Medical Negligence Pre-Action Protocol

The Medical Negligence Pre-Action Protocol is an official procedure which aims to settle medical negligence claims without the need for Court action – leading to big savings in time and money.

The protocol tries to foster openness and information sharing, and so can help reduce the burden of going through a claims process – a process Bolt Burdon Kemp makes as smooth as possible as we know you are already dealing with a distressing situation.

To help you understand what this means for your claim, here is Bolt Burdon Kemp’s summary of the protocol:

The Pre-Action Protocol for the Resolution of Clinical Disputes

The protocol came into being after recommendations from the Clinical Disputes Forum, a multi-disciplinary body formed in 1997 following Lord Woolf’s ‘Access to Justice’ Reforms.

The aim was to encourage “a climate of openness when something has ‘gone wrong’ with a patient’s treatment”, and to ensure all parties are given enough information at an early stage to allow for early resolution of medical negligence disputes.

The protocol includes:

  • A code of good practice that all parties to a claim should follow before court action
  • A timed sequence of events that all parties are expected to follow

However, it should be noted that:

  • Following the protocol does not change deadlines that apply to bringing a claim
  • Court proceedings can be instigated if the deadline to do so is imminent

The protocol brings with it added responsibilities, of course. If any party does not comply with the process, the Court will take this into account when making decisions about who will pay the legal costs of a claim, and how much should be paid.

How does the protocol work in practice?

A patient may complain to the healthcare provider if they are unhappy with the standard of the care they received. If the treatment was carried out through the NHS, this will follow the NHS Complaints Procedure.

Private healthcare providers should have a similar complaints process . However, following a complaints procedure does not affect the deadlines that apply to bringing a claim, and will not lead to compensation.

If a patient would like to bring a claim for compensation, they should contact a solicitor. At this point the legal process begins, and the Protocol comes into play.

The steps that are followed within the protocol are:

  • The solicitor requests medical records from the healthcare provider
  • The healthcare provider has 40 days to send the requested records to the solicitor
  • The solicitor sends the Letter of Claim
  • The healthcare provider has 14 days to acknowledge the Letter of Claim, and 4 months to provide their Letter of Response
  • The dispute resolution phase can begin. That is, finding ways to resolve the dispute before court action
  • If it is not possible to resolve the dispute, or the deadline to bring a Court claim is imminent, Court proceedings are issued. This is not usually within four months of sending the letter of claim

Requesting medical records

When a claim is being considered, the request for medical records takes a standard form and alerts the healthcare provider about concerns being investigated. In most cases there is a cost of £50 per provider for requesting the records.

If the medical records are not provided within 40 days of the request, then the patient or their solicitor can then make an application to Court for them to be provided.

The Letter of Claim

Once medical records have been provided, the solicitor will usually notify the healthcare provider of the details of the claim by sending the Letter of Claim.

The level of detail to be included will depend upon the circumstances, but it will need to include a summary of the facts, allegations of negligence, injuries suffered and any financial loss.

Sufficient information must be included to allow the healthcare provider to commence their investigations.

The response

After the Letter of Claim, the healthcare provider has 14 days to acknowledge it, and then they have four months from the date of the Letter of Claim to write and set out their reasoned response.

The response should set out clearly what is admitted by them, and what is disputed.

Where an allegation is disputed, they should set out an explanation of why this is the case, and where appropriate, put forward its own version of events.

At this point the healthcare provider may make an offer of compensation to settle the claim.

Alternative dispute resolution

The parties may be able to resolve the dispute without the involvement of the Court, and should try to do so where possible.

Alternative dispute resolution can include discussion and negotiation between the parties, or more formal methods such as mediation and arbitration, where a neutral third party will assist to resolve the dispute where appropriate.

The Court will generally require the parties to only issue Court proceedings as a last resort.

However, the use of alternative dispute resolution is not mandatory and it is recognised that the parties cannot be forced to use it – but the court may take this into consideration when deciding the legal costs to be paid.

Issuing court proceedings

If no resolution is reached, then Court proceedings are issued. However, this should not be within four months of sending a Letter of Claim, to allow the parties sufficient time to try to resolve the matter (unless the deadline for issuing Court proceedings means that this is necessary).

It should be noted that even after Court proceedings are issued, the Court will expect the parties to continue to try to settle the matter by alternative means.

If you or a loved one has suffered as a result of substandard care, please contact our medical negligence team on 020 7288 4800 or complete our online medical negligence enquiry form.

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