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Claims scorecards

We provide updated claims scorecards annually for members to review on our Extranet. The scorecards are designed to help our members better understand their value and volume of claims by specialty and cause, and to help target interventions aimed at improving patient safety.

The scorecards are a quality improvement tool to assist with the analysis of clinical and non-clinical claims. Members may review claims data for all incidents occurring in the past five years. It also gives options for both clinical and non-clinical claims to view the type and cost and, specifically for clinical claims, to review the associated specialty/cause. The scorecard is a unique, interactive analysis tool in excel format which is underpinned by hard data.

The scorecards are available via a dedicated NHS Resolution Extranet page to ensure that each member can:

  • access their own scorecards via their existing Extranet login credentials; and
  • authorise who in their organisation may access the scorecards via the Extranet.

Members will be able to access their scorecards by selecting the ‘organisation documents‘ section from the list on the left hand side of the Extranet home page. To guide you through the process of using your scorecard, we have produced a scorecard interactive guide.

NHS Resolution are working closely with the GIRFT team, who have been including claims data within their reports. It is important to note there are some key differences in the data contained within their reports to the scorecard we have provided. The data included in the GIRFT reports are the total number of clinical claims received in 2013/14, 2014/15 & 2015/16 (i.e. irrespective of the incident date). The total claim value is as at the end of each of the respective notification years. This is so that the three years were comparable. The data included in our safety and learning scorecards are clinical claims with an incident date in the last five complete financial years (irrespective of the notification of a claim year) as at the date they were run. The total claim value is as at the date the scorecards were run.

How can you use your scorecards?

  • Share headline data with your Board, particularly your Medical Director and Director of Nursing, on the value and volume of all claims by specialty and cause to facilitate discussion. An integrated report which triangulates complaints, (serious) incidents and claims is a recommended approach.
  • Interrogate claims and the costs of these within each division, and engage all staff on your trust’s claims profile.
  • Utilise the scorecards to consider areas for a targeted quality improvement focus for the reduction of clinical and non-clinical claims.
  • Be aware that the CQC may ask you for your claims scorecards as part of its lines of data gathering in preparation for an inspection visit.

Individuals should contact the NHS Resolution IT Helpdesk to request a new or replacement password to access the Extranet, if required. Please email: helpdesk@resolution.nhs.uk If you or your colleagues need more information on the scorecards, please contact our Safety and Learning team at safety@resolution.nhs.uk

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