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 YearELS/RHACNSTTotal 2002/34715,6146, /43364,1684, /53034,3164, /61614,5164,677

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

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

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

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

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

Open Obstetric Claims by Cause, 31/3/07 Cerebral Palsy Other Brain Damage Erb’s Palsy Unnecessary Pain Fatality Additional Operation(s) Stillborn Other %

Total Value of Open Obstetric Claims, 31/3/07 Cerebral Palsy Other Brain Damage Erb’s Palsy Developmental Delay Wrongful Birth Unnecessary Pain Other £M 3, ,490

Open Obstetric Claims by Cause, 31/3/07 –Failure to respond to abnormal FHR –Failure to recognise complication –Failure to monitor 1 st stage of labour –Failure to monitor 2 nd stage of labour –Fail/Delayed Treatment –Fail/Delayed Diagnosis –Application of excess force –Other %

Open Gynaecology Claims by Injury, 31/3/07 –Additional/unnecessary operation –Unnecessary pain –Bowel damage –Bladder damage –Psychiatric/psychological damage –Infertility –Unwanted pregnancy –Cancer –Other %

Value of Open Gynaecology Claims, 31/3/07 –Brain damage –Additional/unnecessary operation –Bowel damage –Cancer –Unnecessary pain –Fatality –Wrongful birth –Bladder damage %

Number of Open Gynaecology Claims, by Cause, at 31/3/07 –Intra-operative problems –Failure/delayed diagnosis –Failure/delayed treatment –Failure to recognise complication –Failed sterilisation –Failure to obtain consent –Inappropriate treatment –Others %

Number of New Obstetric & Gynaecological claims received by year since 2001/02 NHSLA Notification Year GynaecologyObstetrics 2001/026101, /035521, / / / / Total2,4905,691

Amounts paid out on Obstetric & Gynaecological Claims by Year Payment YearTotal Paid on Obstetric Claims £M. Total Paid on Gynaecology Claims £M. 2001/ / / / / / Total1,