Historically, GPs and any staff in general practice, including nurses, needed to arrange their own personal indemnity cover with a medical defence organisation in order to indemnify them in claims against them for medical negligence. This would be in a similar way to you or I arranging insurance cover against loss or damage caused by us or others to our cars or our homes. However, the position for all claims arising from incidents that occurred on or after 1 April 2019 against anyone working in primary care NHS services is that they will now be handled by NHS Resolution under the Clinical Negligence Scheme for General Practice. (CNSGP).
The main function of NHS Resolution, formerly known as NHS Litigation Authority is to manage claims made against the NHS in England. The main reason for the introduction of this latest scheme is to reduce the cost of indemnity cover for individual health care providers but what are the benefits and pitfalls for the Claimant.
NHS Resolution have been doing this type of work for many, many years so they are well versed in how to manage the claims and having one single point of contact for claimants will be helpful in those cases where the GP or staff member has moved on and the Claimant is having difficulty tracing them or confirming their medical defence organisation details and whether they indeed had indemnity cover. It will also allow scope for other settlement options that weren’t open to GPs previously such as periodical payment orders i.e., where the injured party receives an annual sum for an element or elements of the claim rather than one large lump sum. This is usually applicable in cases involving catastrophic injuries and this type of settlement can be very attractive to such injured claimants.
NHS Resolution is however not a perfect model. We routinely see claims being defended, despite admissions of unacceptable treatment being previously made by way of complaints or the Trust’s own root cause analysis investigations. The cases then have to be pursued and litigated increasing the costs in the claim and the amount of time it takes to reach a settlement.
At this early stage, it is too early to tell if this is a good move but what we can almost certainly guarantee is that we will hear about the increased costs to the tax payer of dealing with these claims.
Ashleigh Holt – July 2019