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Claims Trends in Obstetrics and Gynaecology

Claims Trends in Obstetrics and Gynaecology. Presentation by John Mead Technical Claims Director NHS Litigation Authority 26 th April 2007. Clinical Negligence-Numbers of New Claims Reported. 2002/3 2003/4 2004/5 2005/6. £446.2M £422.5M £502.9M £560.3M.

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Claims Trends in Obstetrics and Gynaecology

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  1. Claims Trends in Obstetrics and Gynaecology Presentation by John Mead Technical Claims Director NHS Litigation Authority 26th April 2007

  2. Clinical Negligence-Numbers of New Claims Reported

  3. 2002/3 2003/4 2004/5 2005/6 £446.2M £422.5M £502.9M £560.3M Clinical Negligence-Total Payments per Year

  4. Open Clinical Negligence Claims by Speciality, 31/3/02

  5. Open Clinical Negligence Claims by Speciality, 31/3/07

  6. Value of Open Clinical Negligence Claims by Speciality, at 31/3/02

  7. Value of Open Clinical Negligence Claims by Speciality, at 31/3/07

  8. Cerebral Palsy Other Brain Damage Erb’s Palsy Unnecessary Pain Fatality Additional Operation(s) Stillborn Other % 42.7 11.6 10.3 4.3 4.1 3.9 2.2 20.9 Open Obstetric Claims by Cause, 31/3/07

  9. Cerebral Palsy Other Brain Damage Erb’s Palsy Developmental Delay Wrongful Birth Unnecessary Pain Other £M 3,296 739 83 77 33 29 233 4,490 Total Value of Open Obstetric Claims, 31/3/07

  10. Failure to respond to abnormal FHR Failure to recognise complication Failure to monitor 1st stage of labour Failure to monitor 2nd stage of labour Fail/Delayed Treatment Fail/Delayed Diagnosis Application of excess force Other % 20.5 8.4 8.0 7.8 7.7 6.9 5.2 35.5 Open Obstetric Claims by Cause, 31/3/07

  11. Additional/unnecessary operation Unnecessary pain Bowel damage Bladder damage Psychiatric/psychological damage Infertility Unwanted pregnancy Cancer Other % 24.4 13.9 6.8 4.9 4.7 4.7 4.3 4.0 32.3 Open Gynaecology Claims by Injury, 31/3/07

  12. Brain damage Additional/unnecessary operation Bowel damage Cancer Unnecessary pain Fatality Wrongful birth Bladder damage % 16.9 16.5 10.0 7.6 7.1 4.4 4.3 3.9 29.3 Value of Open Gynaecology Claims, 31/3/07

  13. Intra-operative problems Failure/delayed diagnosis Failure/delayed treatment Failure to recognise complication Failed sterilisation Failure to obtain consent Inappropriate treatment Others % 21.6 15.8 13.9 8.1 4.9 4.5 3.0 28.2 Number of Open Gynaecology Claims, by Cause, at 31/3/07

  14. Number of New Obstetric & Gynaecological claims received by year since 2001/02

  15. Amounts paid out on Obstetric & Gynaecological Claims by Year

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