1. Learning from Claims Helen Vernon, CEO, NHS Litigation Authority Bristol Patient Safety Conference 4 May 2016

2. 2 Our aims Pay justified claims promptly and fairly. Defend unjustified claims robustly. Support the NHS in learning from when things go wrong in order to reduce the harm which leads to claims. Manage risk pools, on a pay-as-you-go basis which smooth the costs of claims over time for our members.

3. 3 Our role Part of the NHS and not-for-profit. Managing claims against the NHS for the NHS. Specialist expertise built up over 20 years. Economies of scale, leveraging the buying power of the NHS and ensuring consistent approach – can we do more?

4. 4 Challenges Claims are the tip of the iceberg Claims drivers which lie in the legal environment Incident to payment time lag Price incentives and identifying a ‘forward view’

5. 5 Clinical negligence expenditure including interim payments 2014/15

6. 6 Claims growth

7. 7 Claims without merit

8. 8 Maternity

9. 9 True cost of serious incidents? www.janecarthey.comwww.janecarthey.com accessed 21.10.15

10. 10 What does £1billion UK Sterling buy in healthcare? The King's Fund - £1bn will pay to run the NHS across the UK for nearly three days. Or cover all diagnostic imaging - MRI scans, x-rays - for a year (with a bit left over for other jobs). Would pay for an additional 26,000 nurses or 12,000 hospital doctors for one year. www.bbc.co.uk/news/magazine-32309311

11. 11 Board level engagement with incidents, complaints and claims will reduce cost.

12. 12 How we can help Supporting the analysis of your claims and triangulation with other data to understand drivers and work towards reduction. Understanding your CNST price and how it is driven by your claims experience Working with your teams to bring the data to life with patient stories and illustrations of cost Sharing best practice, tackling the front end to prevent incidents and where harm occurs, that incidents do not become complaints or litigation.

13. 13 Scorecards

14. 14

15. 15 Did you know?

16. 16 Saying sorry Not an admission of liability Part of Duty of Candour The right thing to do

17. 17 Sign up to Safety A national campaign for the NHS in England Aim to reduce avoidable harm by half and save 6000 lives Everyone working together as never before to achieve large scale, long lasting change

18. 18 Incentive scheme 114 Trusts submitted bids 249 Separate bids considered (multiple bids as well) 67 Successful

19. 19 Profile of areas supported

20. 20 What next? CNST consultation - closes 17 th May Options for reform of the legal environment Investment of resource in the front end of prevention

21. 21 Thank you!