Pressure sores are also known as pressure ulcers or bedsores. This condition can be extremely, uncomfortable, painful and debilitating. They can develop quickly and cause serious long term harm. This commonly affects the elderly or the infirm, basically it affects those who are immobile for a period of time and are reliant on carers to help move themselves with mobility.
Those in charge of caring for such vulnerable people have a responsibility to ensure that anyone at risk of developing pressure sores receive prompt and proper care to avoid the condition developing in the first place.
Common causes of pressure sores
Often when people are confined to one position either sitting in a chair for a long period of time or whether in bed and they are unable to move themselves. The restriction to blood flow results in one or more areas of the skin breaking down. This can cause lesions or wounds to form around the prominent bony areas, usually, around the hips, elbows, buttocks and the lower back. If left untreated this can cause moisture in the underlying tissues resulting in open wounds and serious infection. Types of pressure sores can start at Grade 1 which usually includes patches or discolouration of the skin. More serious pressures sores at Grade 4 are those open wounds exposing underlying bones and muscle.
Ways to prevent pressure sores
Those in charge of caring for vulnerable immobile people have a duty to prevent pressures sores developing in the first instance. Where a patient is most at risk then a formal risk assessment, known as the Waterlow Scale must be completed in order to identify the patient’s risk. This should usually be carried out when a person is admitted to a nursing home or hospital so that proper management and care can be put in place to prevent pressure sores.
Pressure sores and medical negligence
Where pressures sores were preventable and reasonable care was not given this can rise to a claim. Equally, where pressure sores once developed are not treated correctly this can result in a medical negligence claim. Where you have cause to believe that your loved one’s care fell below the acceptable standard of care in that the subsequent complications, pain and discomfort could have been prevented then you can take action on their behalf.
Common complications of pressure sores
- Cellulitis – this is an infection of the skin and connected soft tissues
- Bone and joint infection
- Cancer
- Sepsis
What damages you may recover if your claim is successful?
- Damages for pain and suffering for both physical and psychiatric trauma
- Loss of past and future earnings
- Cost of care and assistance
- Prescription and medical treatment fees
- Cost of adaptation in the home and transport costs
- Out of pocket expenses
- Specialist care aids and appliances
- Costs of assistance for household chores
- Travel expenses to and from hospitals for medical treatment
There are approximately 900,000 medical accidents in the U.K which occur either in the NHS or private hospitals. This means thousands of people suffer needlessly due to medical / clinical negligence.
How to prove medical negligence ?
In order to succeed in making a claim the law requires the Claimant to prove
1. That the standard of care received was well below that of a reasonable competent health care professional in that field of medicine. This is known as breach of duty of care.
And
2. That as a result the Claimant has suffered a physical and psychiatric injury as a direct result of the care they did receive or did not receive. This is known as causation.
Both these tests must be proved in order for a case to succeed so if breach of duty is proved but causation cannot be proved then the claim will not succeed.
The time limits in medical negligence claims
There are strict time limits in law and it is important that if you think there was negligence you seek legal advice at the earliest possible opportunity.
The law allows the Claimant three years from the date of the negligence or from the date of knowledge from when the claimant became aware of the negligence. If the Claimant is not able to confirm the date of knowledge then it is best to assume that the three years period runs from the date of the incident so as to ensure the claim is made within the 3 year Limitation period otherwise the claim will be out of time.
There are exceptions to this time limit-
- For a child claimant who is under the age of 18 the 3 year period does not start to run until their 18th birthday. This means they have until their 21st birthday within which to make a claim otherwise their claim will be out of time. This means their claim must be settled or Court proceedings must be issued before their 21st birthday to avoid the claim being time barred.
- Where a Claimant does not have mental capacity
- Where the Claimant suffers a temporary mental disability then the time does not run until mental capacity returns
Where the person injured dies the three year time limit runs from the date of death provided the original medical negligence claim is not time barred by the time of death.
The Claims Process
If you believe you have suffered medical negligence at the hands of the NHS, or any other health care provider, then these are the steps for making a claim:
- Establish that medical negligence has occurred and as a result of which you have suffered damage.
- Make a complaint to the NHS Complaints team or to the relevant G.P. practice or private care provider, within 12 months of the incident taking place or within 12 months of you becoming aware of the negligence, this being within 12 months of your date of knowledge.
- Send a formal letter of complaint, if on receipt of their reply you remain dissatisfied, take legal advice.
- As your Solicitor we will gather evidence of your case before we put forward a civil claim for compensation against the negligent healthcare provider. If your case has merits and the defendant dispute your claim then we may advise you to proceed to Court if we cannot settle the case without litigation.
The NHS complaints procedure
As most cases are against the NHS it is possible for you to submit a complaint within 12 months of the negligence before pursuing a compensation claim. You can do this by sending a letter of complaint yourself to the hospital whom you hold to blame, this will cause the hospital to investigate your complaint and provide a response to your letter of complaint. This is something you can do yourself but if you would like us to assist you then we can do this for a fixed fee. If on reviewing the response we consider you may have an arguable claim then we may agree to waive the fixed fee.
Funding
There are various ways to fund this claim-
- Legal aid / public funding this is available for some birth injury claims such as cerebral palsy and erb’s palsy claims.
- No win no fee agreement, this is a Conditional fee agreement with the benefit of a before the event or after the event insurance policy to protect the Claimant against any adverse costs
- Legal expenses insurance
- Trade union membership
We can assist you on a no win no fee basis with the benefit of an insurance cover to protect you against any adverse costs.
What next?
If you would like to have an informal chat with our Clinical Negligence experts in confidence to see if you have a viable claim then please complete the contact form and we will give you a call back at a time convenient to you or please call/ contact Daxa Patel, Clinical Negligence Partner & Solicitor by contacting us on 0330 107 0107 or email d.patel@imd.co.uk or info@imd.co.uk. Once we are contacted by you, one of our helpful team members will contact you.
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