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What can be learned from litigation in otology? A review of clinical negligence claims in England 2013–2018

Published online by Cambridge University Press:  16 April 2021

F McClenaghan ,
C Ho ,
J T Machin ,
T W R Briggs ,
A Marshall  and
A V Navaratnam
F McClenaghan*
Affiliation:
The Royal National Throat, Nose and Ear Hospital, London, UK
C Ho
Affiliation:
Getting it Right First Time programme, NHS Improvement, NHS England, UK
J T Machin
Affiliation:
Getting it Right First Time programme, NHS Improvement, NHS England, UK
T W R Briggs
Affiliation:
Getting it Right First Time programme, NHS Improvement, NHS England, UK
A Marshall
Affiliation:
Nottingham University Hospitals NHS Trust, UK
A V Navaratnam
Affiliation:
Getting it Right First Time programme, NHS Improvement, NHS England, UK
*
Author for correspondence: Ms Fiona McClenaghan, The Royal National Throat, Nose and Ear Hospital, 4th Floor West, 250 Euston Road, LondonNW1 2PG, UK E-mail: [email protected]
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Abstract

Background

Litigation in the National Health Service continues to rise with a 9.4 per cent increase in clinical negligence claims from the period 2018 and 2019 to the period 2019 and 2020. The cost of these claims now accounts for 1.8 per cent of the National Health Service 2019 to 2020 budget. This study aimed to identify the characteristics of clinical negligence claims in the subspecialty of otology.

Methods

This study was a retrospective review of all clinical negligence claims in otology in England held by National Health Service Resolution between April 2013 and April 2018.

Results

There were 171 claims in otology, 24 per cent of all otolaryngology claims, with a potential cost of £24.5 million. Over half of these were associated with hearing loss. Stapedectomy was the highest mean cost per claim operation at £769 438. The most common reasons for litigation were failure or delay in treatment (23 per cent), failure or delay in diagnosis (20 per cent), intra-operative complications (15 per cent) and inadequate consent (13 per cent).

Conclusion

There is a risk of high-cost claims in otology, especially with objective injuries such as hearing loss and facial nerve injury.

Keywords

OtolaryngologyJurisprudenceOtologic Surgical Procedures
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 379 - 384
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Ms F McClenaghan takes responsibility for the integrity of the content of the paper

Presented at the Royal Society of Medicine, 7 February 2020, London, UK.

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