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HealthPublished by BBC Health • 11/2/2026, 12:51:24 AMOpen Original Report (BBC Health) ↗

A&E warning system to flag sick children deteriorating quickly

A new early warning system is being introduced in hospital emergency departments in England to help busy NHS staff identify sick children who are dangerously deteriorating.

A&E warning system to flag sick children deteriorating quickly
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BBC Health
Two-year-old Finlay Roberts died after spending hours in a crowded hospital corridor
Two-year-old Finlay Roberts died after spending hours in a crowded hospital corridor
Martha Mills died aged 13 at King's College Hospital in London in 2021
Martha Mills died aged 13 at King's College Hospital in London in 2021

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Reported by BBC Health

A new early warning system is being introduced in hospital emergency departments in England to help busy NHS staff identify sick children who are dangerously deteriorating.

It comes after Health Secretary Yvette Cooper promised to stop "corridor care" for sick children because of long waits for hospital beds.

The new National Paediatric Early Warning System (PEWS) asks staff to check, log and grade vital signs, such as blood pressure, heart rate and oxygen levels.

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A high overall score means a child needs more urgent attention. Concerns from staff, parents, carers or the child themselves will trigger an immediate escalation of care.

Two-year-old Finlay Roberts died after spending hours in a crowded hospital corridor

The initiative is designed to save lives ahead of winter, when pressure on the NHS is at its highest.

On the BBC's Sunday with Laura Kuenssberg, Cooper recently talked about the case of two-year-old Finlay Roberts, who died in 2024 after spending hours in a hospital corridor before being discharged.

Cooper apologised to Finlay's parents on behalf of the NHS, saying: "No child should be treated in a corridor. No patient should be treated in a corridor."

Whittington Health NHS Trust, where Finlay waited for treatment, extended its condolences to the family and said it continued to experience periods of exceptional demand across emergency care and, at times, some patients may receive care in temporary clinical areas, including corridors.

A similar "early warning" system to identify acutely ill adults, including those with sepsis, is already in use in emergency and general NHS hospital wards.

More than 90 hospitals across England have been using the alert system in children's wards, with different age-appropriate assessments available for babies through to teenagers.

The NHS has already said it will expand Martha's Rule to all hospital emergency departments in England. The rule gives patients, families and carers the right to request a rapid review if they are worried that a patient's condition is getting worse and their concerns are not being responded to.

The initiative is named after Martha Mills, who died aged 13 in 2021 after developing blood poisoning, or…

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