Learn: NHS Resolutionhttps://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/page/2/?d=1Learn: NHS ResolutionenFive years of cerebral palsy claim: A thematic review of NHS Resolution data (September 2017)https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/five-years-of-cerebral-palsy-claim-a-thematic-review-of-nhs-resolution-data-september-2017-r598/ Key findings

There were 50 claims between 2012-2016 suitable for review.

  • Potential financial liability could be greater than £390 million, which excludes the defence costs and the wider healthcare costs to the NHS.
  • Evidence of poor quality serious incident investigations at a local level:
    • the patient and family were only involved in 40% of investigations
    • only 32% had a review that involved an obstetrician, midwife and neonatologist
    • only 4% had an external reviewer.
  • Reports focused too heavily on individual errors.
  • Errors with fetal heart rate monitoring was the most common theme. However, the underlying causes were often not related to individual misinterpretation but related to systemic and human factors.
  • Breech births were over-represented within this cohort, compared to the national average.
  • Inadequate staff training and monitoring of competency identified as an important issue.
  • Shortcomings in informed consent evident.
]]>598Fri, 20 Sep 2019 13:41:00 +0000NHS Resolution: Case story. Missed opportunities to prevent cardiac arrest and subsequent severe hypoxic brain injury in an intensive care patient (September 2017)https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/nhs-resolution-case-story-missed-opportunities-to-prevent-cardiac-arrest-and-subsequent-severe-hypoxic-brain-injury-in-an-intensive-care-patient-september-2017-r597/ Key learning points

  • If the patient had been more closely observed it is likely cardio-respiratory arrest and subsequent hypoxic brain injury could have been avoided.
  • Effective procedures for nurse communication, effective handover and observation of critically unwell patients in intensive care and high dependency units are very important to safe patient care.
  • Bedside and remote monitoring equipment provide vital information to staff and should be properly maintained and replaced where necessary.
]]>597Fri, 20 Sep 2019 13:33:00 +0000NHS Resolution: Giving evidence in court (September 2018)https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/nhs-resolution-giving-evidence-in-court-september-2018-r593/593Fri, 20 Sep 2019 13:18:00 +0000NHS Resolution: Behavioural insights into patient motivation to make a claim for clinical negligence (August 2018)https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/nhs-resolution-behavioural-insights-into-patient-motivation-to-make-a-claim-for-clinical-negligence-august-2018-r592/ The report concludes that the research participants were, in general, not satisfied with the reactions of NHS staff following their incident or how their complaint was handled within the NHS. A number of intrinsic motivators made participants want to claim against the NHS. In addition, certain external factors prompted, or even triggered, individuals to pursue a claim.

]]>592Fri, 20 Sep 2019 13:15:00 +0000NHS Resolution: Delivering fair resolution and learning from harm. Our strategy to 2022https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/nhs-resolution-delivering-fair-resolution-and-learning-from-harm-our-strategy-to-2022-r591/ NHS resolution's five year strategy, Delivering fair resolution and learning from harm, extends their role beyond the historic narrow remit of claims management and shifts the focus of the organisation on prevention, learning and early intervention, to avoid unnecessary court action. This will improve the experience for those who are injured as well as address the level and cost of negligent harm.

]]>591Fri, 20 Sep 2019 13:11:00 +0000What is NHS Resolution?https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/what-is-nhs-resolution-r581/ This website can give further information on:

]]>581Fri, 20 Sep 2019 10:31:00 +0000NHS Resolution: Annual report and accounts 2020/21https://www.pslhub.org/learn/organisations-linked-to-patient-safety-uk-and-beyond/government-and-alb-direction-and-guidance/nhs-resolution/nhs-resolution-annual-report-and-accounts-202021-r217/ Key figures concerning the cost of avoidable harm in the NHS this report highlights include:

  • Payments for resolving clinical claims in 2023/24 totalled £2,821.2 million (this is an increase from £2,641.7 million in 2022/23).
  • The figure for payments resolving clinical claims includes damages paid to claimants of £2,107 million, claimant legal costs of £545 million and NHS legal costs of £169 million.
  • Looking at the Clinical Negligence Scheme for Trusts (CNST), which is NHS Resolution’s biggest scheme and represents the majority of claims by numbers, the estimated cost of harm in 2023/24 was £4,778 million (this figure is lower than the previous year’s figure of £6,278 million, mainly owing to increases in Her Majesty’s Treasury discount rates, which has placed a lower value on projected claims costs).

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