UHS Claims Profile
Division
EXAMPLE
TEMPLATE
Emergency Department
Specialist Medicine
Ophthalmology
Elderly Care
FACTS and FIGURES
The thinking behind this profile/data is simple: share with the
clinicians (and raise awareness ) of what it costs the Trust both in
terms of contributions and money paid in damages to lift profile of
claims (at the same time forming a focus on claims and on safety
issues ) to assist and promote both local and shared learning.
Acute Trust services xxxxxxxxx CNST annual contribution 2014/15
Divisional CNST contributions by specialty and %
Emergency Department
(£% of annual contribution)
Specialist Medicine
(£% of annual contribution)
Ophthalmology
(£% of annual contribution)
Elderly Care
(£% of annual contribution)
Division – Claims Scorecard Overview
Value (Low to High)
High Value=£1m and over, Low Volume <3
claims
High Value = £1m and over, High Volume
= 3 claims and over
No High value, low volume claim
No high value, high volume claims
Low Value < £1m, low Volume , 3
Low Value < £1m, High Volume = 3 claims
and over
Low value, low volume claims
Pierced ear drum
Excess dose of radiotherapy (SIRI/SEC)
Wrong tooth removed
() Low value, high volume claims
Volume (Low to high)
This slide was modelled on the NHSLA scorecard but
made specific to our specialty/division.
CLAIM NUMBERS by Specialty
Cases currently registered and open with the NHSLA by specialty
Emergency Department
Specialist Medicine
Ophthalmology
Elderly Care
Pre-action requests for copy medical records – potential claims
Emergency Department
Specialist Medicine
Ophthalmology
Elderly Care
As a focus this helps in identifying
where your claims fall in number to
assist in your overall focus by
speciality and later by cause/injury.
Emergency Department –
Focus Report
What claims are out-standing now ?
total number of claims registered with the NHSLA
total of estimated damages payable
total of estimated costs payable
claims currently being defended/repudiated (damages (e) at £
claims settlement underway (damages (e) £
Themes:
Themes not coded:
Focus by specialty
NHSLA - Comparison data
For those specialities where claim
numbers are considered to be high (or
one of your top 5 specialties) – this chart
from the NHSLA extranet site – compares
your data with other member like Trusts,
reflecting national and regional data also.
I
Emergency Department
Scorecard
This data is collected from
the NHSLA tool and is
specific to the Emergency
Department only. This allows
for a focus on themes.
Specialist Medicine – Focus Report
What claims are out-standing now ?
total number of claims registered with the NHSLA
total of estimated damages payable
total of estimated costs payable
claims currently being defended/repudiated (damages (e) at £)
claims settlement underway (damages (e) £)
Themes:
Themes not coded:
Focus by
specialty
Specialist Medicine Scorecard
This data is collected from the NHSLA
tool and is specific to the Specialist
Medicine Department only. This allows
for a focus on themes.
Ophthalmology Focus Report
What claims are out-standing now ?
total number of claims registered with the NHSLA
total of estimated damages payable
total of estimated costs payable
claims currently being defended/repudiated (damages (e) at £)
claims settlement underway (damages (e) £)
Themes:
Themes not coded:
Focus by Specialty
Ophthalmology Scorecard
This data is collected from the NHSLA
tool and is specific to the
Ophthalmology Department only. This
allows for a focus on themes.
Elderly Care – Focus Report
What claims are out-standing now ?
total number of claims registered with the NHSLA
total of estimated damages payable
total of estimated costs payable
claims currently being defended/repudiated (damages (e) at £)
claims settlement underway (damages (e) £)
Themes:
Themes not coded:
Focus by Specialty
Elderly Care Scorecard
This data is collected from the NHSLA
tool and is specific to the Elderly Care
Department only. This allows for a
focus on themes.
Division B Scorecard by Cause for All specialties
This data is collected from the NHSLA
tool and is specific to a number of
specialty groups.
This allows for a “cause” focus on
themes across a number of specialties
to form an overall focus for the Division.
You can then consider work stream
links already in place and/or consider
new work streams.
Division B Scorecard by Injury for All specialties
This data is collected from the
NHSLA tool and is specific to a
number of specialty groups.
This allows for a “injury” focus
on themes across a number of
specialties to form an overall
focus for the Division.
You can then consider work
stream links already in place
and/or consider new work
streams, linking with incidents
and complaints.
Claims Thematic Analysis by Cause
Linking with Incidents
Theme
Work Streams
Gap Analysis/consider
Consent
Electronic consent
forms linking to
procedure specific
information
Division to review Montgomery and
Lanarkshire “case” to consider
implications for Division.
Consent what’s important to
patient and what risks to tell
Pre-populated risks
Sepsis
Sepsis screening tool
Focused work for time to IV antibiotics
Early recognition and prompt
management
Sepsis 6 pathway
Delay to diagnose
appendicitis
n/a
Consider abdominal presentation care
pathway and link with Emergency
department
This profile report is not designed to hold all the
answers but attempts to triangulate across claims
and incidents/complaints and work streams already
in place or being considered.
Non Clinical Claims – Overview with Focus Indicators
Chart showing figures for the year –
specific to “cause” i.e. Falls, NSI and
Manual handling again attempting to
triangulate and link with incidents
(Health & Safety) /complaints.
Work Stream Links
Falls
NSI
Manual Handling
Claim Findings
Gap
Analysis/resolve