§ PUBLISHED JUDGMENT · 2024

Cripps v Norfolk and Norwich University Hospitals NHS Foundation Trust

[2024] EWHC 615 (KB)·High Court (King's Bench Division)·7 March 2024

The trust admitted that a misreported smear delayed the diagnosis of cervical cancer, and the claimant, who lost her fertility through treatment, asked for a further interim payment to fund surrogacy abroad. The judge refused because the evidence was not yet complete enough to be confident a trial judge would allow that cost.

Outcome

Claimant succeeded

Sum stated in judgment

Not stated

Claim type

Cancer Misdiagnosis & Delayed Diagnosis

Decided

Damages assessed at trial

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§ WHAT HAPPENED

The facts, in brief.

Defendant: Norfolk and Norwich University Hospitals NHS Foundation Trust · this trust’s claims data

Injury: Cervical smear misreported; cervical cancer diagnosed the following year at age 28, with treatment causing premature menopause and loss of natural fertility

Specialty: Cervical screening (cytology) / gynaecological oncology · England

§ WHAT THE COURT SAID

In the judgment’s own words.

It follows from the above that I decline to make the order for an interim payment sought under CPR 25.7.

The money

Liability admitted. This ruling refused a further interim payment to fund overseas surrogacy; earlier interim payments of £75,000 and £150,000 are recorded. No final damages figure.

§ WHY IT MATTERS

What this case shows.

Even with liability admitted, an interim payment will only be ordered for sums the court is confident will be recovered at trial. Whether overseas surrogacy costs are recoverable depends on a reasonableness test decided on full evidence.

About cancer misdiagnosis & delayed diagnosis claims →

§ MORE CANCER MISDIAGNOSIS & DELAYED DIAGNOSIS JUDGMENTS

Claimant succeeded

Wilma Agnes Cullen v Dr Ruth Henniker-Major

[2024] EWHC 2809 (KB)·2024·Damages assessed at trial

A GP saw Ms Cullen three times over five weeks with a persistent cough, sore throat and tiredness but did not make an urgent cancer referral; her laryngeal cancer was diagnosed at stage III about three months later. Liability was admitted, and the trial dealt with disputed care costs and the defendant's allegation that she had been fundamentally dishonest, which the judge rejected.

A delayed cancer referral claim turns on what extra treatment the delay caused; here the admitted delay meant chemotherapy, a total laryngectomy and neck dissections that earlier diagnosis would have avoided. Social media posts relied on to allege dishonesty were found not to contradict her evidence.

Claim failed

Dalton v Southend University Hospital NHS Foundation Trust

[2019] EWHC 832 (QB)·2019·Liability decided at trial

A 38-year-old woman with a hard breast lump had a mammogram and ultrasound that looked benign and was discharged without a biopsy; cancer was found in 2013. Yip J accepted that a responsible body of breast surgeons would not have biopsied on those findings.

Triple assessment does not always require a biopsy where imaging is reassuring. A later cancer diagnosis does not by itself prove the earlier clinic decision was negligent.

Claimant succeeded

Gallardo v Imperial College Healthcare NHS Trust

[2017] EWHC 3147 (QB)·2017·Liability and damages decided at trial

After surgery at Charing Cross Hospital in 2001 the patient was never told his tumour was malignant or that he needed regular CT surveillance, and the cancer recurred undetected until 2010. The court found a continuing duty to inform him of his diagnosis and follow-up needs which the Trust failed to discharge.

Hospitals must tell patients the result of their treatment and the follow-up they need; failing to communicate a cancer diagnosis and the need for monitoring is negligent.

All cancer misdiagnosis & delayed diagnosis judgments →

Contains information licensed under the Open Justice - Licence v2.0. Judgments from Find Case Law, The National Archives. Summaries are ours; amounts only where printed in the judgment.

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