	Are you worried about a patient in hospital?
	Tell us what you are worried about.
	We will listen.
	We will do something to help.
How do we check on patients?
	Our hospital staff check on patients all the time to see if they are getting better.
	We also ask patients how they feel. We will use words like:
	Better
	Worse This is called the Patient Wellness Question
What can you do?
	You might notice changes before we do.
	That is okay. You can tell us.
	Look out for signs like:
	The patient looks or feels different
	They act confused or not like themselves
	They are more tired or in more pain
	They are not getting better like they should
	They find it harder to breathe
	Tell a nurse or doctor straight away
What is Martha's Rule?
	If family or carers think a patient in hospital is getting worse or more sick, it is important they speak up
	This is called Martha's Rule.
	It is named after a girl called Martha who died in hospital because doctors didn't know how sick she was.
	At our hospital, we want to keep all patients safe.
	Martha's Rule helps us listen to people who are worried about a patient getting worse.
	It lets you ask for a special nurse to come and check the patient. This is called a Critical Care Outreach Nurse,
	Martha's Rule is for patients, families and carers.
	If you are worried about a patient getting worse, speak to the nurse or doctor looking after them.
	We will work together to get help quickly.
How to tell us you are worried about a patient getting worse
	Step 1: Talk to the doctor or nurse looking after the patient
	You can also talk to the Nurse in Charge or Ward manager
	They will call a Critical Care Outreach Nurse to check the patient if they need to.
	Step 2: If you are still worried and think we are not taking action you can call the Critical Care Outreach Nurse yourself.
	The phone number is 07816 196 122
	This phone line is open all the time.
	If the nurse is busy, leave a message.
	They will call back as soon as they can. This is usually in 1 hour.
	You will need to tell us:
	The patient's name
	Which hospital, ward and bed number they are in
	What you are worried about
	Your name and phone number
If you are worried about other things
	Martha's Rule is only for patients who may be very unwell.
	Speak to the Nurse in Charge if you are worried about things like: Food
	Parking
	Staff
	If you are still not happy you can speak to the Patient Advice & Liaison Service (PALS).
	Their phone number is 020 3447 3042
	Their email address is uclh.pals@nhs.net
	You know the patient best.
	If something feels wrong, speak up.