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57 Medico-Legal J. 3 (1989)

handle is hein.journals/medlgjr57 and id is 1 raw text is: 




  THE MEDICO-LEGAL


                   JOURNAL
                           Founded 1901


 1989                        Vol. 57                   Part One



                           EDITORIAL

A Conference on No Fault Compensation
THERE HAS BEEN a tenfold increase in the numbers of medical negligence
claims mounted in the courts over the last ten years, and the tide of litigation
continues to grow rapidly. This, with its concomitant of settlements and court
awards of damages, has in turn has contributed to doctors' escalating premiums,
with differential premiums to be introduced by the Medical Protection Society
for the first time later in the year. Some specialties, formerly popular, such
as obstetrics and gynaecology, have been particularly subjected to litigation,
with awards for brain damaged babies being among the largest made and often
with the longest time lag since the limitation period can be indefinitely extended
for such plaintiffs.
  Disenchantment and disquiet has set in, producing an element of shroud
waving with cries that such litigation produces defensive medicine which is to
nobody's benefit. On the other side of the coin, actions against doctors are
seen to be unfairly loaded against patients and there is considerable (and
arguably justified) dissatisfaction with existing complaints procedures and doc-
tors' accountability. A more open and frank approach with patients has been
urged - but unhappily. with negligence still the only criteria for compensation,
doctors remain reluctant to admit to error (which may or may not be negligent)
for fear of fuelling stigmatising and distressing law suits. On January 11, the
scene was set for a stimulating debate by Dr John Havard, Secretary of the
BMA. His subject (for the Stevens Lecture for the Laity at the RSM) was
Medical Negligence - the Mounting Dilemma was a substantial appetiser
for the two day joint meeting organised by the Royal Society of medicine and
the British Medical Association to debate No Fault Compensation.
  The conference, hosted by the Royal Society of Medicine on January 12
and 13. Some 150 people (including Dame Rosalind Hurley, Chairman of the
Medicines Commission) attended and the debate and discussion were lively
and at times heated. Two related issues which repeatedly arose both on and
off the podium were accountability and peer monitoring and levels of damages
and the iniquities produced by lump sum payments in the UK. The event was

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