Abstract

The annual clinical negligence bill against the National Health Service (NHS) in England has increased substantially from £0.3 billion ($0.4 billion) in 2004 and 2005 to £2.3 billion ($3.0 billion) in 2019 and 2020.1 Clinical negligence accounts for more than 1.5% of the annual NHS budget in England (£148.8 billion, $193.4 billion).2 The rising costs have been attributed to increases in both claim volume and costs.2

Highlights

  • The annual clinical negligence bill against the National Health Service (NHS) in England has increased substantially from £0.3 billion ($0.4 billion) in 2004 and 2005 to £2.3 billion ($3.0 billion) in 2019 and 2020.1 Clinical negligence accounts for more than 1.5% of the annual NHS budget in England (£148.8 billion, $193.4 billion).[2]

  • Ophthalmology attracts significant litigation, which is unsurprising in that cataract surgery is the most frequently performed operation in the NHS.[3]

  • Previous studies have used incomplete datasets because before 2002, NHS hospitals did not register all claims on a national database with NHS Resolution (NHSR)

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Summary

Introduction

The annual clinical negligence bill against the National Health Service (NHS) in England has increased substantially from £0.3 billion ($0.4 billion) in 2004 and 2005 to £2.3 billion ($3.0 billion) in 2019 and 2020.1 Clinical negligence accounts for more than 1.5% of the annual NHS budget in England (£148.8 billion, $193.4 billion).[2]. Litigation in Ophthalmology against the National Health Service in England Ophthalmology attracts significant litigation, which is unsurprising in that cataract surgery is the most frequently performed operation in the NHS.[3] Previous studies have used incomplete datasets because before 2002, NHS hospitals did not register all claims on a national database with NHS Resolution (NHSR).

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