NHS Resolution Data 2024/25
NHS Clinical Negligence Statistics
The NHS paid £2.8B in clinical negligence claims in 2024/25. Here's where the money went.
11,859
Claims received
£2.8B
Total paid out
£13.3M
Average per trust
214
NHS trusts
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NHS Negligence Payouts Have Reached Record Levels
Total NHS clinical negligence payments have grown from £581.7M in 2006/07 to £3.1B in 2024/25. More claims are being settled than ever before, and average compensation continues to rise.
Record annual payout
£3.1B
In 2024/25
Growth since 2006
5.3x
From £581.7M to £3.1B
Claims settled
13,329
Up from 5,625 in 2006/07
Where the money goes
Payments by Medical Specialty
Obstetric claims involving cerebral palsy and brain damage account for the largest share of NHS negligence payments, despite representing a small fraction of total claims.
Regional breakdown
Claims by Region
How clinical negligence claims and payments are distributed across England's NHS regions.
East Midlands
16
Trusts
977
Claims
£228.7M
Total paid
East of England
21
Trusts
1,070
Claims
£320.6M
Total paid
London
35
Trusts
1,818
Claims
£560.0M
Total paid
North East
11
Trusts
664
Claims
£103.9M
Total paid
North West
32
Trusts
2,150
Claims
£444.7M
Total paid
South East
30
Trusts
1,523
Claims
£475.7M
Total paid
South West
20
Trusts
972
Claims
£216.1M
Total paid
West Midlands
24
Trusts
1,307
Claims
£248.6M
Total paid
Yorkshire and The Humber
22
Trusts
1,337
Claims
£243.8M
Total paid
About this data: NHS Resolution manages clinical negligence claims on behalf of NHS trusts in England. A “claim” is a formal legal notification alleging harm caused by NHS care. The figures below include compensation paid to patients (damages) plus legal costs on both sides. Data covers 2024/25 across three indemnity schemes.
Highest payouts
Top 20 NHS Trusts by Total Payments
The NHS trusts with the largest total clinical negligence payouts in 2024/25, including damages, NHS legal costs, and claimant costs.
| 1 | £65.8M | |
| 2 | Mid and South Essex NHS Foundation TrustEast of England | £63.3M |
| 3 | £61.8M | |
| 4 | £56.1M | |
| 5 | University Hospitals Birmingham NHS Foundation TrustWest Midlands | £55.7M |
| 6 | Barts Health NHS TrustLondon | £55.4M |
| 7 | £54.7M | |
| 8 | £50.8M | |
| 9 | Nottingham University Hospitals NHS TrustEast Midlands | £49.4M |
| 10 | £45.8M | |
| 11 | East Suffolk and North Essex NHS Foundation TrustEast of England | £43.6M |
| 12 | £41.8M | |
| 13 | Frimley Health NHS Foundation TrustSouth East | £38.9M |
| 14 | Royal Berkshire NHS Foundation TrustSouth East | £38.7M |
| 15 | £37.4M | |
| 16 | Bedfordshire Hospitals NHS Foundation TrustEast of England | £36.5M |
| 17 | £34.9M | |
| 18 | East Lancashire Hospitals NHS TrustNorth West | £34.6M |
| 19 | £34.1M | |
| 20 | The Leeds Teaching Hospitals NHS TrustYorkshire and The Humber | £34.0M |
What claims are worth
Compensation Distribution
Most claims settle for relatively modest amounts, but a small number of high-value cases account for the vast majority of total payments.
Highest value claims
Maternity & Birth Injury Claims
Obstetric claims account for approximately 43% of all NHS negligence payments despite representing a much smaller proportion of total claims. Claims involving cerebral palsy and brain damage are among the highest-value in the NHS system.
Obstetric claims
967
Total paid
£1.2B
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.