Clinical Negligence Claims and Medico-legal costs

James Guyton Lee (Account suspended) made this Freedom of Information request to North Bristol NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

North Bristol NHS Trust did not have the information requested.

James Guyton Lee (Account suspended)

Dear North Bristol NHS Trust,

Please can you provide the following information in regard to Clinical Negligence Claims and Medico-legal costs in your organisation:

1. How much did your Trust spend on its Legal Department per annum in the following years:

2012
2013
2014
2015
2016
2017

2. How many whole time equivalent members of staff did you have in your Legal Department (please organise by pay grade) in the following years:
2012
2013
2014
2015
2016
2017

3. What was the total number of allegations or attempted clinical negligence claims against your Trust per annum for the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

4. What was the total number of cases and enquiries handled by your Trust’s legal department per annum in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

5. What was the total number of successful clinical negligence claims against your Trust in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

6. What was the median and mean time (in days) from complaint to closure of each case/enquiry handled by your Trust’s legal department in 2015 and 2016. Please only supply data for cases which did not result in a successful claim.

7. What was the median and mean time (in days) from complaint to closure of each successful claim against your Trust’s legal department in 2015 and 2016.

8. What was the total sum paid out in successful and settled clinical negligence claims in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

9. What was the total sum paid out for legal costs (not damages) for completed clinical negligence claims in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

10. What was the total sum paid out in completed clinical negligence claims in the Neurosurgery Department in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

11. What was the total sum paid out in completed clinical negligence claims in the Spinal Surgery Department (if separate from Neurosurgery) in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

12. What was the total sum paid out in completed clinical negligence claims in the Cardiology Department in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

13. What was the total sum paid out in completed clinical negligence claims in the Oncology Department in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

14. What was the total sum paid out in completed clinical negligence claims in the Trauma & Orthopaedic Department in the following years:

Incident Year:
2012
2013
2014
2015
2016
2017

15. What proportion of completed clinical negligence claims in the Spinal Surgery and Neurosurgery departments were attributed to the following in 2014, 2015, 2016 and 2017:
a)Delay in diagnosis
b)Delay in treatment
c)Poor communication or documentation
d)Poor clinical decision making

16. Does your Trust use a digital or online referral system in any of its acute medical of surgical specialties and when was it implemented?

17. Who is the Vendor of this referral system?

Yours faithfully,

James Guyton Lee

Freedom of Information, North Bristol NHS Trust

Dear Mr Guyton Lee

Thank you for your request for information under the terms of the Freedom of Information Act 2000. Your request has been forwarded to the appropriate department for consideration and will be responded to within 20 working days.

Your ref: 4563-11-17

Kind Regards

Helen

Helen Williamson
Head of Information Governance, Business Intelligence Team, IM&T
Work Pattern: Mon, Tue, Thur, Fri 7:30am – 5:00pm
Annual Leave Notice:
Christopher Hancock Building, Southmead Hospital
North Bristol NHS Trust, Bristol, BS10 5NB
T: 0117 41 44767
E: [email address]

The information you have been supplied may be subject to the Principles of the Data Protection Act 1998. You must acknowledge the information as North Bristol NHS Trust and give the title of the document / information. Please note that any attachments OR any Personal Identifiable Data (PID) should not be forwarded to any address other than one ending @nbt.nhs.uk without prior knowledge of the author/sender.

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Freedom of Information, North Bristol NHS Trust

Dear Mr Guyton Lee

Thank you for your request for information of 28th November 2017. In compliance with the Freedom of Information Act 2000, our response is below.

1 and 2
Year Healthcare legal team spend (staff only) WTE staff 8 7 4 3
2012 131,422 3.90 0.81 0.41 1.68 1.00
2013
2014
2015 200,994 5.22 1.22 2.0 0 2.0
2016 201,925 5.22 1.22 2.0 0 2.0
2017 236,043 6.22 1.22 2.0 0 3.0

The missing years were where the team was outside of Clinical Governance and therefore do not have those year-end cost centre statements.

3 and 4
We are unable to extrapolate from our Safeguard system an accurate figure for the number of allegations or attempted clinical negligence claims or total number of cases and enquiries handled by the team. The number of enquiries are not captured. We capture legal advice we provide.

We can provide the following data which relates to open clinical negligence claims as at a specific date for the last 3 years:-
31.03.15 - 362
31.03.16 - 434
31.03.17 - 500

5 - unable to provide accurate data due to limitations of the Safeguard system. This information may be found via the NHSR.

6 - We do not capture this information.

7 - We do not capture this information.

8,9,10,11,12,13,14 and 15 - unable to provide accurate data due to limitations of the Safeguard system. This information may be found via the NHSR.

Your request has been fully discharged, but I should be pleased to offer any further assistance that you may require.

We should advise that you have the right to complain about this response by reference to the complaints procedure of the North Bristol NHS Trust, in which case you should write to:

Advice & Complaints Team (ACT)
Beaufort House,
Beaufort Way,
Southmead Hospital,
Southmead,
Bristol BS10 5NB

Email: [email address]

If you remain dissatisfied with the decision of North Bristol NHS Trust following your complaint, you may write to the Information Commissioner, whose address is:

Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire SK9 5AF

The Trust asks that you note, that the information you have been supplied may be subject to the Copyright, Designs & Patents Act 1988. You may re-use the information provided for personal use, (not including logos), free of charge in any format or medium. However, you must re-use it accurately and not in a misleading context. You must acknowledge the information as North Bristol NHS Trust copyright and give the title of the document/publication. Where we have identified any third party copyright material you will need to obtain permission from the copyright holders concerned.

Kind Regards

Helen

Helen Williamson
Head of Information Governance, Business Intelligence Team, IM&T
Work Pattern: Mon, Tue, Thur, Fri 7:30am – 5:00pm
Annual Leave Notice:
Christopher Hancock Building, Southmead Hospital
North Bristol NHS Trust, Bristol, BS10 5NB
T: 0117 41 44767
E: [email address]

The information you have been supplied may be subject to the Principles of the Data Protection Act 1998. You must acknowledge the information as North Bristol NHS Trust and give the title of the document / information. Please note that any attachments OR any Personal Identifiable Data (PID) should not be forwarded to any address other than one ending @nbt.nhs.uk without prior knowledge of the author/sender.

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