you like, a litmus test as to whether we're getting there. | "Safety is at the top of the NHS's in-tray… and sepsis is, if you like, a litmus test as to whether we're getting there. |
| "And I would say that what it shows is that we are making progress but there is a lot more work to do." | "And I would say that what it shows is that we are making progress but there is a lot more work to do." |
| Lowest scoring NHS England trusts on screening for sepsis | Lowest scoring NHS England trusts on screening for sepsis |
| *Figures are from trusts that supplied data and show numbers of those who required screening against those who received screening | *Figures are from trusts that supplied data and show numbers of those who required screening against those who received screening |
| Lowest scoring NHS England trusts on treating sepsis with antibiotics | Lowest scoring NHS England trusts on treating sepsis with antibiotics |
| *Figures are from trusts that supplied data and show number of those who required antibiotics against those who received antibiotics within one hour | *Figures are from trusts that supplied data and show number of those who required antibiotics against those who received antibiotics within one hour |
| Update 3 October 2017: An earlier version of the lists included the Christie NHS Foundation Trust, which subsequently found it had submitted incorrect information to the NHS. |