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Patients and their families can request a rapid second opinion from April if they are worried about a condition getting worse, as the NHS rolls out Martha’s Rule in England.

The escalation process will instigate an urgent review by a different critical care team in the hospital and will be available 24/7.

It can be used if a patient’s condition is rapidly worsening and they or their family feels they are not getting the care needed.

The new process follows the death of 13-year-old Martha Mills in 2021, who developed sepsis under the care of King’s College Hospital NHS Foundation Trust in London.

Her parents – who campaigned for the change – said they want it “in place as quickly and widely as possible”, with at least 100 NHS trusts expected to bring in the rule initially.

“We believe Martha’s Rule will save lives,” Merope Mills and her husband Paul Laity said in a statement.

“In cases of deterioration, families and carers by the bedside can be aware of changes busy clinicians can’t; their knowledge should be recognised as a resource.

“We also look to Martha’s Rule to alter medical culture: to give patients a little more power, to encourage listening on the part of medical professionals, and to normalise the idea that even the grandest of doctors should welcome being challenged.”

Martha was being treated after suffering a pancreatic injury in a fall from her bike during a holiday in Wales.

An inquest heard there were several missed opportunities to refer her to intensive care, and that she probably would have survived if doctors had identified sooner that she was rapidly getting worse.

At one point, Martha began to bleed heavily through a tube inserted into her arm and through a drainage tube, and she also developed a rash.

Her mother voiced concerns to staff that her daughter would go into septic shock over the bank holiday weekend.

One of the trust’s own intensive care doctors told the inquest he would “100%” have admitted her if he had seen her.

The trust – a specialist referral centre for children with pancreatic problems – has apologised.

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The plan is to extend Martha’s Rule to all acute hospitals, subject to government funding, with the programme evaluated throughout this year and next.

NHS chief executive Amanda Pritchard said it had the potential to “save many lives in the future”, while Health Secretary Victoria Atkins said it would “provide a major boost to patient safety”.

“The introduction of Martha’s Rule from April will put families at the heart of the patient’s own care, recognising the critical role they have in the treatment of loved ones,” said Ms Atkins.

Martha’s parents said their daughter’s death was “a preventable death but Martha’s Rule will mean that she didn’t die completely in vain”.

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King meets Huntingdon train attack heroes, including guard who protected passengers

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King meets Huntingdon train attack heroes, including guard who protected passengers

The King has met survivors of last month’s Huntingdon train mass stabbing, during a special reception at Buckingham Palace.

He shook hands with train guard Samir Zitouni, who was seriously injured as he stepped in to protect passengers.

More than 10 people were hurt in the stabbing on the 6.25pm LNER service from Doncaster to London King’s Cross on 1 November, which diverted to Huntingdon.

The King greets the train's driver, Andrew Johnson. Pic: PA
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The King greets the train’s driver, Andrew Johnson. Pic: PA

The monarch also met Andrew Johnson, who previously served in the Royal Navy, and was driving the service at the time of the attack.

He was praised by Prime Minister Sir Keir Starmer for his quick thinking when he moved the train on to a slow line.

That decision allowed it to stop at Huntingdon station, leading to a quicker response time by emergency services and potentially saving lives.


Sky’s Rachael Venables breaks down how the stabbing unfolded.

Mr Zitouni was credited with saving multiple lives, but was left in a critical condition due to injuries he suffered in the attack.

More on Huntingdon Train Stabbing

Stephen Crean, a football fan who had been returning home after watching Nottingham Forest’s 2-2 draw with Manchester United, was also injured while fighting back to protect others during the incident.

Mr Crean said he would need plastic surgery following his injuries.

The monarch greets Stephen Crean and his wife Monludee Crean during the reception. Pic: PA
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The monarch greets Stephen Crean and his wife Monludee Crean during the reception. Pic: PA

Amira Ostalski, a student who suddenly found herself in danger, said she ran into the buffet car where she picked up a metal tray to protect herself and her friend.

“I was honestly so petrified. I thought in that moment it was the last time I was ever going to be alive. I thought I was going to die,” she said.

Anthony Williams was charged with 10 counts of attempted murder, one count of actual bodily harm and one count of possession of a bladed article following the train attack.

He remains in custody pending further court hearings scheduled for next year.

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Teenage boy charged over murder of nine-year-old Aria Thorpe in Weston-super-Mare

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Teenage boy charged over murder of nine-year-old Aria Thorpe in Weston-super-Mare

A nine-year-old girl found dead in Weston-super-Mare has been named on the day police revealed a teenager had been charged with her murder.

Emergency services were called to Lime Close in the Somerset town at 6.09pm on Monday but Aria Thorpe was pronounced dead at the scene.

Police said a 15-year-old boy had been charged with her murder and that a preliminary post-mortem found she died from a single stab wound.

The teenage boy – who can’t be named due to his age – will appear at Bristol Magistrates’ Court later today.

A police cordon remains in place as forensics officers continue their work.

Flowers and tributes have been left at the scene. Pic: PA
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Flowers and tributes have been left at the scene. Pic: PA

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Superintendent Jen Appleford, from Avon and Somerset Police, said the community was in shock and Aria’s family were being supported by police.

“It is impossible to adequately describe how traumatic the past 36 hours have been for them and we’d like to reiterate in the strongest possible terms their request for privacy,” she said.

Supt Appleford said police were working with local schools and other agencies to make sure support is available.

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Duke of Marlborough charged with strangulation offences

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Duke of Marlborough charged with strangulation offences

The Duke of Marlborough, formerly known as Jamie Blandford, has been charged with intentional strangulation.

Charles James Spencer-Churchill, a relative of Sir Winston Churchill and Diana, Princess of Wales, is accused of three offences between November 2022 and May 2024, Thames Valley Police said.

The 70-year-old has been summonsed to appear at Oxford Magistrates’ Court on Thursday, following his arrest in May last year.

The three charges of non-fatal intentional strangulation are alleged to have taken place in Woodstock, Oxfordshire, against the same person.

Spencer-Churchill, known to his family as Jamie, is the 12th Duke of Marlborough and a member of one of Britain’s most aristocratic families.

He is well known to have battled with drug addiction in the past.

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Spencer-Churchill inherited his dukedom in 2014, following the death of his father, the 11th Duke of Marlborough.

Prior to this, the twice-married Spencer-Churchill was the Marquess of Blandford, and also known as Jamie Blandford.

His ancestral family home is Sir Winston’s birthplace, the 300-year-old Blenheim Palace in Woodstock.

But the duke does not own the 18th century baroque palace – and has no role in the running of the residence and vast estate.

The palace is a Unesco World Heritage Site and a popular visitor attraction with parklands designed by “Capability” Brown.

In 1994, the late duke brought legal action to ensure his son and heir would not be able to take control of the family seat.

Blenheim is owned and managed by the Blenheim Palace Heritage Foundation.

A spokesperson for the foundation said: “Blenheim Palace Heritage Foundation is aware legal proceedings have been brought against the Duke of Marlborough.

“The foundation is unable to comment on the charges, which relate to the duke’s personal conduct and private life, and which are subject to live, criminal proceedings.

“The foundation is not owned or managed by the Duke of Marlborough, but by independent entities run by boards of trustees.”

The King hosted a reception at Blenheim Palace for European leaders in July last year, and the Queen, then the Duchess of Cornwall, joined Spencer-Churchill for the reveal of a bust of Sir Winston in the Blenheim grounds in 2015.

The palace was also the scene of the theft of a £4.75m golden toilet in 2019 after thieves smashed their way into the palace during a heist.

The duke’s representatives have been approached for comment.

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