Jessica's Rule: How a Tragic Cancer Death Could Transform NHS GP Referrals
Jessica's Rule: Cancer Death Sparks NHS Referral Overhaul

The tragic death of a vibrant 27-year-old woman from bowel cancer has triggered a significant patient safety review within the NHS, potentially leading to new national guidelines for GP referrals.

Jessica Brady, known affectionately as 'Jess', repeatedly sought help from her GP for severe abdominal pain and bleeding over several months in 2022. Despite her symptoms aligning with bowel cancer indicators, she was initially diagnosed with irritable bowel syndrome (IBS) and haemorrhoids.

By the time Jessica was referred for a colonoscopy in July 2022, the cancer had advanced to an incurable stage. She passed away just ten months later, leaving behind her young son.

The Push for 'Jessica's Rule'

Jessica's family is now campaigning for "Jessica's Rule" – a formal protocol that would ensure patients under 50 presenting with potential cancer symptoms receive clearer pathways to specialist assessment.

NHS England has confirmed the case is being examined as part of a national patient safety investigation. A spokesperson stated: "Our condolences are with Jessica's family. We're determined to learn from such tragedies to improve care for all patients."

A System Under Scrutiny

This case highlights ongoing concerns about cancer diagnosis in younger adults, where symptoms may be initially attributed to less serious conditions. Medical experts emphasise that while bowel cancer in under-50s remains relatively rare, incidence rates are rising.

The proposed changes could include:

  • Enhanced training for GPs on recognising cancer symptoms in younger patients
  • Clearer referral pathways for patients under 50 with persistent symptoms
  • Better communication about when patients should return for reassessment

Jessica's mother told reporters: "If this review saves just one family from going through what we have, then Jess's legacy will be profound."