Orthopaedic Surgery

(e.g. failed joint replacements, fracture mismanagement, nerve damage)

NHS clinical negligence statistics for orthopaedic surgery — 19 years of data

£178.6M

Total payments 2024/25

1,101

Claims settled 2024/25

£162K

Avg per settled claim

#5

of 20 specialties

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Orthopaedic Surgery — 19-Year Payment Trend

Orthopaedic Surgery payments totalled £178.6M in 2024/25, accounting for 5.8% of all NHS negligence payments. More orthopaedic surgery claims are being settled than ever — 1,101 in 2024/25, up from 782 in 2006/07.

£40.6M
£53.4M
£65.0M
£89.1M
£95.6M
£119.1M
£121.9M
£116.4M
£126.5M
£179.8M
£193.1M
£178.8M
£168.1M
£167.7M
£164.2M
£163.5M
£151.1M
£152.4M
£178.6M
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024

2024/25 payments

£178.6M

Share of all NHS

5.8%

Of total negligence payments

Claims settled

1,101

Up from 782 in 2006/07

How Long Do Orthopaedic Surgery Claims Take?

Average timings for orthopaedic surgery claims based on 2024/25 data. The total average time from incident to settlement is approximately 5.5 years.

Incident to notification

3.6 years

Average time before a claim is made

Notification to settlement

1.9 years

Average time to resolve the claim

Total average

5.5 years

From incident to final resolution

Settlement Timing Trend

3.9 years
4.1 years
4.3 years
4.1 years
4.0 years
4.0 years
4.4 years
4.1 years
4.3 years
4.7 years
4.7 years
4.5 years
4.5 years
4.4 years
4.7 years
5.0 years
5.2 years
5.8 years
5.5 years
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024

Claims Settled Over Time

Number of orthopaedic surgery claims settled each year and their total damages value.

782 claims (£36.4M)
839 claims (£53.0M)
803 claims (£66.1M)
1,013 claims (£99.4M)
1,108 claims (£100.2M)
1,171 claims (£118.0M)
1,301 claims (£113.2M)
1,468 claims (£121.8M)
1,465 claims (£147.3M)
1,517 claims (£187.4M)
1,652 claims (£197.3M)
1,399 claims (£176.5M)
1,313 claims (£179.4M)
1,310 claims (£153.6M)
1,247 claims (£193.2M)
1,158 claims (£163.2M)
1,098 claims (£143.8M)
1,064 claims (£151.4M)
1,101 claims (£178.1M)
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024

Top NHS Trusts by Total Negligence Payments

The NHS trusts with the highest total negligence payments in 2024/25. Orthopaedic Surgery covers e.g. failed joint replacements, fracture mismanagement, nerve damage.

1£65.8M
2£63.3M
3£61.8M
4£56.1M
5£55.7M
6£55.4M
7£54.7M
8£50.8M
9£49.4M
10£45.8M
11£43.6M
12£41.8M
13£38.9M
14£38.7M
15£37.4M
16£36.5M
17£34.9M
18£34.6M
19£34.1M
20£34.0M
21£32.9M
22£32.0M
23£31.2M
24£30.6M
25£29.9M
26£29.9M
27£28.4M
28£28.0M
29£27.8M
30£27.7M

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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.