Brain Damage Claims — Royal Free London NHS Foundation Trust
If your child suffered brain damage during or shortly after birth at Royal Free London NHS Foundation Trust in London, you may be entitled to significant compensation. In 2024/25, this trust received 30 obstetric negligence claims and paid £28.7M in obstetric settlements — 56% of the trust's total negligence payments. Royal Free London NHS Foundation Trust ranks #3 of 17 maternity trusts in London by obstetric payments.
£28.7M
Obstetric payments 2024/25
30
Obstetric claims
£955K
Avg per obstetric claim
#3
of 17 in London
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What is a Brain Damage Claim?
Brain damage claims relate to injuries sustained during or shortly after birth, often caused by oxygen deprivation (hypoxia or anoxia) during delivery or failures in neonatal care. Hypoxic-ischaemic encephalopathy (HIE) is the most common form, occurring when the baby's brain does not receive enough oxygen during the birth process.
Common causes include delayed emergency caesarean section when fetal monitoring shows distress, umbilical cord complications (prolapse, compression, or nuchal cord) that were not identified or acted upon, and failures in neonatal resuscitation after birth.
Neonatal brain damage can also result from infections that were not identified or treated promptly (such as Group B Streptococcus), jaundice leading to kernicterus, and hypoglycaemia (low blood sugar) that was not monitored or managed in the hours after birth.
The effects of neonatal brain damage range from mild developmental delays to severe disability requiring lifetime care. Claims can be brought until the child's 21st birthday, or indefinitely if the individual lacks mental capacity. Settlements for severe brain damage regularly reach £5 million to £20 million.
Obstetric Claims at Royal Free London NHS Foundation Trust
Obstetric negligence claims account for 56% of this trust's total negligence payments. Brain damage settlements typically range from £1 million for moderate injuries to £20 million or more for severe cases requiring lifetime care.
Obstetric claims
30
Received in 2024/25
Obstetric payments
£28.7M
56% of total trust payments
Avg per obstetric claim
£955K
Average Cost Per Obstetric Claim
How the average cost per obstetric claim at this trust compares to the national average across all maternity trusts.
This trust
£955K
National average
£1.3M
-25%below national average
National Brain Damage Claims Payments Over Time
Neonatology CP/BD payments nationally have grown significantly over the past 19 years. Royal Free London NHS Foundation Trust's obstetric payments of £28.7M in 2024/25 form part of this national picture.
This trust (obstetric)
£28.7M
30 claims in 2024/25
National Neonatology CP/BD
£31.0M
All trusts, 2024/25
Avg time to settle
4.2 yrs
From notification to settlement
How Long Do Brain Damage Claims Take to Settle?
Neonatology CP/BD claims are among the most complex clinical negligence cases. National data shows average timings from incident to resolution.
Incident to notification
9.4 years
Average time before a claim is made
Notification to settlement
4.2 years
Average time to resolve the claim
London Maternity Trust Rankings
Royal Free London NHS Foundation Trust ranks #3 of 17 maternity trusts in London by obstetric negligence payments.
| 1 | £29.6M | |
| 2 | £29.0M | |
| 3 | Royal Free London NHS Foundation TrustThis trust | £28.7M |
| 4 | £23.2M | |
| 5 | £19.8M | |
| 6 | £16.6M | |
| 7 | £15.7M | |
| 8 | £12.4M | |
| 9 | £12.3M | |
| 10 | £11.4M | |
| 11 | £11.1M | |
| 12 | £10.1M | |
| 13 | £10.1M | |
| 14 | £8.5M | |
| 15 | £7.2M |
Related Claims at Royal Free London NHS Foundation Trust
Source: NHS Resolution Annual Report and Accounts 2024/25. Data covers the Clinical Negligence Scheme for Trusts (CNST), Existing Liabilities Scheme (ELS), and Risk Pooling Scheme for Trusts (RPST). This information is provided for educational purposes only and does not constitute legal advice.