The Department oversees the performance of NHS Resolution in relation to claims management through its sponsorship arrangements which include a Framework Document and quarterly accountability meetings with reporting against a range of Key Performance Indicators. In addition, the National Audit Office has conducted a Value for Money assessment of the costs of clinical negligence, including examining the role and activities of NHS Resolution in detail. No concerns have been raised to NHS Resolution in relation to its decision making through either process.
NHS Resolution has advised that 70% of cases were resolved in 2017/18 without court proceedings of which 39% resulted in no payment of damages. Less than 1% go to trial with most ending in judgment in favour of the NHS. All its cases are thoroughly reviewed and in the great majority of clinical negligence cases, NHS Resolution obtains independent expert evidence before reaching a decision on liability.