NHS RightCare Scenario: Sepsis

This NHS RightCare Scenario, produced with the NHS England-led Cross-system Sepsis Programme Board, will demonstrate the opportunities to reduce the unwarranted variation in sepsis care.

In this scenario using a fictional patient, Rob, we examine a case of sepsis, its identification and subsequent management, comparing a suboptimal, difficult scenario against an ideal pathway. At each stage we have modelled the costs of care to commissioners and describe the impact of suboptimal care and then of ideal care on the outcomes and experiences of Robert and his family.

This document is intended to help local health economies understand the implications on quality of life and costs – of shifting the sepsis pathway away from a suboptimal journey to one that consistently delivers timely evidence-based excellence.

Commissioners, clinicians and providers responsible for their population should consider:

  • Planning care models to address speedy diagnosis of possible sepsis in all areas of the health economy (Primary, Community and Secondary care)
  • Systematic and robust monitoring of patients for signs of acute deterioration using NEWS2 (the National Early Warning Score version 2) and assessing acutely ill patients for sepsis
  • Providing tailored and speedy care to patients in line with guidance, which considers, for example, treatment burden and sharing information with other professions and services.
  • Education for clinicians, patients, carers and family members through a variety of appropriate communication channels.

“…the RightCare approach to sepsis is back to basic health promotion/health improvement basic principles: ‘make the right choice the easy choice’ in terms of sepsis awareness, recognition and treatment.

I feel sure it will have an impact on ensuring a more consistent approach to recognising and treating sepsis and contribute to improved awareness and outcomes for patients and their families.” Julie Carman, Sepsis Patient Representative.

This scenario has been produced in partnership with clinical and patient stakeholders using the NHS RightCare methodology. The aim is to help clinicians and commissioners improve value and outcomes for this patient group.

Please contact your local NHS RightCare Delivery Partner if you would like to explore any of the scenarios further.

In the following video, Professor Sir Bruce Keogh, former Medical Director for NHS England, calls for all commissioners, clinicians and health economies in England to come together to address and reduce the variation found in the care of sepsis for all patients with the aim of improving outcomes and quality of life.