MEDICAL NEGLIGENCE PATIENT SAFETY
JESS’S RULE
Over the past 6 months several important changes have been introduced across primary care in England.
From new clinical safety rules to stricter access requirements and revised Patient registration policies these updates are already shaping the way practices operate in England. For practice managers, keeping track of the latest guidance is essential to ensure compliance, protect patients and support staff through the transition. The following are some of the most significant recent developments.
Jess’s Rule improving diagnostic safety.
Jess’s Rule requires GP’s to review cases thoroughly if a Patient attends three appointments with persistent or worsening symptoms. At this point, clinicians must pause, reassess and check for any missed red flags or overlooked differential diagnosis.
Stricter assess requirements 08.00 to 18.30 online availability.
From the 1st October 2025, new access requirements came into effect requiring practices to keep online consultation systems open for routine requests between 8.00 and 18.30. Practices must always provide equitable access through telephone, digital and walk in routes.
These are some of the changes which have been introduced.
These changes highlight the growing emphasises on Patient Safety, access and accountability within primary care. For practice managers the key actions include:
a) Ensuring Jess’s Rule is embedded into the safety processes and governance structures.
b) Reviewing staffing and systems to meet extended consultation requirements.
For more detailed insights into how the Patient Safety Act 2023 impacts you and how Whelan Law can support you, please visit our Patient Safety Rights Legal Advice https://www.whelanlaw.ie/news/medical-negligence-and-patient-safety/