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<p>The annual budget for the NHS England Maternity Programme is £122 million. NHS
England does not commission or budget for Maternity Services which is the responsibility
of integrated care boards (ICBs). NHS Providers, based on the latest available data
which is 2021/22 Reference Costs, spent approximately £4 billion annually on Maternity
Services. Neonatal services are commissioned and budgeted for through Specialised
Commissioning. The latest available data shows an annual spend for 2023/24 of approximately
£1 billion.</p><p>NHS Resolution manages clinical negligence and other claims against
the National Health Service in England. The following table shows the cost of Clinical
Negligence Claims Closed or otherwise Settled as a Periodical Payment Order (PPO)
between 2018/19 and 2022/23 with damages paid (including PPOs paid to date), where
the Specialty is 'Obstetrics', as advised by NHS Resolution:</p><table><tbody><tr><td><p>Year
of Closure of case (Settlement Year for PPOs)</p></td><td><p>Damages Paid (£)</p></td><td><p>NHS
Legal Costs Paid (£)</p></td><td><p>Claimant Legal Costs Paid (£)</p></td><td><p>Total
Paid (£)</p></td></tr><tr><td><p>2018/19</p></td><td><p>605,688,009</p></td><td><p>25,560,735</p></td><td><p>78,394,471</p></td><td><p>709,643,216</p></td></tr><tr><td><p>2019/20</p></td><td><p>495,458,879</p></td><td><p>22,536,708</p></td><td><p>72,295,468</p></td><td><p>590,291,055</p></td></tr><tr><td><p>2020/21</p></td><td><p>501,965,729</p></td><td><p>22,080,962</p></td><td><p>68,796,850</p></td><td><p>592,843,541</p></td></tr><tr><td><p>2021/22</p></td><td><p>503,741,949</p></td><td><p>21,897,291</p></td><td><p>78,114,994</p></td><td><p>603,754,235</p></td></tr><tr><td><p>2022/23</p></td><td><p>596,598,917</p></td><td><p>25,039,074</p></td><td><p>84,939,593</p></td><td><p>706,577,584</p></td></tr><tr><td><p>Total</p></td><td><p>2,703,453,483</p></td><td><p>117,114,772</p></td><td><p>382,541,376</p></td><td><p>3,203,109,631</p></td></tr></tbody></table>
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