Imperial College London
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Mr(Dr) Chinmay Gupte

Faculty of Medicine, Department of Surgery & Cancer

Reader in Orthopaedics
 
 
 
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Contact

 

+44 (0)20 8846 1234 ext 15215c.gupte00 Website

 
 
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Location

 

Charing Cross Hospital 7 East wingCharing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Fanous:2016:10.1308/rcsann.2016.0277,
author = {Fanous, R and Sabharwal, S and Altaie, A and Gupte, CM and Reilly, P},
doi = {10.1308/rcsann.2016.0277},
journal = {Annals of the Royal College of Surgeons of England},
title = {Hip fracture litigation: A 10-year review of NHS Litigation Authority data and the effect of national guidelines.},
url = {http://dx.doi.org/10.1308/rcsann.2016.0277},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - We present a review evaluating all litigation claims relating to hip fractures made in a 10-year period between 2005 and 2015. Data was obtained from the NHS Litigation Authority through a freedom of information request. All claims relating to hip fractures were reviewed. During the period analysed, 216 claims were made, of which 148 were successful (69%). The total cost of settling these claims was in excess of £5 million. The introduction of a best-practice tariff by the Department of Health in 2010 was designed to improve the quality of care for hip fracture patients. This was followed by guidance from the National Institute for Health and Clinical Excellence in 2011 and the British Orthopaedic Association in 2012. We analysed claims submitted before and after these guidelines were introduced and no significant difference in the number of claims was noted. The most common cause for litigation was a delay in diagnosis, which accounted for 86 claims in total (40%). Despite the presence of these guidelines and targets, there has not been a significant reduction in the number of claims or an improvement in diagnostic accuracy. This may be due to an increasing level of litigation in the UK but we must also question whether we are indeed providing best-practice care to our hip fracture patients and whether these guidelines need further review.
AU  - Fanous,R
AU  - Sabharwal,S
AU  - Altaie,A
AU  - Gupte,CM
AU  - Reilly,P
DO  - 10.1308/rcsann.2016.0277
PY  - 2016///
SN  - 1478-7083
TI  - Hip fracture litigation: A 10-year review of NHS Litigation Authority data and the effect of national guidelines.
T2  - Annals of the Royal College of Surgeons of England
UR  - http://dx.doi.org/10.1308/rcsann.2016.0277
ER  -
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