How to Sue the NHS for Medical Negligence
You can start an NHS medical negligence claim by speaking to a specialist solicitor about what happened and how the treatment affected you.
The exact process will depend on your case. However, most claims follow a similar path.
Step 1: Identifying Negligence
The first step is to look at the care you received and whether something may have gone wrong.
This could involve:
- a missed or delayed diagnosis
- a delay in treatment
- a surgical mistake
- incorrect medication
- poor aftercare
- a failure to refer you for specialist care
A poor outcome alone does not prove negligence. There must usually be evidence that the care fell below a reasonable standard and caused harm.
Step 2: Gathering Evidence
Medical records are usually obtained so the treatment can be reviewed in detail.
Your solicitor may also gather other evidence, such as:
- test results
- referral letters
- prescription records
- complaint responses
- photographs
- evidence of lost earnings or other costs
Independent medical experts may then be asked to give an opinion on the care you received.
Step 3: Getting Legal and Medical Advice
Your solicitor will review the evidence and consider whether the claim has reasonable prospects of success.
Independent medical experts can help answer two important questions:
- Did the care fall below a reasonable standard?
- Did that poor care cause your injury or make your condition worse?
If the evidence supports your case, the claim can move to the next stage.
Step 4: Sending a Letter of Claim
A formal Letter of Claim is usually sent to the NHS organisation responsible for the treatment.
The letter sets out the main facts of the case, the allegations of negligence and the harm you suffered. It may also include details of your financial losses.
Under the Pre-Action Protocol for the Resolution of Clinical Disputes, the defendant should normally acknowledge the Letter of Claim within 14 days. It should usually provide a reasoned response within four months.
Step 5: The NHS Responds
The response should explain whether the claim is accepted, partly accepted or denied.
If the claim is disputed, the NHS should explain which parts of the case it does not accept and why.
Your solicitor can then review the response with the medical evidence and advise you on what should happen next.
Step 6: Negotiation or Court Proceedings
Many NHS negligence claims can be resolved through negotiation without a final court hearing.
If the NHS accepts responsibility, the focus may move towards agreeing the amount of compensation.
If liability or the value of the claim remains disputed, court proceedings may need to be started. Even then, the claim can still settle before a trial.
Step 7: Compensation and Settlement
If your claim succeeds, compensation will be based on the harm and financial losses caused by the negligence.
This may include compensation for:
- pain and suffering
- lost earnings
- treatment and rehabilitation
- care and support
- travel costs
- equipment or home adaptations
- future financial losses
The amount will depend on your individual circumstances and the long-term effect of the injury.