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Bone & Joint 360
Vol. 13, Issue 5 | Pages 8 - 17
1 Oct 2024
Holley J Lawniczak D Machin JT Briggs TWR Hunter J


Bone & Joint 360
Vol. 3, Issue 5 | Pages 39 - 40
1 Oct 2014
Foy MA


Bone & Joint 360
Vol. 4, Issue 6 | Pages 31 - 35
1 Dec 2015
Ahmed SS

The number of clinical negligence claims in the UK is constantly increasing. As a specialty, trauma and orthopaedic surgery has one of the highest numbers of negligence claims.1 This study analyses NHS Litigation Authority (NHSLA) claims in trauma and orthopaedics between 2004 and 2014.

A formal request was made to the NHSLA under the Freedom of Information Act in order to obtain all data related to claims against orthopaedic surgery. It was found that the number of claims, and percentage of successful claims, has been constantly increasing over this period, with compensation paid of over £349 million.* Errors in clinical management accounted for the highest number of closed claims (2933 claims), costing over £119 million.*

The level of compensation paid out has a significant financial impact on the NHS. Reforms need to be made in order to tackle the high cost of legal fees generated by these claims, which further drain the limited resources available to the NHS.


Bone & Joint 360
Vol. 3, Issue 1 | Pages 7 - 10
1 Feb 2014
Stahel PF

The “Universal Protocol” (UP) was launched as a regulatory compliance standard by the Joint Commission on 1st July 1 2004, with the primary intent of reducing the occurrence of wrong-site and wrong-patient surgery. As we’re heading into the tenth year of the UP implementation in the United States, it is time for critical assessment of the protocol’s impact on patient safety related to the incidence of preventable never-events. This article opens the debate on the potential shortcomings and pitfalls of the UP, and provides recommendations on how to circumvent specific inherent vulnerabilities of this widely established patient safety protocol.


Bone & Joint 360
Vol. 3, Issue 1 | Pages 1 - 1
1 Feb 2014
Ollivere BJ