Resolution through collaboration: 2026/27 Business Plan

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A summary of NHS Resolution's role as an organisation.

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Resolution through collaboration: 2026/27 Business Plan

  1. Introduction
  2. Who we are and what we do
  3. Our priorities for 2026/27
  4. Our governance
  5. Our performance
  6. Our people
  7. Our resources
  8. Annex A: Key performance indicators as reported to DHSC

Who we are and what we do

We are part of the NHS, operating as an arm’s-length body of the Department of Health and Social Care (DHSC), tasked with:

  • Administering a range of indemnity schemes to cover the risks involved in delivering general practice and secondary healthcare services in England and handling associated compensation claims.
  • Providing expert advice and support on the management of concerns about the performance of doctors, dentists and pharmacists.
  • Resolving contracting disputes between primary care contractors and commissioners of primary care, operating independently and transparently.
  • Using our unique perspective across the causes of claims, performance concerns and contracting disputes to provide insights back to the NHS to help to improve safety and manage risk.

30 years of progress

The timeline below charts key moments and milestones from the past three decades.

NHS Litigation Authority milestones from 1995 to 2025, including establishment of NHS Litigation Authority (1995), Practitioner Performance Advice (2001), Primary Care Appeals transfer (2005), Safety and Learning function (2013), rebranding to NHS Resolution and Early Notification Scheme (2017), Maternity Incentive Scheme (2018), CNSGP (2019), CNSC (2020), Claims Evolution and Core Systems Programmes (2022), and goals for claim settlements by end of 2023

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