Provision of high-value clinical negligence advice requires a detailed knowledge of the way healthcare fails.
Regrettably, patients are harmed every day in UK hospitals, and often the patterns of failure are similar across specialities and Trusts. Many years experience of
clinical negligence reporting, root cause analysis, investigation of serious incidents and familiarity with current research on patient safety allows us to focus on specific areas of poor
practise.
Communication: Is there written evidence that your client was made aware, in language they could understand and with the avoidance of medical jargon, of the risks of a course of
action? Was the person explaining the procedure or treatment to them adequately experienced and qualified to do so?
Experience: Junior doctors spend much less time in training grades than they used to. Was your client assessed and treated by an appropriately experienced clinician?
Did that doctor ask for advice from the right person at the right time? Was your client's clinical deterioration recognised early and treated appropriately?
Teamwork: Hospital doctors now work in teams and on shifts. This means that many juniors cross-cover specialities and patients at night and weekends that they are
unfamiliar with. Effective handover of unwell patients is vital to prevent avoidable catastrophe. Was your client's complication noticed and acted upon, or was there a delayed response or
evidence of 'shift-drift'? The NHS is evolving into a consultant-based service - was the delegation of your clients treatment to a doctor-in-training entirely
appropriate?