At The Christie, we support patient safety initiative Martha's Rule. This helps spot any unexpected signs of deterioration early. It also gives you the right to request a rapid review if you’re worried that your or your loved one’s condition is getting worse while staying in hospital.

You may notice small changes before they show up in our routine measurements. These changes could be early warning signs of deterioration.

If you’re staying on one of our wards and you’re worried that your condition is getting worse, talk to your nurse or doctor.

How we monitor patients in hospital

While someone is in hospital, we regularly check their vital signs and other important health measurements. How often these checks are done depends on each patient’s condition and needs. We will ask at least daily if they are feeling better or worse. This is to monitor any unexpected changes in their condition.

How you can help us spot any changes

To help us act quickly if someone becomes more unwell, please tell us if you are worried about:

  • changes in temperature – hot or cold to the touch
  • worsening pain
  • any changes to the skin (such as rash)
  • low energy, drowsy or sleepy
  • levels of hydration
  • changes in breathing
  • new confusion
  • anything else that worries you

Telling our staff about these changes can help us spot problems early so we can take action to prevent more serious health issues.

What to do if you’re worried

  1. 1. First, speak to the ward team caring for you or your loved one.
  2. 2. If you are still worried, speak to your specialist consultant’s team.
  3. 3. If, after following steps 1 and 2, you remain worried and feel your concerns are not being addressed, call 0161 446 3000 and ask for a rapid review.

Your call will go to a different team in our hospital, who specialise in the care of critically-ill patients. They will work with you and your care team to arrange any treatment needed or further review. The service is available 24 hours a day, 7 days a week.

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.