NHS Resolution Event Resources

Thank you for visiting our stand at RCOG World Congress 2023! Please find below some key resources and publications which may be of interest to you:

Maternity medication errors

NHS Resolution received 55 claims relating to medication errors in maternity claims between 1st April 2015 and 31st March 2020. Out of these 55 claims, 22 were settled with damages paid, 13 without merit and 20 remain open.

The analysis held within this leaflet only focuses on closed maternity claims that have been settled with damages paid and concern an element of the medication process: prescribing, transcribing, dispensing, administering and monitoring.

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Practitioner Performance Advice services

Our assessments help to clarify and understand the performance of individual practitioners (doctors, dentists and pharmacists), and provide the healthcare organisation and practitioner with a sound basis upon which to bring the case towards a resolution.

Our assessments are aimed at:

  • supporting the local management and implementation of timely and fair management solutions to resolve concerns about performance
  • enabling practitioners to return to safe and effective practice, where appropriate
  • helping to ensure public protection and patient safety.

The exact type of assessment we carry out will be dependent on the circumstances of the case. Please see below the assessment and remediation services we offer:

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Maternity Incentive Scheme (MIS)

Obstetric incidents can be catastrophic and life-changing, with related claims representing the Clinical Negligence Scheme for Trusts’ (CNST) biggest area of spend. Of the clinical negligence claims notified to us in 2021/22, obstetrics claims represented 12 per cent of clinical claims by number, but accounted for 62 per cent of the total value of new claims; almost £6 billion.

The Maternity Safety Strategy set out the Department of Health and Social Care’s ambition to reward those who have taken action to improve maternity safety. We are very happy to support this work through the Maternity Incentive Scheme.

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Early Notification (EN) Scheme

The NHS remains one of the safest healthcare systems in the world within which to give birth. However, avoidable errors within maternity can still occur, which can have devastating consequences for the child, mother and wider family, as well as the NHS staff involved.

Although secondary to the human impact, such incidents can also result in a significant financial cost to the NHS. Obstetric claims accounted for 62% of the total estimated value of new claims reported to our clinical schemes in 2021/22, despite only representing 12% of the number.

NHS Resolution is committed to supporting the National Maternity Safety Ambition to halve maternal and neonatal deaths and reduce significant harm. In order to support achieving this, NHS Resolution’s Early Notification (EN) scheme proactively investigates specific brain injuries at birth for the purposes of determining if negligence has caused the harm. We do this by requiring our Clinical Negligence Scheme for Trusts (CNST) members to notify us of maternity incidents which meet a certain clinical definition. The intention of the scheme is to:

  • Investigate potential eligibility for compensation and take proactive action to reduce legal costs and improve the experience for the family and affected staff;
  • Share learning rapidly with the individual trust and the wider system in order to support safety improvement and prevent the same things happening again;
  • Build on our Saying Sorry and Being Fair work to ensure the process to obtain compensation is not a barrier to openness, candour and learning;
  • Preserve evidence to ensure we are able to respond to cases that a family may choose to bring at a later date; and
  • Improve the process for obtaining compensation for families, meeting needs in real time where possible and trying to reduce the risk of claims increasing in value due to inflation or unmet needs (such as psychological support) translating into larger losses.

To find out more information, please visit our Early Notification Scheme web page.

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The second report: The evolution of the Early Notification Scheme

The second report: The evolution of the Early Notification Scheme provides an overview of progress made since the report into the first year of the scheme, which was published in 2019. The report updates on the progress of the key recommendations which were made in the first report and reflects on modifications and improvements made to the scheme since its launch five years ago. It provides an analysis of the main clinical themes, based on a small cohort of cases, and makes recommendations to further improve outcomes for affected families.

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Early Notification (EN) Case Stories

Our case stories are illustrative and based on recurring themes from real life events. These experiences have been highlighted and shared with you, to help identify potential risks in your clinical area, promote learning and prevent fewer incidents like these occurring in the future.

We have also produced a case story guidance document which explains the various ways you can use the case stories, from individual self-directed learning to support continuous professional development to using them in a team environment. The idea is that by learning from the experience of others, maternity unit staff will be able to change their approach to care.

Our Early Notification case stories are available to read below:

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