Claims Trends in Obstetrics and Gynaecology Presentation by John Mead Technical Claims Director NHS...
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Transcript of Claims Trends in Obstetrics and Gynaecology Presentation by John Mead Technical Claims Director NHS...
Claims Trends in Obstetrics and Gynaecology
Presentation by John MeadTechnical Claims Director
NHS Litigation Authority
26th April 2007
Clinical Negligence-Numbers of New Claims Reported
Year ELS/RHA CNST Total
2002/3 471 5,614 6,085
2003/4 336 4,168 4,504
2004/5 303 4,316 4,619
2005/6 161 4,516 4,677
Clinical Negligence-Total Payments per Year
• 2002/3
• 2003/4
• 2004/5• 2005/6
£446.2M
£422.5M
£502.9M
£560.3M
Open Clinical Negligence Claims by Speciality, 31/3/02
25%
12%
8%7%
7%
6%
4%
31%
Obstetrics
OrthopaedicSurgery
General Surgery
Paediatrics
A/E
Gynaecology
General Medicine
Other
Open Clinical Negligence Claims by Speciality, 31/3/07
22%
12%
10%9%9%5%
4%
29%
Obstetrics
OrthopaedicSurgeryA/E
GeneralSurgeryPaediatrics
GeneralMedicineGynaecology
Other
Value of Open Clinical Negligence Claims by Speciality, at 31/3/02
65%11%
3%
3%
1%17% Obstetrics
Paediatrics
Orthopaedics
A/E
Gynaecology
Others
Value of Open Clinical Negligence Claims by Speciality, at 31/3/07
63%10%
4%
4%
1%18% Obstetrics
Paediatrics
A/E
Orthopaedics
Gynaecology
Others
63% = £4,490M
Open Obstetric Claims by Cause, 31/3/07
• Cerebral Palsy• Other Brain Damage
• Erb’s Palsy• Unnecessary Pain• Fatality• Additional Operation(s)• Stillborn• Other
%
42.7
11.6
10.3
4.3
4.1
3.9
2.2
20.9
Total Value of Open Obstetric Claims, 31/3/07
• Cerebral Palsy• Other Brain Damage• Erb’s Palsy• Developmental Delay• Wrongful Birth• Unnecessary Pain• Other
£M
3,296
739
83
77
33
29
233
4,490
Open Obstetric Claims by Cause, 31/3/07
– Failure to respond to abnormal FHR– Failure to recognise complication– Failure to monitor 1st stage of labour– Failure to monitor 2nd stage of labour– Fail/Delayed Treatment– Fail/Delayed Diagnosis– Application of excess force– Other
%20.5
8.48.07.87.76.95.2
35.5
Open Gynaecology Claims by Injury, 31/3/07
– Additional/unnecessary operation– Unnecessary pain– Bowel damage– Bladder damage– Psychiatric/psychological damage– Infertility– Unwanted pregnancy– Cancer– Other
%
24.4
13.9
6.8
4.9
4.7
4.7
4.3
4.0
32.3
Value of Open Gynaecology Claims, 31/3/07
– Brain damage– Additional/unnecessary
operation– Bowel damage– Cancer– Unnecessary pain– Fatality– Wrongful birth– Bladder damage
%16.916.5
10.07.67.14.44.33.9
29.3
Number of Open Gynaecology Claims, by Cause, at 31/3/07
– Intra-operative problems– Failure/delayed diagnosis– Failure/delayed treatment– Failure to recognise complication– Failed sterilisation– Failure to obtain consent– Inappropriate treatment– Others
%
21.6
15.8
13.9
8.1
4.9
4.5
3.0
28.2
Number of New Obstetric & Gynaecological claims received by year
since 2001/02NHSLA Notification Year
Gynaecology Obstetrics
2001/02 610 1,303
2002/03 552 1,148
2003/04 391 907
2004/05 338 827
2005/06 325 801
2006/07 274 705
Total 2,490 5,691
Amounts paid out on Obstetric & Gynaecological Claims by Year
Payment Year Total Paid on Obstetric Claims
£M.
Total Paid on Gynaecology Claims
£M.
2001/02 429 32.9
2002/03 226 12.5
2003/04 163 16.3
2004/05 243 14.9
2005/06 259 13.8
2006/07 272 15.2
Total 1,592 105.6