Factors associated with wide variation in clinical litigation rates across acute NHS trusts in England: a cross-sectional analysis.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Beverley GriggsPadmanabhan Badrinath

Abstract

Identify organizational factors associated with high clinical litigation rates among acute National Health Service (NHS) trusts in England. Cross-sectional analysis using routine data. NHS trusts in England. A total of 235 NHS trusts used the NHS Clinical Negligence Scheme in 2016-17. Ninety-seven trusts (41.3%) with no maternity services, 2 (0.9%) providing specialized services and 3 (1.2%) without clinical negligence claims were excluded. Hence, the remaining 133 trusts (56.6%) were included. None. Rate of clinical litigation by trust per 100 000 occupied bed days. The mean rate of clinical litigation was 25.4 per 100 000 occupied bed days. In univariable analyses, higher values of summary hospital-level mortality indictor, staff sickness, written complaints, patient safety incidents and being in the North of England led to increased clinical litigation rates. Conversely, higher patient admissions, NHS Staff Survey overall engagement score and occupied bed days led to decreased clinical litigation rates. In the multivariable model, factors associated with increased clinical litigation rates were as follows: summary mortality hospital-level indicator (SHMI) (0.9 increase in litigation rate per 0.05 increase in SHMI; P = 0.012)...Continue Reading

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