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Jess's Rule: GPs Rethink Symptoms to Save Lives
17 Jan
Summary
- GPs must re-evaluate patients with persistent or worsening symptoms.
- The rule is named after Jessica Brady, who died at 27.
- Posters are displayed in all 6,170 GP practices in England.

A new patient safety initiative, "Jess's Rule," is being rolled out across all GP practices in England starting this week. This guideline encourages family doctors to reconsider patient diagnoses, especially when symptoms persist or worsen without a clear explanation after multiple appointments. The initiative is inspired by the tragic death of Jessica Brady in 2020 at the age of 27.
"Jess's Rule" prompts GPs to seek second opinions, conduct physical examinations, or order additional tests if a patient has attended three appointments for the same issue without a diagnosis. Posters detailing this "three strikes and rethink" approach have been distributed to all 6,170 GP practices in England. The Department of Health and Social Care states this will enhance patient safety by challenging initial assumptions.
Jessica Brady's mother highlighted the positive response from primary care to the rule, named in memory of her daughter. Research indicates that young adults, aged 16 to 24, often require multiple GP interactions before a cancer diagnosis. This initiative, co-designed with Jess's parents, aims to ensure serious illnesses are identified and treated promptly, potentially saving lives by avoiding delayed or missed diagnoses.




