• Martha’s Rule: Detecting Deterioration

    Please see our dedicated Martha’s Rule page for more information on what to do when you are worried a patient is getting worse, the regular observations we undertake and symptoms to look out for.


    Martha's Rule logo

    Martha’s Rule logo

    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.

    We have introduced Martha’s Rule to help spot any early signs of your or your loved one’s condition getting worse. You may notice small changes before they show up in our routine checks. These changes could be early warning signs of deterioration.

    Please talk to the doctors and nurses on your ward about your concerns. It’s important to bring up your worries with them first because they can start any needed treatment.

    If you still feel worried or like you haven’t been heard, you can ask for a rapid review from our specialist team, who specialise in the care of critically ill patients. The service will be available 24 hours a day, seven days a week.

    This will only apply to acute in-patient wards at Bradford Royal Infirmary. Our other sites, such as St. Luke’s and Westwood Park, are not included at this stage.

    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 in-patients 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.