Learning lessons in maternity from a recent Supreme Court ruling
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
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Information for NHS trusts on the respective roles of the Parliamentary and Health Service Ombudsman and NHS Resolution
This document is for NHS trusts in England, particularly those staff who manage complaints and/or compensation claims raised against their trust.
Case story: Understanding the risk of maternal and neonatal hyponatraemia
This case story is fictional but based on real events and lessons learnt through cases referred to NHS Resolution’s Early Notification scheme. We are sharing the experience to improve the quality of care provided to all patients, families and staff.
Consideration of assessment policy statement
Our consideration of assessment policy statement relates to cases where we are asked by an NHS employer or contracting organisation to consider whether to offer an assessment of an individual doctor, dentist or pharmacist about whom there are concerns.
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Maternity pressure ulcers
This leaflet draws attention to the number and cost of pressure ulcers suffered by women in maternity units. It provides information on common themes, their impact and what you can do to prevent them.
Five years of cerebral palsy claims
This report provides an in-depth examination of the causes of these rare but tragic incidents and the investigations that follow them. For the purposes of this study we focused on 50 cases of cerebral palsy where the incidents occurred between 2012 and 2016 and a …
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Read saying sorry
Saying sorry meaningfully when things go wrong is vital for everyone involved in an incident, including the patient, their family, carers, and the staff that care for them. This leaflet is part of our work on duty of candour.












