Opinion – Managing the costs of clinical negligence in NHS trusts – National Audit Office (NAO)

Citing review of ten years data, the NAO reports that the cost of clinical negligence in NHS trusts is significant and rising fast, placing increasing financial pressure on an already stretched system.

Source: Managing the costs of clinical negligence in trusts – National Audit Office (NAO)

The key findings are:

  1. The cost of clinical negligence claims is rising at a faster rate year-on-year, than NHS funding
  2. Even if successful, NHS Resolution and the Department’s current actions are unlikely to stop the growth in the cost of clinical negligence claims
  3. The government lacks a coherent cross-government strategy, underpinned by policy, to support measures to tackle the escalation
  4. The increase in damages is driven by a small number of high-value claims, while the increase in legal costs is mainly due to a large number of low- and medium-value claims up to £250,000

For me there are probably three fundamentals which this report is too polite to identify.

Firstly, politicians have consistently meddled and provided knee jerk reactions, failing to look at the NHS crisis holistically from a strategic perspective. Rather than radically reform the public health industry, the government is too weak and introducing piecemeal outsourcing which is clearly sub-optimal.

Secondly, the NHS is ineffectively managed, relying upon a narrow group of industry specialists, rather than opening its ranks to world class talent from other sectors.

Thirdly, the various political stakeholders in the UK’s public health industry are typically putting their own interests ahead of patients. In the private sector, there’s a wealth of research confirming the market oriented businesses consistently achieve superior fanancial performance. Within the NHS, there’s a ‘one-size-fits-all’ policy to patients, treating them more as children than customers.


Britain’s failed National Health System (NHS) and the Case for a World Class UK Public Healthcare System Benchmarked on Best Practice

I have received a request to share hyperlinks to my blogs on best practice in public healthcare. As I ran a search across blogs for ‘NHS and Best Practice’, I thought this would be of interest to a wider audience.

Here’s the list of blogs (with hyperlinks), in reverse chronological order, viz. latest first. Some are written by myself and some my co-blogger, John Gelmini. Each blog is dealing with an issue at that particular moment in time. But the interested reader will find a wealth of data and radical opinion.

Incremental change has failed and radical reforms have been consistently botched. Politicians have meddled and meddled. There’s been no overall vision, strategy and effective delivery mechanism. There have been too many vested political interests, both internally and externally, with patient care subordinated. Whilst the NHS was a great vision when originally conceived and indeed for many years set the gold-standard for public healthcare, now it’s riddled with its own cancers, with a terminal prognosis. Notwithstanding, politicians continue to make false promises, knowing that the evidence tells a different story. For this reason, both John Gelmini and myself, both experts in delivering strategic change, have settled on a more radical solution – build a new bottom-up UK public healthcare system, benchmarked on global best practice, running downing and eventually dismantling the NHS.

  1. NHS must put its house in order before seeking more cash, says internal audit | Society | The Guardian
  2. Opinion – Hunger, filth, fear and death”: remembering life before the NHS – New Statesman
  3. NHS bosses blame patients for being ‘fat and old’ as they plead for more cash – Mirror Online
  4. Opinion – The gap between funds and delivery is a chasm in the NHS: something has to give | Chris Hopson | Opinion | The Guardian
  5. Study finds NHS ‘MOT’ health checks to reveal signs of illness have few benefits | Health News | Lifestyle | The Independent
  6. Opinion – NHS on course for worst financial crisis in its history – Telegraph
  7. Reform the NHS – or watch it fade and die – Telegraph
  8. Opinion – NHS told to fill only essential vacancies due to ‘almost unprecedented’ finances | Society | The Guardian
  9. Opinion – Myth busting: NHS not so efficient after all « Adam Smith Institute
  10. Opinion – NHS faces bigger than expected financial ‘black hole’ – FT.com – John Gelmini
  11. Public Sector Catch 22: Structural Reform, Strategy and Implementation – How to avoid a Omnishambles Recovery Programme? – Best Blogs Series
  12. Did Andrew Lansley kill off NHS reform for good? – Telegraph
  13. The NHS can’t survive without payment for frontline treatments | Simon Jenkins | Comment is free | theguardian.com
  14. Labour set to launch ‘save the NHS’ election campaign – ITV News
  15. NHS must use fewer temporary staff and sell land to save £10bn, says Hunt | Society | The Guardian
  16. BBC News – NHS errors costing billions a year – Jeremy Hunt
  17. NHS will cease to exist without reforms to secure funding, warns Frank Field | Society | theguardian.com
  18. The NHS is on the brink of extinction – we need to shout about it | Healthcare Professionals Network | Guardian Professional
  19. Fears for the elderly under new NHS drugs policy – Telegraph
  20. The Arrival of the First Snow and the Fear of the Season’s Unnecessary Death in the UK’s NHS?
  21. NHS competition holds up creation of specialist cancer treatment centres | Politics | The Observer
  22. TRUE cost of health tourism: Foreigners cost NHS up to £2BN a year | Mail Online
  23. Opinion: US Federal Shutdown ‘Obamacare’ and the UK’s NHS
  24. PAC slams NHS IT system project – OutsourcerEye
  25. Thousands dying of thirst on NHS: Watchdog forced to issue guidelines on giving patients water | Mail Online
  26. NHS should take inspiration from Bargain Hunt when buying supplies, minister says – Telegraph
  27. We won’t need a PC World NHS if more of us go private | Melissa Kite | Comment is free | The Guardian
  28. Understanding the UK NHS’s Terminal Cancer – John Gelmini
  29. Kevin Maguire: David Cameron smears NHS to hide his own failure – Kevin Maguire – Mirror Online
  30. Callous: the verdict on NHS care for the dying – Telegraph 
  31. A Hard Look Beyond the 13,000 Needless NHS Deaths – John Gelmini 1/2
  32. 13,000 died needlessly at 14 worst NHS trusts – Telegraph
  33. UK NHS in Terminal Meltdown under Cameron – Top News Stories 
  34. NHS is unsafe and inhuman, says director – Telegraph
  35. BBC News – Unite: NHS falling into chaos and crisis (video)
  36. A Doctor’s View of Obamacare and Trumpcare from Rural Georgia | The New Yorker
  37. The benefits that a digital healthcare system could bring aren’t out of reach – the Conversation
  38. Opinion – Cancer rates have reached a record high | Daily Mail Online – John Gelmini