Clinical negligence claims and reform

Sir, – Dr Rob Hendry’s letter of June 21st and Mary Carolan’s article “‘Adversarial’ approach to clinical negligence contributing to State bill of €4.1 billion, conference told” (News, June 19th) both highlight the costly and “not fit for purpose” process to resolve clinical negligence claims in Ireland. One consequence of the lack of reform in this area is the risk that soaring indemnity costs could result in a loss of vital private consultant expertise and associated healthcare. A recent Mazars survey of independent consultants revealed that, over the past three years, a fifth had seen indemnity costs rise by 30 per cent, with another fifth seeing rises of between 16 and 30 per cent. Four in 10 survey respondents said they would consider stopping their activity as a consultant, with retirement and emigration being two significant alternative options.

A large exodus of independent medical and dental consultants would have a significant impact on the provision of all healthcare in Ireland. The overall supply of healthcare services would see a substantial downward shift, further lengthening waiting lists and impacting patient care across both State and private sectors. The Medical and Dental Consultants Association has highlighted this risk to the health authorities, along with a number of suggested reforms, including pre-action protocols. We hope to engage with them shortly. – Yours, etc,

JOHN CURRAN, FRCSI

President,