Corporate reports and publications

Our current publications

Publication date:

Annual report and accounts 2018/19

NHS Resolution’s Annual report and accounts 2018/19 shows the number of clinical negligence claims has remained relatively steady, despite rising activity in the NHS. Overall, claims are falling as a proportion of the number of treatment episodes. However the report highlights the concern around rising costs and the need for concerted action on all the drivers of clinical negligence costs and looks forward to the anticipated cross-government strategy, recommended by the National Audit Office.

In the legal market, there is encouraging news with evidence of an increased engagement with ways to resolve concerns which keep patients and NHS staff out of court, accompanied by a welcome reduction in legal costs.

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Business plan 2019/20

Our business plan for 2019/20 sets out our financial and delivery plans as we enter into the third year of our five year strategy, Delivering fair resolution and learning from harm.

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Our strategy to 2022

Our five year strategy, Delivering fair resolution and learning from harm, extends our role beyond the historic narrow remit of claims management and shifts the focus of our organisation on prevention, learning and early intervention, to avoid unnecessary court action. This will improve the experience for those who are injured as well as address the level and cost of negligent harm.

Our primary focus for the future is to resolve concerns fairly. We also have a duty to use what we know, to help to prevent the same thing happening again. While we are not a patient safety body, we do have a unique contribution to make to the patient safety system. By working with and through others we can help drive improvements in patient safety and inform policy decisions.

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Annual report and accounts 2017/18

Formal litigation reduced to the lowest recorded level as NHS Resolution mediated more claims in a single year that in its entire history. This was accompanied by a welcome reduction in claimant legal costs (by £31.8 million) for the first time in many years as NHS Resolution implemented the first year of its five year strategy – Delivering fair resolution and learning from harm.

However, despite a plateauing in the numbers of new clinical negligence claims, the cost of claims continued to rise, largely due to a change to the way in which compensation is calculated.

Figures for the past year show that the NHS paid out more than £1.63 billion in damages to claimants in 2017/18, an increase from £1.08 billion in 2016/17. £404 million of the increase (33%) was due to a change in personal injury discount rate (PIDR) from 2.5% to minus 0.75. Legislation to address this is currently progressing through parliament.

Previous publications

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As per our document retention policy we keep three years’ worth of documents online and older documents can be found on the National Archive where you can access our old NHS Litigation Authority (link opens in new window) and National Clinical Assessment Service (link opens in new window) websites.