London
NHS clinical negligence statistics for the London region
35
NHS trusts
415,065
Claims received
£99.5B
Total paid
£240K
Avg per claim
NHS negligence in London?
Free instant AI assessment · England
National Claims Are at Record Levels
NHS negligence payments have grown 5.3x since 2006/07. London accounts for 3232% of the 2024/25 national total of £3.1B.
London total
£99.5B
415,065 claims in 2024/25
National total
£3.1B
5.3x growth since 2006/07
Region's share
3232%
Of national negligence payments
London vs National Average
London per trust
£2.8B
National per trust
£13.3M
+21300%above national average
London per claim
£240K
National per claim
£240K
-0%below national average
Types of Clinical Negligence Claims
NHS negligence claims span 20 medical specialties nationally. These are the 2024/25 figures — trusts in London handle claims across these categories.
#1Obstetrics CP/BDcerebral palsy & brain damage — e.g. birth injuries causing permanent disability
£1.1B36.1%
cerebral palsy & brain damage — e.g. birth injuries causing permanent disability
#2Othere.g. physiotherapy injuries, dietetics errors, pharmacy dispensing mistakes
£461.6M15.0%
e.g. physiotherapy injuries, dietetics errors, pharmacy dispensing mistakes
#3Emergency Medicinee.g. misdiagnosis in A&E, delayed treatment, triage failures
£249.7M8.1%
e.g. misdiagnosis in A&E, delayed treatment, triage failures
#4Paediatricse.g. missed meningitis, delayed diagnosis, medication dosing errors
£210.8M6.8%
e.g. missed meningitis, delayed diagnosis, medication dosing errors
#5Orthopaedic Surgerye.g. failed joint replacements, fracture mismanagement, nerve damage
£178.6M5.8%
e.g. failed joint replacements, fracture mismanagement, nerve damage
#6Obstetrics Non CP/BDother obstetric claims — e.g. surgical errors during delivery, maternal injuries
£176.0M5.7%
other obstetric claims — e.g. surgical errors during delivery, maternal injuries
#7General surgery£104.1M3.4%
#8Neurosurgerye.g. spinal surgery errors, nerve damage, post-operative complications
£77.1M2.5%
e.g. spinal surgery errors, nerve damage, post-operative complications
#9Radiologye.g. missed findings on scans, delayed cancer diagnosis, reporting errors
£71.9M2.3%
e.g. missed findings on scans, delayed cancer diagnosis, reporting errors
#10Gynaecologye.g. surgical complications, missed cancer diagnoses, fertility treatment errors
£67.0M2.2%
e.g. surgical complications, missed cancer diagnoses, fertility treatment errors
#11General medicine£64.8M2.1%
#12Psychiatry/ Mental Health£55.8M1.8%
Total payments
£55.8M
Claims settled
237
Avg per claim
£132K
#13Gastroenterologye.g. missed bowel cancer, endoscopy perforations, delayed diagnosis
£41.5M1.3%
e.g. missed bowel cancer, endoscopy perforations, delayed diagnosis
#14Ophthalmologye.g. cataract surgery errors, missed glaucoma, delayed treatment
£37.1M1.2%
e.g. cataract surgery errors, missed glaucoma, delayed treatment
#15Neurologye.g. missed stroke, delayed brain tumour diagnosis, epilepsy mismanagement
£37.0M1.2%
e.g. missed stroke, delayed brain tumour diagnosis, epilepsy mismanagement
#16Neonatology CP/BDnewborn cerebral palsy & brain damage — e.g. oxygen deprivation at birth
£31.0M1.0%
newborn cerebral palsy & brain damage — e.g. oxygen deprivation at birth
#17Cardiologye.g. missed heart attacks, stent complications, delayed diagnosis
£31.0M1.0%
e.g. missed heart attacks, stent complications, delayed diagnosis
#18Urologye.g. delayed cancer diagnosis, surgical nerve damage, catheter injuries
£29.2M0.9%
e.g. delayed cancer diagnosis, surgical nerve damage, catheter injuries
#19Ambulancee.g. delayed response, incorrect triage, treatment errors en route
£27.1M0.9%
e.g. delayed response, incorrect triage, treatment errors en route
#20Neonatology Non CP/BDother newborn claims — e.g. infections, feeding injuries, delayed treatment
£16.0M0.5%
other newborn claims — e.g. infections, feeding injuries, delayed treatment
Trusts Ranked by Total Payments
All 35 NHS trusts in London, ranked by total negligence payments in 2024/25.
| 1 | £2.8B | |
| 2 | £2.8B | |
| 3 | £2.8B | |
| 4 | £2.8B | |
| 5 | £2.8B | |
| 6 | £2.8B | |
| 7 | £2.8B | |
| 8 | £2.8B | |
| 9 | £2.8B | |
| 10 | £2.8B | |
| 11 | £2.8B | |
| 12 | £2.8B | |
| 13 | £2.8B | |
| 14 | £2.8B | |
| 15 | £2.8B | |
| 16 | £2.8B | |
| 17 | £2.8B | |
| 18 | £2.8B | |
| 19 | £2.8B | |
| 20 | £2.8B | |
| 21 | £2.8B | |
| 22 | £2.8B | |
| 23 | £2.8B | |
| 24 | £2.8B | |
| 25 | £2.8B | |
| 26 | £2.8B | |
| 27 | £2.8B | |
| 28 | £2.8B | |
| 29 | £2.8B | |
| 30 | £2.8B | |
| 31 | £2.8B | |
| 32 | £2.8B | |
| 33 | £2.8B | |
| 34 | £2.8B | |
| 35 | £2.8B |
Maternity Trusts in London
17 of 35 trusts in London provide maternity services.
King's College Hospital NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Barts Health NHS Trust
£2.8B
11,859 claims · 2024/25
Lewisham & Greenwich NHS Trust
£2.8B
11,859 claims · 2024/25
Royal Free London NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Guy's and St Thomas' NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Barking, Havering and Redbridge University Hospitals NHS Trust
£2.8B
11,859 claims · 2024/25
London North West University Healthcare NHS Trust
£2.8B
11,859 claims · 2024/25
Homerton Healthcare NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
St George's University Hospitals NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Imperial College Healthcare NHS Trust
£2.8B
11,859 claims · 2024/25
Chelsea & Westminster Hospital NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Epsom and St Helier University Hospitals NHS Trust
£2.8B
11,859 claims · 2024/25
University College London Hospitals NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Hillingdon Hospitals NHS Foundation Trust (The)
£2.8B
11,859 claims · 2024/25
Croydon Health Services NHS Trust
£2.8B
11,859 claims · 2024/25
Kingston and Richmond NHS Foundation Trust
£2.8B
11,859 claims · 2024/25
Whittington Health NHS Trust
£2.8B
11,859 claims · 2024/25
All Regions by Total Payments
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.