§ CASE LIBRARY

Real medical negligence cases,
every one linked to the judgment.

Published judgments of the courts of England and Wales, summarised in plain English: what went wrong, what the court decided, and the sum where the judgment states it. We include the claims that failed as well as the ones that succeeded, because they show what you have to prove.

Judgments

152

With the sum stated

33

Claimant succeeded

87

Claim failed

59

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Claim failed

Hakmi v East & North Hertfordshire NHS Trust & Anor

[2025] EWHC 2597 (KB)·2025·Liability decided at trial

An orthopaedic surgeon had a second stroke and the on-call stroke consultant, assessing by telephone because the video link was broken, decided against clot-busting treatment. The judge found documentation was poor but that thrombolysis would probably not have changed the outcome, and rejected the defendants' allegation that the claimant had faked his test results.

Poor record-keeping and a remote consultation do not win a case on their own; the claimant must show the missed treatment would have made a real difference. A defence of dishonesty needs solid evidence and failed here.

Claim failed

Shally v Imperial College Healthcare NHS Trust

[2023] EWHC 1304 (KB)·2023·Liability decided at trial

During surgery for a giant calcified thoracic disc the surgeon changed from the planned approach to opening the dura, and the patient was left partially paralysed. The judge found the change of approach and the surgical technique were supported by a responsible body of neurosurgical opinion and dismissed the claim.

Changing surgical plan mid-operation is not negligent where the alternative is a recognised, logical approach. Catastrophic outcomes from high-risk spinal surgery do not by themselves establish a breach of duty.

Claim failed

Failes v Oxford University Hospitals NHS Trust

[2020] EWHC 3333 (QB)·2020·Liability decided at trial

After removal of a spinal cord tumour, nursing charts appeared to show neurological deterioration two days post-op, but the surgeon was not alerted; four days later the patient suffered sudden permanent paralysis. The court accepted the clinicians' assessments that there was no real deterioration until the final day, so earlier escalation would not have changed the outcome.

Nursing observation charts alone may not prove deterioration if contemporaneous clinical examinations showed improvement. Even a failure to escalate must be shown to have changed the outcome.

Claim failed

Barnett v Medway NHS Foundation Trust

[2015] EWHC 440 (QB)·2015·Liability decided at trial

A man with a bone disorder was admitted with leg pain, given antibiotics without blood cultures being taken first, and later discharged; weeks later he returned with a spinal infection and became paraplegic. The court found basic failures (no cultures, no monitoring of inflammatory markers) but was not satisfied they caused the paralysis.

Proving a hospital made mistakes is not enough; the claimant must show those mistakes probably caused the injury. Infection cases often turn on whether earlier detection would have changed treatment.

Claim failed

Choudhury v South Central Ambulance Service NHS & Anor

[2015] EWHC 1311 (QB)·2015·Liability decided at trial

Mr Choudhury called 999 twice in the early hours with dizziness, sweating and head pain; paramedics left him at home both times, he collapsed with a stroke and lay unattended for over eight hours, and at hospital his CT scan was wrongly read as normal and aspirin was delayed. Both defendants admitted these breaches, but the judge found the claimant could not prove that earlier treatment would have prevented the deterioration that left him locked-in.

Admitted failings by an ambulance crew and hospital are not enough on their own; the claimant must prove that proper treatment would probably have avoided the injury. With rare, severe strokes the medical evidence on what treatment would have achieved can defeat the claim.

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.

§ HOW TO READ THESE

Most claims never reach a judgment. They settle privately, and settlement sums are confidential. Judgments surface when liability is disputed, when damages are fought over, or when a court must approve a settlement for a child or someone who lacks capacity. That is why approvals and damages trials are where the public figures come from.

Amounts are only what the judgment prints. Where a case shows a lump sum plus periodical payments, the yearly payments continue for life and can be worth far more than the lump sum. Where no figure is shown, the court decided fault but the money was settled or assessed elsewhere.

Plain-English guides built on these cases →

This guide is general information about the law in England and Wales, not legal advice about your case. ClaimGavel is run by Costart Projects Ltd on behalf of Tomlin & Partners, a specialist medical negligence firm regulated by the SRA. The free assessment on this page is an AI overview to show you roughly where you stand; a solicitor confirms the position in a free, no-obligation conversation.