Jess's Rule: NHS Implements Landmark Safety Change After Tragic Death of Three-Year-Old Jess
NHS brings in 'Jess's Rule' after child's tragic death

The NHS has announced a profound change to patient safety protocols, named 'Jess's Rule', in response to the tragic death of three-year-old Jessica Crich. This landmark initiative grants parents and carers the right to demand a direct consultation with a senior hospital consultant if they feel their concerns are not being adequately addressed.

A Legacy Born from Tragedy

Jessica Crich, a vibrant three-year-old from Leicester, died from sepsis in 2019 after being sent home from hospital twice within 24 hours. Her parents, Andrew and Kate Crich, persistently raised alarms about their daughter's rapidly deteriorating condition, but their warnings went unheeded by medical staff.

An inquest into Jess's death revealed it was contributed to by neglect, highlighting a critical failure in escalating parental concerns to senior decision-makers. Her family has since campaigned tirelessly for systemic change to prevent similar tragedies.

How Jess's Rule Will Work

The new protocol establishes a clear and rapid escalation pathway:

  • Direct Consultant Access: Parents can request to speak directly with the most senior doctor available.
  • Formalised Escalation: A structured process ensures concerns are documented and acted upon promptly.
  • Staff Training: NHS personnel will receive specific training on recognising and responding to parental worry.
  • Visible Information: Wards and departments will display information about Jess's Rule, empowering families to use it.

'We Don't Want Any Other Family to Go Through This'

Jess's father, Andrew Crich, stated: "While nothing can bring our beautiful Jess back, we hope this rule will mean other parents are listened to. We always knew something was seriously wrong, but we couldn't make the doctors see it. Jess's Rule will give families a voice when it matters most."

NHS National Patient Safety Director, Dr Aidan Fowler, described the implementation as a "crucial step in putting patient and family voice at the heart of care." He emphasised that clinical staff are being encouraged to view parental concern as a key vital sign.

A National Rollout for Safer Care

The rule is being rolled out across NHS trusts in England, forming part of a broader patient safety strategy. It represents a significant cultural shift, acknowledging that parents often have unique insight into their child's wellbeing.

This reform serves as a lasting legacy for Jessica Crich, ensuring that her story leads to meaningful change that could save the lives of other children across the country.