NHS Resolution annual report and accounts 2024 to 2025 (17 July 2025)

Summary

NHS Resolution is an arm’s length body of the Department of Health and Social Care. It provides expertise to the NHS on resolving concerns and disputes fairly, sharing learning for improvement and preserving resources for patient care. It handles negligence claims on behalf of NHS organisations and independent sector providers of NHS care.

Their annual report and accounts for 2024/25 provides an overview of the work of NHS Resolution over this period. It includes information about the number of clinical negligence claims, payments against schemes and the ‘annual cost of harm’ from the Clinical Negligence Scheme for Trusts.

Content

Key points highlighted in this report include:

• NHS Resolution received 14,428 new clinical negligence claims and reported incidents in 2024/25.
• £3.1 billion was paid out in 2024/25 for compensation and associated costs on all of NHS Resolution’s clinical schemes, compared to £2.8 billion in 2023/24.
• £1.3 billion of the total clinical negligence payments in 2024/25 related to maternity.
• The estimated ‘annual cost of harm’ for incidents in 2024/25 for the main clinical scheme, Clinical Negligence Scheme for Trusts (CNST), was £4.6 billion.
• NHS Resolution’s provision for future liabilities as of 31 March 2025 was £60.3 billion.