Letters
Clinical Negligence Scheme for Trusts
Department of Health's viewEDITOR,--I wish to correct a few misconceptions in Paul Fenn and Robert Dingwall's editorial on the new Clinical Negligence Scheme for Trusts.1
Firstly, the Department of Health's actuaries have not assumed that all claims for clinical negligence pending against the NHS will result in financial settlements; they have assumed a drop out rate of around 30-40% (but lower for the high value claims, which make up a disproportionate share of the total cost). It is unfortunate that Fenn did not take up an earlier invitation to check the facts before repeating such a misleading assertion. While I welcome informed debate on the likely future costs of clinical negligence in the NHS--the scheme's designers would not claim to know all the answers--it would be better if debate started from a more accurate understanding of the assumptions made.
Secondly, if the scheme does collect more in contributions than
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- Mutual trust?
- Paul Fenn and Robert Dingwall
BMJ 1995 310: 756.[Extract] [Full Text]
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