30/01/2026
Jessโs Rule is a new primary care initiative created in memory of Jessica, who died at age 27 after her cancer went un-diagnosed despite multiple GP consultations. It aims to prevent similar tragedies by encouraging clinicians to reassess unresolved or escalating symptoms, particularly in younger patients.
If a patient presents three times with the same symptom or concern and their condition remains unresolved, clinicians must โReflect, Review, and Rethink.โ
๐ง๐ต๐ฒ ๐ง๐ต๐ฟ๐ฒ๐ฒ-๐ฆ๐๐ฒ๐ฝ ๐๐ฝ๐ฝ๐ฟ๐ผ๐ฎ๐ฐ๐ต
โข ๐ฅ๐ฒ๐ณ๐น๐ฒ๐ฐ๐ โ Reconsider what has been discussed and what might have been missed. If consultations have been remote, offer a face-to-face review and physical examination. Offer continuity of care with follow-up.
โข ๐ฅ๐ฒ๐๐ถ๐ฒ๐ โ Discuss the case with peers if uncertain, and look again for red flags, regardless of the patientโs age.
โข ๐ฅ๐ฒ๐๐ต๐ถ๐ป๐ธ โ Escalate the case if appropriate, arranging further investigations or referral to a specialist.
Jessโs Rule aims to strengthen diagnostic vigilance, improve continuity of care, and promote earlier cancer detectionโespecially in younger adults who may not fit typical risk profiles. Red flag symptoms are red flag regardless of demographic or statistical likelihood.
