Overview
- The National Audit Office estimates total clinical negligence liability at about £60 billion, the government’s second‑largest long‑term obligation after nuclear decommissioning.
- Annual payouts have tripled over two decades to £3.6 billion in 2024/25 from £1.1 billion in 2006/07.
- Claimant legal costs have risen to £538 million, equating to 15% of settled claim costs, while NHS defence costs are £159 million or 4%.
- Low‑value claims of £25,000 or less cost £183 million to settle in 2024/25, including £143 million in legal fees versus £39 million in damages.
- Very‑high‑value cases of £1 million or more make up 2% of claims but 68% of costs, and the NAO and MPs are urging fee transparency and cost controls, with David Lock KC advising DHSC.