Freedom of Information disclosure log

Appeal details (FOI_7660)

The following information was requested:

Follow up to FOI_7412.

I should like to have the contents of this email below answered as an FOI please. I have had no answer so far to this enquiry.

Request for detail on REF: SHA/26264 Appeal against NHS Decision by BOB ICB to grant an Application by CA-Health limited 25 October 2024.

In regard to this appeal report which I have dated 24 October I wish to ask for detail that is missing, namely:

The names and relevant details of the NHS Resolution appeal group. The end of the report just has the reference ‘ Case Manager Primary Care Appeals.’ There is no name given. Your web address reference for this report.

Claims relating to fail to warn – informed consent (FOI_7651)

The following information was requested and clarified:

Specifically, I would like to request the number of clinical negligence claims with a primary cause of “Fail to warn – Informed consent” received between the financial years 2015/16 and 2025/26 broken down as follows:

• By year
• By age of subject – paediatric (<18), adult (≥18), deceased (such as consent to the use of pre-harvested gametes, if applicable), other
• By category – medical, surgical, other (specify if another distinct category)
• By specialty for surgical claims
• By outcome – whether clinical negligence was confirmed (duty of care breached) or disputed (duty of care upheld)

Claims relating to skin surgery (FOI_7652)

Service: Claims Management Speciality: Dermatology, Plastic Surgery

The following information was requested and clarified:

I am writing to request information under the Freedom of Information Act 2000.

Please provide aggregated, anonymised data relating to claims involving skin surgery (excluding cosmetic surgery), which can include skin surgery (performed by dermatologists, plastic surgeons, other specialties etc) handled by NHS Resolution over the past 10 years (ie. 01/01/2016-31/12/2025.

In Particular, we would like to request

1. Overall Claims

* Total claims related to skin surgery excluding cosmetic surgery
* Claims that were settled with damages paid
* Claims that were settled with no damages claimed
* Claim frequency by year
* Trends over time in claim volume and cost
* Total sum of damages paid

2. Individual claim details:
* Type of skin surgical procedure – eg. Punch Biopsy, Curettage and Cautery, Shave Biopsy, Incisional Biopsy, Excision Biopsy, Wide Local Excision, MOHS Surgery
* Reason for claim eg. Failure/delayed diagnosis, fail/delay treatment, wrong site surgery, inappropriate treatment, failed to follow up arrangements, failed to warn informed consent
* Contributing factors eg. Procedural error, Diagnostic error, Treatment-related complication; Psychiatric/psychological damage, cosmetic disfigurement, tissue damage, burns, fatality, additional/unnecessary operations, advanced stage cancer, pain, scarring, cancer
* Outcome of claim

If NHS Resolution uses different terminology or categorisation, please provide the closest equivalent classifications.

This information is requested for patient safety learning, service improvement, and professional research relating to risk, consent, and outcomes in skin surgery. It is not intended for commercial use or individual case analysis.

 

Claims for impotence and incontinence (FOI_7646)

The following information was requested:

Freedom of Information Act Request

1. How many clinical negligence claims involving an injury code of (i) loss of sexual
function, or (ii) impotence, were paid out by the NHSLA or NHS Resolution in the
combined last three financial years? (22/23)(23/24) and (24/25)?

What was the monetary value of payments made against those claims that were paid in those
three combined financial years, regardless of when the incident took place or the claim was
lodged?

2. How many clinical negligence claims involving an injury code of (i) incontinence were
paid out by the NHSLA or NHS Resolution in the last financial year (24/25)?

What was the monetary value of payments made against those claims that were paid in that
financial year, regardless of when the incident took place or the claim was lodged? Please could the tables in this response be in the same format as a previous response to this question (FOI_6930).

Contract procurement framework (FOI_7640)

The following information was requested:

I am doing a research project investigating call-off contracts in the public sector. I have identified a potential call-off contract awarded by NHS Resolution, but I can’t find details of the framework agreement it was awarded from, or which lot was used.

I have attached an Excel file that contains the information I am looking at. The last two columns (“Title of framework used” and “Further framework info”) is where I am missing information. Please could you provide the name of the specific framework agreement or DPS/Dynamic Market used here, as well as the lot used if the framework was divided into lots. If there is any further info which you think would help me locate the framework agreement (e.g., a link to the framework’s Contract Finder or FTS listing, the framework provider, or a widely-used reference number such as CCS’s RM codes), please use the final column for this. Please use the second column for the relevant lot information.

Please note that I have identified this contract as a possible call-off contract, so there is a chance it is not a call-off. It could be, for instance, procured directly (without being called off from a framework agreement), or could be itself a notice of the establishment of a framework agreement. Therefore I would kindly ask you to specify in this instance what kind of procurement was used in the “Title of framework used” column.

I have provided the title, description, the publication date, and procedure type used to award the potential call-off, as well as a URL link to the call-off in question and a unique reference ID for the potential call-off. Please let me know if there is anything else you need to complete the request.

Claims relating to neurology (FOI_7638)

Service: Claims Management Speciality: Neurology

The following information was requested and clarified:

I am happy to narrow my request to the high-level data you can provide.

Please provide the following for the period 2020-2025:

1. For the specialty of NEUROLOGY:

• Total number of claims received
• Number closed with damages paid
• Number closed with nil damages
• Associated costs (where damages were paid)

2. Breakdown by PRIMARY CAUSE for neurology claims:

Using your CNST cause codes, please provide the number of claims where the primary cause
was related to:

• Prescribing/medication errors
• Failure to obtain informed consent
• Failure to refer or consult with another specialty
• Inadequate assessment

3. Breakdown by PRIMARY INJURY for neurology claims:

Using your CNST injury codes, please provide the number of claims where the primary injury
involved:

• Psychiatric/psychological harm
• Drug reaction/side effects
• Exacerbation of pre-existing condition

4. If possible, any breakdown showing neurology claims where BOTH:

• The cause was prescribing-related AND
• The injury was psychiatric/psychological

5. Any thematic reviews, patient safety reports, or learning summaries (not publicly available
on your website) that reference:

• Prescribing safety in patients with psychiatric comorbidities
• Neurology or headache services
• Multidisciplinary consultation in complex prescribing

6. Any guidance or recommendations (including unpublished documents) issued by NHS
Resolution to NHS trusts regarding:

• Assessment of psychiatric risk prior to prescribing
• Involving mental health services in prescribing decisions

(Please, see attached PDF for more details.)

Claims under ELSGP and Covid scheme (FOI_7633)

Service: Claims Management Speciality: Obstetrics, Paediatrics, Psychiatry/ Mental Health

The following information was requested:

This is a follow up on FOI_7518.

I am writing to request the same information disclosed by NHSR as part of FOI ref: FOI_7518,
for the following:

  1. Obstetrics cases involving cerebral palsy or brain damage
  2. Paediatrics
  3. The Existing Liabilities Scheme for General Practice,
  4. The Clinical Negligence Scheme for Coronavirus;
  5. Psychiatry/mental health

For all of the above, please provide me with the data disclosed in FOI_7518, in the same format. That includes:

i. The total number of claims settled each year between 2019 to 2025.
ii. The total costs paid as part of the settlements, including damages, claimant and defendant
legal costs, compensation, and any other costs covered by the NHS/NHSR. Please also break
this data down by year.

Claims for Cardiology (FOI_7631)

Service: Claims Management Speciality: Cardiology

The following information was requested:

I am writing to request information under the Freedom of Information Act 2000.

Scope of request

Please provide information relating to clinical negligence claims involving missed or delayed diagnosis of acute myocardial infarction (AMI), including but not limited to STEMI, NSTEMI, or “acute coronary syndrome subsequently confirmed as MI”.

For the avoidance of doubt, this request refers to claims where the primary or contributory allegation includes:
– Missed diagnosis of AMI
– Delayed diagnosis of AMI
– Failure to recognise ECG changes consistent with acute MI
– Failure to escalate, convey, or act on suspected MI

Requested data

For each financial year 2014/15 to 2023/24 inclusive, please provide:
1. The number of clinical negligence claims closed in that year where the allegation included missed or delayed diagnosis of AMI.
2. The total damages paid (£) for those claims (excluding legal costs).
3. The total claimant legal costs paid (£) for those claims.
4. The total NHS legal costs paid (£) for those claims.
5. A breakdown (where available) of claims by organisation type, specifically:
– Ambulance trusts
– Acute hospital trusts
6. Where possible, the subset of the above attributable to London Ambulance Service NHS Trust.

Coding and definitions
If NHS Resolution uses internal cause, allegation, or injury coding (e.g. diagnostic error,  cardiovascular injury, emergency medicine, ambulance services), please use those codes to identify relevant cases.

If exact diagnostic specificity (“missed myocardial infarction”) is not available, please include the
closest applicable coded category and explain the limitation.

Exclusions
– Claims still open or unresolved
– Claims closed with nil damages
– Other NHS Resolution schemes (unless unavoidable due to data structure — if so, please specify).

(Clarified on 31 Dcember 2025.)

The cause codes: wrong diagnosis and failure/delay diagnosis will be helpful referenced to the injury code: Cardiovascular Condition and the Speciality code: Cardiology

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