NHS Resolution has advised that the figures provided for legal defence costs in my Written Answer of 13 December were for external solicitors including disbursements.<\/p>
NHS Resolution has provided the following table which shows its own administration costs for dealing with clinical negligence claims in 2016/17 and 2017/18.<\/p>
<\/p>
<\/p><\/td> | Admin Costs £000s<\/p><\/td><\/tr> |
2017/18<\/p><\/td> | 11,634<\/p><\/td><\/tr> |
2016/17<\/p><\/td> | 9,982<\/p><\/td><\/tr><\/tbody><\/table>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"} } , "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"} , "dateOfAnswer" : {"_value" : "2018-12-20", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-12-20T12:38:26Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-12-14", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "NHS: Negligence"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 13 December (HL12091), how much of their total spend on clinical negligence legal defence costs in (1) 2016\u201317, and (2) 2017\u201318, was used for (a) NHS Resolution services, and (b) external solicitors including disbursements.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4238", "label" : {"_value" : "Biography information for Lord Storey"} } , "tablingMemberPrinted" : [{"_value" : "Lord Storey"} ], "uin" : "HL12330"} , {"_about" : "http://data.parliament.uk/resources/1024861", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1024861/answer", "answerText" : {"_value" : " NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.<\/p> NHS Resolution annually reviews and updates five-year forecasts for the cost of clinical negligence following an actuarial review of activity and key assumptions that underpin those costs, e.g. claims inflation, claims volumes. These key assumptions are published in the organisation\u2019s Annual Report and Accounts. Clinical negligence costs relate to four indemnity schemes operated by NHS Resolution: Clinical Negligence Scheme for Trusts (CNST), which covers NHS providers of secondary health care, and the Existing Liabilities, Ex-Regional Health Authorities, and the Department of Health and Social Care\u2019s Clinical schemes, all of which relate to legacy organisations.<\/p> The cost of clinical negligence claims covered by the figures in this response are damages, claimant legal costs, defence legal costs, and NHS Resolution\u2019s administration costs. The costs reported here do not include costs incurred locally by NHS providers in dealing with claims, such as their own administration costs.<\/p> NHS Resolution\u2019s Statement of Net Expenditure estimates costs of clinical negligence at £11.7 billion in its 2020-21 accounts. This the total of the two dimensions in relation to \u201ccosts\u201d in the context of Government budgeting:<\/p> - Department Expenditure Limit costs \u2013 these are the costs of settling claims during the financial year and the administration of those claims. This is estimated to be £2.6 billion for 2020-21; and<\/p> - Annually Managed Expenditure costs \u2013 this is the change in the value of the liability arising from clinical negligence claims, both from those that have been received, and those that are expected to be received in relation to incidents up to 31 March 2021. This is estimated to be £9.1 billion for 2020-21.<\/p> <\/p> The costs for 2020-21 have been estimated on the basis of the current personal injury discount rate of minus 0.75%. However, once the Civil Liability Bill becomes law, the Lord Chancellor is expected to review the rate promptly. The figures provided here may therefore, change as a result. NHS Resolution will also review its five-year forecasts again following the production of its 2018-19 Annual Report and Accounts, and any changes in the underpinning actuarial assumptions are likely to result in revised projections. The figures quoted should therefore be considered as broad estimates based on the latest available information and subject to change in the future.<\/p> Notes:<\/p> The Department Expenditure Limit costs are lower than the £3.2 billion costs for CNST only reported by the National Audit Office in their report Managing the costs of clinical negligence in trusts<\/em>, published in September 2017. The £3.2 billion represents the 2016 forecast for CNST based on a personal injury discount rate of 2.5%. Actuarial reviews of assumptions undertaken by NHS Resolution in 2017 and 2018 have resulted in favourable movements in key assumptions.<\/p> The figures provided do not include claims brought against general practitioners, who are covered by separate indemnity arrangements through medical defence organisations and for which data is not centrally available.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"}
}
, "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"}
, "dateOfAnswer" : {"_value" : "2018-12-20", "_datatype" : "dateTime"}
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, "questionFirstAnswered" : [{"_value" : "2018-12-20T12:30:07.977Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2018-12-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "NHS: Negligence"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty's Government whether they have undertaken forward planning or modelling to estimate the cost of clinical negligence claims in the period to 2020\u201321.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4238", "label" : {"_value" : "Biography information for Lord Storey"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Storey"}
], "uin" : "HL12302"}
, {"_about" : "http://data.parliament.uk/resources/1024862", "AnsweringBody" : [{"_value" : "Cabinet Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1024862/answer", "answerText" : {"_value" : " Individual government organisations publish speeches to GOV.UK. The Government Digital Service, part of Cabinet Office provides guidance on how speeches should be presented. This guidance is published in content design guidance on GOV.UK (https://www.gov.uk/guidance/content-design/content-types#speech). GOV.UK supports both \u2018draft text\u2019 and \u2018speaking notes\u2019, neither of which are verbatim records of ministerial speeches.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/57", "label" : {"_value" : "Biography information for Lord Young of Cookham"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Young of Cookham"}
, "dateOfAnswer" : {"_value" : "2018-12-20", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2018-12-20T14:35:00.13Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "53"}
, "answeringDeptShortName" : {"_value" : "Cabinet Office"}
, "answeringDeptSortName" : {"_value" : "Cabinet Office"}
, "date" : {"_value" : "2018-12-13", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Ministers: Speeches"}
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, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
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], "questionText" : "To ask Her Majesty's Government what are the protocols governing the redaction of parts of ministerial speeches that appear on Government departments' websites.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4238", "label" : {"_value" : "Biography information for Lord Storey"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Storey"}
], "uin" : "HL12303"}
, {"_about" : "http://data.parliament.uk/resources/1023641", "AnsweringBody" : [{"_value" : "Department for Education"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1023641/answer", "answerText" : {"_value" : " The work of Regional School Commissioners (RSCs) is open to the public.<\/p> <\/p> The RSCs decision-making framework, attached, is published online and can be found at:<\/p> |