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HQA v Newcastle-upon-Tyne Hospitals NHS Foundation Trust

<!-- wp:paragraph --> <p><a href="https://www.parklaneplowden.co.uk/our-barristers/howard-elgot/">Howard Elgot</a> and <a href="https://www.parklaneplowden.co.uk/our-barristers/megan-crowther/">Megan Crowther</a> of Parklane Plowden Chambers, instructed by David Bradshaw of <a href="https://www.hay-kilner.co.uk/">Hay &amp; Kilner LLP</a>, acted for the Claimant in her claim against the Newcastle-upon-Tyne Hospitals NHS Foundation Trust in a 5-day High Court trial at the Royal Courts of Justice last week. Judgment has been reserved. The trial is to determine breach of duty and causation, and liability has been strongly contested by the Trust.<br><br>The claim was brought after the Claimant, who can be referred to only as HQA because of an anonymity order made by the High Court, suffered severe brain damage after undergoing open heart surgery at the Freeman Hospital, Newcastle. The Claimant had suffered congenital heart problems from birth and had undergone many operations and other procedures over her lifetime.<br><br>In order to gain access to her heart, the surgeon used an oscillating saw. The saw slipped, and instead of the saw cutting through only the anterior section of the Claimant’s sternum, the saw went fully through the sternum and into her aorta, cutting off the blood supply to her brain.<br><br>It then took so long for the surgeons to put the Claimant on cardio-pulmonary bypass that she suffered very severe hypoxic brain damage. The time was prolonged in part because another surgeon, who had been called in because of the emergency, attempted to cannulate one femoral artery, the artery dissected, and another femoral artery had to be prepared and cannulated.<br><br>Following the operation, HQA’s family were told to expect the worst, but the Claimant has at least made a partial recovery.<br><br>The allegations against the hospital are that the surgeons did not obtain HQA’s informed consent to the operation, that the surgeons failed to plan adequately for the possibility of the catastrophic event that occurred, and that the operating surgeon ought to have been able to keep control of his saw. The Claimant’s expert cardiac surgeon advised that the dissection of the artery in the panic of the emergency was an inherent risk and therefore a free-standing claim relating to the arterial dissection could not be pursued.<br><br>The allegations that the surgeons failed to prepare for the possibility of the aorta being pierced during the surgery were focused upon the CT Angiogram that HQA had undergone before surgery, and another CT Angiogram that she had undergone in 2016.  A central issue was whether HQA’s aorta was so closely applied to the back of her sternum that any slip of the saw or use of any dissecting instrument would inevitably pierce the aorta.<br><br>The claim is estimated to have a value of over £5,000,000.<br></p> <!-- /wp:paragraph -->

AXS v South Tees Hospitals NHS Trust &#8211; Interim Payment of £1.8 million awarded to brain damaged claimant

<!-- wp:paragraph --> <p>Howard Elgot acted for the Claimant in AXS v South Tees Hospitals NHS Trust before Master Cook on 31<sup>st</sup> July 2023. An anonymity order was made. </p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>Howard was instructed by <a href="https://www.hay-kilner.co.uk/our-people/david-bradshaw">David Bradshaw</a> of <a href="https://www.hay-kilner.co.uk/">Hay and Kilner</a> Solicitors.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>The case is noteworthy for value of the interim payment and for the short period of time from the first admission of liability to the successful resolution of a substantial contested interim payment application. AXS was admitted to the James Cook University Hospital, Middlesbrough, on 24<sup>th</sup> November 2021.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>During the course of an operation that day AXS suffered a severe anaphylactic reaction. Notwithstanding an early differential diagnosis of anaphylaxis by the Defendant’s doctors, the doctors failed to start and continue CPR, failed to administer glucagon, and failed to administer vasopressin. As a result, AXS suffered a serious hypoxic-ischaemic brain injury, leaving AXS with permanent brain damage and a requirement for 24 hour waking care.<br><br>Breach of duty and causation were hotly contested until after service of the Particulars of Claim, but the Defendant consented to judgment, which was entered on 14<sup>th</sup> March 2023.<br><br>An application for an interim payment to fund a family house and a substantial care and rehabilitation regime was made on 28<sup>th</sup> March 2023, and the solicitors, having laid the groundwork earlier, and following conferences with counsel, were able to obtain and serve up to date reports from a rehabilitation consultant, an accommodation expert and a nursing expert exactly 4 weeks before the return date of the hearing.<br><br>The Trust offered £750,000 in addition to an £150,000 interim payment already made. This offer was refused, and Master Cook awarded an interim payment of £1.8 million payable in 21 days, to bring the total interim payments up to £1.95 million.<br><br>Master Cook held that the value of the interim payment sought was too high to allow him to make the award under stage 1 of the well-known Eeles criteria, but held that having regard to stage 2 of the Eeles criteria there was a real need for non-care home accommodation immediately and certainly before any quantum trial might take place.</p> <!-- /wp:paragraph --><!-- wp:paragraph --> <p>He considered that that part of the amount of interim payment requested for the property acquisition was reasonable. In line with Eeles itself, the Master noted that the court did not have to decide whether any particular property would be a reasonable purchase. The award would allow the Deputy to have adequate funds immediately available if and when the ideal property became available.<br><br>The full claim is pleaded as being in excess of £10 million pounds and therefore falls outside the costs budgeting provisions of the CPR.<br></p> <!-- /wp:paragraph -->

Clinical Negligence | &#8216;Law with Lunch&#8217; Webinar Series | 16 November 2022

<!-- wp:paragraph {"align":"left"} --> <p class="has-text-align-left">The next webinar in our ‘Law with Lunch’ series of bitesize, lunchtime talks covering the legal issues of the moment are not to be missed.</p> <!-- /wp:paragraph --><!-- wp:paragraph {"align":"left"} --> <p class="has-text-align-left">From the latest procedural tips, these sessions are ideal for busy practitioners who want to grab some lunch whilst at the same time ensuring their legal knowledge is bang up to date.</p> <!-- /wp:paragraph --><!-- wp:heading {"textAlign":"center","level":4} --> <h4 class="has-text-align-center"><strong>WEDNESDAY 16th NOVEMBER AT 12.30PM, ZOOM WEBINAR</strong></h4> <!-- /wp:heading --><!-- wp:paragraph {"align":"center"} --> <p class="has-text-align-center">Barrister and clinical negligence specialist,&nbsp;<a href="https://www.parklaneplowden.co.uk/our-barristers/howard-elgot/">Howard Elgot</a>&nbsp;will present</p> <!-- /wp:paragraph --><!-- wp:heading {"textAlign":"center","level":4} --> <h4 class="has-text-align-center"><strong>'Consent to Treatment – What Your Expert May Not Know’</strong></h4> <!-- /wp:heading --><!-- wp:paragraph {"align":"left"} --> <p class="has-text-align-left">Howard will be looking at the basic legal principles relating to consent, the GMC Guidance “Decision Making and Consent” September 2020, and what to look for in an expert’s report when consent maybe an issue. Join Howard’s webinar to find out more.</p> <!-- /wp:paragraph --><!-- wp:paragraph {"align":"left"} --> <p class="has-text-align-left"><strong>For further enquiries or to register, please email <span style="text-decoration: underline;"><a href="mailto:events@parklaneplowden.co.uk" target="_blank" rel="noreferrer noopener">events@parklaneplowden.co.uk</a></span></strong></p> <!-- /wp:paragraph -->