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P2-13: Table 1. Cancer detection rate by referral type.
Reason for referral
Raised PSA/abnormal DRE
Visible haematuria
Non-visible haematuria
Testicular lump
Renal mass
Other (LUTS; recurrent UTI;
pain)

Number of referrals
(N = 1054)
445 (42%)
195 (18.5%)
136 (12.9%)
105 (9.9%)
25 (2.3%)
148 (14%)

P2-14 Urologists beware - A study of the
patterns of litigation in urology throughout
the UK over the last decade
Hadjipavlou M1, Fernando A1
1The Urology Centre, London, United Kingdom

Introduction: In an increasingly litigious society, medicolegal claims have been a significant fiscal burden on the
National Health Service (NHS). In 2015-16 alone, NHS
trusts paid out £1.45 billion in medical negligence claims. In
this study we examine the trends in claims made against UK
Urologists over the last decade and the associated costs.
Methodology: A freedom of information request was submitted to the NHS Litigation Authority Data was analysed
for all claims closed from 2003/04 to 2015/16.
Results: Over a 13-year period, 1,275 successful claims
in urology were settled. The number of successful

P2-14: Figure 1

Cancer diagnosis
(N=197)

Appropriate referral

147 (33%)
23 (11.8%)
2 (1.4%)
6 (5.8%)
7 (28%)
12 (8.1%)

350 (78%)
179 (91.7%)
100 (73%)
96 (95%)
23 (92%)
25 (16.8%)

urological claims has doubled over the studied period
from 70 in 2003/04 to 140 in 2015/16. The overall success rate for claims was 60.9%, having fluctuated between
47.6% in 2003/4 and 76.7% in 2011/2. The overall sum
paid to cover for damages/legal costs has been increasing significantly, even after adjusting for inflation: 2003/04
- £5,939,382; 2015/16 - £13,715,980. This is an average
of £8,310,674 per year and £82,579 per successful claim.
Urological litigation accounted for 1.2% of all litigation
in NHS Trusts and remained stable during the studied
period.
Conclusions: This study demonstrates a rise in the number of successful claims in urology since 2003/04 and an
increase in settlement/legal costs. This upward trend
should be a warning to urologists who should be better
educated about the need for adequate medical indemnity,
meticulous record keeping and appropriate precautions
(e.g. chaperones).



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

Contents
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