Parliamentary and Health Service Ombudsman -
This report highlights the death of patients in the NHS after failure to diagnose and rapidly treat severe sepsis. It focuses on ten cases we investigated where patients did not receive the treatment they urgently needed. It found that care failings seem to occur mainly in the first few hours when rapid diagnosis and simple treatment can be critical to the chances of survival. The recommendations in the report cover both the delivery of clinical care and the way it is organised.