Sepsis: Some NHS hospitals missing treatment target

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.

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.

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.

The figures seen by Panorama cover the 12 months to March 2017.

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.

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.

"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."

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.

"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.

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.

"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.

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.

"And I would say that what it shows is that we are making progress but there is a lot more work to do."

*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 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.