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Clinical Negligence Indemnity Cover

Volume 657: debated on Monday 1 April 2019

I am today updating the House on recent developments regarding indemnity arrangements for NHS general practice in England.

The Government have today launched the Clinical Negligence Scheme for General Practice (CNSGP), operated by NHS resolution on behalf of the Secretary of State for Health and Social Care. The regulations establishing the scheme are at: NHS resolution have published guidance covering the scope and operation of the scheme: The new scheme delivers a key component of the GP contract for 2019-20 and is expected to contribute to the recruitment and retention of GPs in the future. The scheme provides comprehensive cover to all GPs and their wider practice team for clinical negligence relating to NHS services occurring from 1 April 2019. All GPs and others providing primary medical services are automatically covered under the scheme. In addition, GPs and their practice staff providing other types of NHS services as part of their GP practice are also covered. There is no charge for this cover.

In parallel, to deliver on our commitment to put in place an existing liabilities scheme (ELS), we have agreed commercial terms with the Medical Protection Society covering claims for historic NHS clinical negligence incidents of their GP members occurring at any time before 1 April 2019. NHS resolution will have oversight of the arrangements for the new scheme and for an interim period claims handling will be retained by the MPS. Discussions are ongoing with other Medical Defence Organisations.

The Department will keep the operation of both CNSGP and the ELS arrangements under close scrutiny to ensure an effective service for GPs and the value for money of both schemes.