1. The Doctor, the Patient….and her Lawyer Clinical Negligence and the NHS Celia Newton Legal Affairs Manager 13 October 2015

2. Set the Scene…..

3. The Doctor….A Claims Culture?

4. TRFT against the National Benchmark

5. Medium Acute Trusts with Maternity FY2013/14

6. Regional FY 2013/14

7. TRFT Data

9. National Data FY 2013/14

10. Outcomes

11. Outcomes- Financial

12. Estimated Costs by Division Keep in context…

13. The Patient….. Possibly an incident : 47% Possibly an unreported/ ‘downgraded’ incident that should have triggered the Duty of Candour Likely a complaint: 77% AHR: Missing records?

14. The Patient….. Snapshot of new Claims brought High -Med Risk FY 2013/14 50% associated with fatality +/ - cardiac arrest +/- significant avoidable injury Failure to Respond to Deterioration 55% Missed Diagnosis 32% Delayed Diagnosis 13%

15. Patient Outcome by Discipline

16. The Patient…… The Process…… What the patient recalls… What the lawyer averred…… VS What the contemporaneous records reveal

17. The Doctor….. The Process….. What the patient recalls… What the lawyer averred…… VS What the contemporaneous records reveal

18. The risks…. Factual Evidence: Record keeping-notes!! Your Opinion Evidence: Context Your Opinion: Organisational issues- fragmented care / referral pathways etc Independent Expert Evidence: Your peers

19. The risks….. Individual’s perceptions / support Professional conflict Organisational processes- data- accurate Organisational processes- how do we learn

20. Her Lawyer….

21. Thank you for your attention legalaffairs@rothgen.nhs.uk