Dáil Éireann Debate, Tuesday - 9 May 2017
437. Deputy John McGuinness asked the Minister for Health the total number of claims made by persons or others against his Department and the HSE that were settled or not settled, respectively, before a court hearing, in each of the past six years; the cost to the State of the settlements; and if he will make a statement on the matter. [21744/17]
Amharc ar fhreagraThe management of claims against the Health Service Executive and my Department is delegated under the National Treasury Management Agency Act to the State Claims Agency (SCA), which has a statutory mandate to investigate and manage these cases to completion. The Annual Report of the National Treasury Management Agency notes that the SCA resolves the majority of claims by negotiating a settlement, either directly with the plaintiff's legal advisors or through a process of mediation. In 2015 97% of clinical negligence cases which were handled by the SCA were settled without the necessity for a contested court hearing.
The SCA has supplied a report on the information requested by the Deputy. The data is extracted from the National Incident Management System (NIMS), a system which it hosts for the Health Service Executive, other healthcare enterprises and Delegated State Authorities.
The tables supplied show details on claims finalised for the Health Service Executive and the Department of Health from 1 January 2011 to 4 May 2017 under the following case outcomes: Settlement Agreed, Case Discontinued/Claim Statute Barred, Indemnity Received and Outside the SCA remit. A claim in this context refers to a notification of intention to seek compensation for personal injury and/ or property damage where it is alleged that the State was negligent. The application may be in the form of a letter of claim, an InjuriesBoard.ie application or a written or oral request. A finalised claim refers to when a claim and all other matters associated with it have been agreed, e.g. costs. There may still be some associated payments and reimbursements outstanding on finalised claims.
Table 1
Number of Claims by Claims Finalised Year (2011 - 2017)
Number of Claims
|
YEAR |
2011 |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 Year to Date |
Total Claims |
|
Settlement agreed |
343 |
376 |
460 |
540 |
566 |
658 |
281 |
3,224 |
|
Case Discontinued/Claim Statute Barred |
148 |
169 |
189 |
255 |
362 |
361 |
191 |
1,675 |
|
Indemnity Received |
54 |
58 |
58 |
149 |
105 |
269 |
23 |
716 |
|
Outside SCA Remit |
22 |
15 |
13 |
25 |
30 |
19 |
14 |
138 |
|
Grand Total |
567 |
618 |
720 |
969 |
1,063 |
1,307 |
509 |
5,753 |
Table 2
Paid Total by Claims Finalised Year (2011 - 2017)
Paid Total (€’000)
|
YEAR |
2011 |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 Year to Date |
Paid Total |
|
Settlement agreed |
56,370 |
56,769 |
61,433 |
77,282 |
77,380 |
91,317 |
46,691 |
467,242 |
|
Case Discontinued/Claim Statute Barred |
753 |
903 |
878 |
604 |
2,300 |
676 |
2,121 |
8,235 |
|
Indemnity Received |
606 |
491 |
310 |
563 |
389 |
162 |
436 |
2,957 |
|
Outside SCA Remit |
0 |
11 |
0 |
0 |
5 |
2 |
0 |
18 |
|
Grand Total |
57,729 |
58,173 |
62,622 |
78,448 |
80,073 |
92,158 |
49,248 |
478,452 |
Definitions for the terms used in the tables:
(i) 'Settlement Agreed', - i.e. a negotiated settlement has been agreed with the Plaintiff for damages or an Injuries Board award accepted. This category includes some claims that go to court and are either settled on the steps of the court or are settled during the court case but before the case concludes.
(ii) 'Case Discontinued'/Claim Statute Barred', i.e. The claim against the State Authority was discontinued and/or withdrawn by the Plaintiff, or the Statute of Limitations rendered the claim Statute Barred and prevented the claim from proceeding.
(iii) 'Indemnity Received' i.e. The SCA obtained a full indemnity, in respect of the claim, on behalf of the relevant State Authority from the Insurers of a negligent Third Party motorist.
(iv) 'Outside State Claims Agency Remit' i.e. These claims were not managed by the SCA.
It should also be noted that the figures in respect of paid totals relate to the amount of money paid on a claim over its lifetime. This may include payments made in previous years. It includes damages, legal costs and other expert costs. The data includes all Health Service Executive locations (including voluntary) and excludes Tusla.
