1. UHS Claims Profile Division Emergency Department Specialist Medicine Ophthalmology Elderly Care EXAMPLE TEMPLATE

2. FACTS and FIGURES Acute Trust services xxxxxxxxx CNST annual contribution 2014/15 Divisional CNST contributions by specialty and % Emergency Department(£% of annual contribution) Specialist Medicine(£% of annual contribution) Ophthalmology(£% of annual contribution) Elderly Care(£% of annual contribution) The thinking behind this profile/data is simple: share with the clinicians (and raise awareness ) of what it costs the Trust both in terms of contributions and money paid in damages to lift profile of claims (at the same time forming a focus on claims and on safety issues ) to assist and promote both local and shared learning.

3. High Value=£1m and over, Low Volume <3 claims No High value, low volume claim High Value = £1m and over, High Volume = 3 claims and over No high value, high volume claims Low Value < £1m, low Volume, 3 Low value, low volume claims Pierced ear drum Excess dose of radiotherapy (SIRI/SEC) Wrong tooth removed Low Value < £1m, High Volume = 3 claims and over () Low value, high volume claims Division – Claims Scorecard Overview Value (Low to High) Volume (Low to high) This slide was modelled on the NHSLA scorecard but made specific to our specialty/division.

4. CLAIM NUMBERS by Specialty Cases currently registered and open with the NHSLA by specialty Emergency Department Specialist Medicine Ophthalmology Elderly Care Pre-action requests for copy medical records – potential claims Emergency Department Specialist Medicine Ophthalmology Elderly Care As a focus this helps in identifying where your claims fall in number to assist in your overall focus by speciality and later by cause/injury.

5. Emergency Department – Focus Report What claims are out-standing now ? total number of claims registered with the NHSLA total of estimated damages payable total of estimated costs payable claims currently being defended/repudiated (damages (e) at £ claims settlement underway (damages (e) £ Themes: Themes not coded: Focus by specialty

6. NHSLA - Comparison data For those specialities where claim numbers are considered to be high (or one of your top 5 specialties) – this chart from the NHSLA extranet site – compares your data with other member like Trusts, reflecting national and regional data also. I

7. Emergency Department Scorecard This data is collected from the NHSLA tool and is specific to the Emergency Department only. This allows for a focus on themes.

8. Specialist Medicine – Focus Report What claims are out-standing now ? total number of claims registered with the NHSLA total of estimated damages payable total of estimated costs payable claims currently being defended/repudiated (damages (e) at £) claims settlement underway (damages (e) £) Themes: Themes not coded: Focus by specialty

9. Specialist Medicine Scorecard This data is collected from the NHSLA tool and is specific to the Specialist Medicine Department only. This allows for a focus on themes.

10. Ophthalmology Focus Report What claims are out-standing now ? total number of claims registered with the NHSLA total of estimated damages payable total of estimated costs payable claims currently being defended/repudiated (damages (e) at £) claims settlement underway (damages (e) £) Themes: Themes not coded: Focus by Specialty

11. Ophthalmology Scorecard This data is collected from the NHSLA tool and is specific to the Ophthalmology Department only. This allows for a focus on themes.

12. Elderly Care – Focus Report What claims are out-standing now ? total number of claims registered with the NHSLA total of estimated damages payable total of estimated costs payable claims currently being defended/repudiated (damages (e) at £) claims settlement underway (damages (e) £) Themes: Themes not coded: Focus by Specialty

13. Elderly Care Scorecard This data is collected from the NHSLA tool and is specific to the Elderly Care Department only. This allows for a focus on themes.

14. Division B Scorecard by Cause for All specialties This data is collected from the NHSLA tool and is specific to a number of specialty groups. This allows for a “cause” focus on themes across a number of specialties to form an overall focus for the Division. You can then consider work stream links already in place and/or consider new work streams.

15. Division B Scorecard by Injury for All specialties This data is collected from the NHSLA tool and is specific to a number of specialty groups. This allows for a “injury” focus on themes across a number of specialties to form an overall focus for the Division. You can then consider work stream links already in place and/or consider new work streams, linking with incidents and complaints.

16. ThemeWork StreamsGap Analysis/consider Consent Consent what’s important to patient and what risks to tell Electronic consent forms linking to procedure specific information Pre-populated risks Division to review Montgomery and Lanarkshire “case” to consider implications for Division. Sepsis Early recognition and prompt management Sepsis screening tool Sepsis 6 pathway Focused work for time to IV antibiotics Delay to diagnose appendicitis n/aConsider abdominal presentation care pathway and link with Emergency department Claims Thematic Analysis by Cause Linking with Incidents This profile report is not designed to hold all the answers but attempts to triangulate across claims and incidents/complaints and work streams already in place or being considered.

17. Non Clinical Claims – Overview with Focus Indicators Work Stream LinksClaim FindingsGap Analysis/resolve Falls NSI Manual Handling Chart showing figures for the year – specific to “cause” i.e. Falls, NSI and Manual handling again attempting to triangulate and link with incidents (Health & Safety) /complaints.