Article
An NHS trust receives a letter of claim setting out allegations of negligence in relation to care provided. An internal investigation is carried out and the reviewing clinician is critical of the treatment. The letter of response admits negligence. This seems the most pragmatic course of action: the claimant’s solicitors can stop incurring the costs of investigating liability, it will lead to earlier resolution and of course, the trust has to comply with its duty of candour. In light of the admissions made, the claimant is paid interim payments totalling £50,000, which he spends. Over a year later court proceedings are issued and an independent expert is instructed to consider the claimant’s prognosis to help value the claim. He advises that in his view, there was no negligence and the outcome for the claimant would have been the same in any event. The trust finds itself with a full causation defence, but liability has already been conceded on the basis of an internal investigation…