2 This information relates to the law and procedures in England and Wales. Please contact us if you need advice about the law and procedure in other legal jurisdictions. Looking back over the years, you handled the whole issue sensitively and were there to support us through some of our darkest moments. Daniel s future is now secure, it s embedded in granite that he will have the best care and equipment forever and so his quality of life will be significantly enhanced thanks to you. - Richard & Ingrid 2
3 With years of experience working with families who ve suffered pregnancy and childbirth problems, we appreciate what you re going through and know exactly how to help you get the compensation you deserve. Introduction A mishandled pregnancy or birth can result in lifechanging consequences for mother, baby and the family as a whole. Key areas in which mistakes are made include: Ante-natal errors - despite highly advanced scans medical professionals can miss or even misdiagnose problems with a healthy unborn baby. Errors made at this stage can have huge consequences including misdiagnosed miscarriage, major unexpected conditions in the baby and even stillbirth Errors during birth - damage from medical instruments anaesthetics or inadequate suturing can cause serious gynaecological damage to mothers and injuries including cerebral palsy, brachial palsy (Erb s Palsy), brain injury, facial paralysis, spinal injuries, fractured bones and perinatal asphyxia to babies. 3 We have secured millions of pounds in compensation for people who have suffered from these errors and wrongful birth cases, where a failed sterilisation or alternative contraceptive procedure accidentally results in a baby being conceived. If you believe that you or your child have suffered an injury during pregnancy, childbirth or a gynaecological procedure, our specialist team of lawyers will help you fight for the compensation you deserve. We can help you gain the financial support and closure you need to cope with whatever the future may bring.
4 Cerebral palsy Cerebral palsy is a movement and posture disorder that affects two out of every 1,000 children. Children with cerebral palsy often have other difficulties caused by more damage to the brain including; Learning impairment Hearing and speech problems Visual impairments Behavioural problems Epilepsy. What causes cerebral palsy? Cerebral palsy is caused by damage to the part of the brain that controls motor functions. This damage usually occurs during pregnancy and conception it s estimated that only 10% of children with cerebral palsy suffered damage to their brain during birth. What is duty of care? Medical professionals owe their patients what is known as a duty of care. This means that they are responsible for providing an acceptable level of care and protecting you and your baby from harm. As a patient you are entitled to expect reasonable standards and if these are not met, you may be able to claim compensation if it can be proved that your doctor, midwife or other health professionals have committed a breach of their duty of care. The most common example of this is where a baby has been deprived of oxygen before or during birth. If you think you may have a case contact one of our friendly professional staff for a free no obligation chat the sooner you speak to us, the sooner we ll be able to give you an honest opinion about your situation. To talk to a specialist advisor today simply call free on: or visit: you can also follow us on 4
5 Why use Irwin Mitchell? Irwin Mitchell is one of the largest and most experienced personal injury law firms in the country. Our reputation for helping families suffering from birth injuries is second to none and every year we recover millions of pounds of compensation for people whose children have been injured in this way. Specialist team Our specialist team of medical negligence experts has helped hundreds of clients with gynaecology, pregnancy and birth injury claims. Employing many of the country s finest personal injury lawyers, our highly specialised team combines powerful legal arguments with care and consideration to ensure the best possible outcome for you. Our service Our highly specialised team combines powerful legal arguments with care and consideration to ensure the best possible outcome for you.. Our friendly and professional service includes: An early investigation into who is at fault Early compensation payments if possible to pay for private healthcare Expert advice on state benefits, your employment rights and other financial issues Professional support for you to access rehabilitation and therapy services Help if you need it from solicitors in our other departments, such as financial planning, personal injury trusts, wills advice, power of attorney, education and social care needs advice. Campaign for improvements At Irwin Mitchell we have a long history of campaigning for improvements in birth management and care. Through our work we hope to prevent birth injuries from happening and improve the quality of life and levels of compensation for those who have suffered. We are also sponsors and fundraisers for several leading charities and support groups - and a large number of our team volunteer their skills at national, local and individual level. 5
6 When can I make a claim? Normally adults must make a claim within three years of the date they first knew or suspected that they were injured as a result of medical negligence. For children The rules relating to children are different. The three year period applies but doesn t commence until the child s 18th birthday. This means that court proceedings can be started at any time before their 21st birthday. Also, if the person with cerebral palsy suffers from any intellectual impairment it may be possible to argue that proceedings have been delayed because they do not have the mental capacity to bring the claim themselves. Do I have a case? If you are unsure whether you have a claim you or a family member just needs to pick up the phone and talk it over with us. We ll assess your case free of charge, tell you what we think and then you can decide if you want to go ahead. We are also able to take cases over from other lawyers. We have helped many people who have been dissatisfied with the advice or service they have received from their lawyers, achieving the best possible outcome in all aspects of their claim including access to medical care, rehabilitation and compensation. What are my chances of winning? We have a long track record of winning compensation cases where the client initially thought they did not have a claim. When you contact us we will give you realistic advice on the chances of winning based on the information you provide. It is not possible to give a definitive answer on any case. However, the more information we have the more accurate an assessment we can make. 6
7 How much will it cost? Don t worry about legal costs there might not be any. Free consultation If you think you may be able to claim compensation for birth injuries such as cerebral palsy, the best thing to do is give us a call. Our phone number is free and our initial consultation, which will determine whether you have a case and can apply for public funding is also completely free. Public funding You can receive public funding for a claim if the person with cerebral palsy is a child under the age of 18. In this instance, we will prepare a statement for the Legal Services Commission which explains why public funding should be granted. Although public funding is means tested, it is only the means and resources of the child that are taken into account. Therefore unless your child has any savings, items of value or investments totalling 2,500 or more, is due to receive money from a trust fund or will, they should qualify for it. If funding is granted and the case succeeds, all of your child s legal costs are likely to be recovered from those at fault, in addition to any compensation awarded. However, if the claim fails and no compensation is recovered, legal costs will be met by the Legal Services Commission. Public funding is not retrospective and therefore legal costs are only covered form the date when the public funding certificate is issued. 7
8 How much compensation will I get? Compensation awards for cerebral palsy are usually very high. The level of compensation will depend upon the level of disability the child has and the extent to which quality of life can be improved for them or their parents. Individually assessed It is important to bear in mind that everyone is different and the consequences of the same injury, and therefore the level of compensation awarded, will vary from person to person. As we learn more about you and your circumstances, we will be able to provide a more accurate idea of the financial value of your claim. You can be assured that we will do everything we can to recover the maximum amount of compensation available to you and organise payment terms to suit your immediate and on-going needs.. Management of compensation Any compensation you receive needs to be properly managed. How this happens depends on whether the child is likely to have the mental capacity to manage the compensation themselves when they reach the age of 18. A medical assessment may be needed to confirm this. If they will have capacity the award will be paid into court and invested on their behalf until they reach the age of 18. However, the adult legally representing the child in court, known as the Litigation Friend, can apply to access the compensation at any time. The court will consider whether it is reasonable to do so before releasing any money. A Personal Injury Trust can also be set up for when the child reaches 18. These trusts help protect entitlement to various means-tested benefits and also provide a convenient way of managing the money. A court may consider authorising a trust on the child s behalf before they reach the age of 18 but they would have to be satisfied that it is in the child s best interests before doing so. If the child is unlikely to have the mental capacity to manage their own finances at the age of 18, an application will need to be made to the Court of Protection for the appointment of a deputy. Personally responsible for managing and investing the award on the child s behalf, the deputy can be appointed even if the child is still under 18 years of age. Legal management of finance is a complex field but our specialist Personal Injury Trusts and Court of Protection teams will make it as straightforward as possible for you. Just call our freephone number or ask your existing Irwin Mitchell solicitor to put you in touch. 8
9 What happens when I claim? We aim to ensure that whether a claim for compensation is successful or not, you as parents achieve a greater understanding of exactly what happened during your child s birth and afterwards. Investigating the claim When we first meet you we will take a detailed statement recording your recollections of the pregnancy, birth and your baby s condition in the first hours and days of his or her life. Where a child is born with damage to the brain it is very tempting for parents to attribute that to the care provided at birth. In fact, only a small percentage of cases can be accredited to injury at birth. An even smaller number are caused by negligence of the hospital staff. In view of this we will tell you as soon as possible if your child s claim has any prospects of success. If we think it does, we will ask independent expert doctors to consider the mother and child s medical records and answer two crucial questions: Was there any incompetence in the way in which the labour, the birth or the care of the baby after the birth was handled? If so, did that incompetence cause the disability this child suffers from? If our medical experts can answer those two questions positively then we will advise you that court action should be started. Litigation Friend People under the age of 18 can t legally bring a court action in their own right. Usually but not necessarily a relative, an adult must be appointed to act on their behalf and is known throughout the proceedings as the Litigation Friend. The function of the Litigation Friend is to make decisions on the child s behalf and generally protect their interests throughout the case. Your solicitor will explain the role of the Litigation Friend to you in more detail. Out of court The vast majority of cases are settled before they go to court. However, if your case is one of the few that is to be decided by a judge don t worry: it s perfectly normal and we ll be there to help you every step of the way. It is the second question that often proves to be the most problematic in these cases. The reason for this is that there are many causes of cerebral palsy other than a lack of oxygen or injury occurring at the time of the birth. For example, genetic disorders, infection in the mother and other problems in pregnancy can all cause cerebral palsy. 9
10 Can you help us access education? Our Public Law team regularly fights on behalf parents and guardians whose children are denied the right to a full education at school or in nursery. If your child s injury interferes with their ability to learn at school you should contact the Local Education Authority [LEA] and ask them to consider whether additional support is required. For example, your son or daughter may benefit from specialist teaching, therapy or one to-one assistance. Often the LEA will agree to assess any special educational needs your child may have. However, if they refuse to do so or offer provision that you regard as insufficient, you have a right to appeal at a tribunal. Irwin Mitchell s Public Law team are experts in education litigation. We can help you legally contest decisions made by your son or daughter s school, nursery or LEA if you feel their right to education has been denied. Examples of this include: Special educational needs are not being met An appeal needs to be made against an exclusion Admission may have been denied to a school or nursery. Our specialist team can explain your rights in this area and help ensure that your child s needs are properly assessed and provided for. Just call our freephone number or ask your existing Irwin Mitchell solicitor to put you in touch with the Public Law team. 10
11 Can you help us access healthcare? If your child has health or social care needs that require additional support, your local authority or primary care trust have specific duties to ensure that your child s needs are being met. Our Public Law team has a wealth of experience providing advice and assistance about community and healthcare law. If you re a service user, carer or family member who has been denied access to health or social services, we can help you in many ways, including; Obtaining assessments of your child s needs and securing care plans Liaising with Primary Care Trusts about NHS Continuing Healthcare Funding Attaining respite care services Challenging social services departments and primary care trusts on provision of care and other services. If you need expert help with anything connected to community or healthcare law just call our freephone number or ask your existing Irwin Mitchell solicitor to put you in touch with the Public Law team. Whatever your legal issue our specialist staff will be pleased to help you sort it out all you need to do is pick up the phone and give us call. 11
12 What else can we help you with? We don t just specialise in birth injuries. Irwin Mitchell has dedicated teams working in all areas of personal legal services, enabling us to deliver quick and efficient legal advice on anything from settling family disputes and wills to buying a house. Our ability to offer clients a wide range of such specialism under one roof is one of the key benefits of our services. Our friendly and professional staff give straightforward, honest advice in all areas of Personal Legal Services, including; Buying or selling a house Divorce, children and family matters Employment difficulties Financial planning including tax and trusts Personal injury or illness Planning or environmental decisions Questioning social, education and healthcare provision Support with personal welfare and healthcare matters and how the Court of Protection can assist Wills, trust and probate services. Whatever your legal issue our specialist staff will be pleased to help you sort it out all you need to do is pick up the phone and give us call. To talk to a specialist advisor today simply call free on: or visit: you can also follow us on 12
13 Useful contacts APIL (Association of Personal Injury Lawyers) 3 Alder Court Rennie Hogg Road Nottingham NG2 1RX Telephone: Website: AvMA (Action against Medical Accidents) Freedman House Christopher Wren Yard 117 High Street Croydon CR0 1QG Telephone: Website: Baby Lifeline The Granary Fernhill Court Balsall Street East Balsall Common CV7 7FR Telephone: Website: Birth Trauma Association PO Box 671 Ipswich Suffolk IP1 9AT Website: Contact a Family City Road London EC1V 1JN Telephone: Website: NICE (National Institute for Health and Clinical Excellence) 10 Spring Gardens London SW1A 2BU Telephone: Website: 13
14 Useful contacts SANDS (Stillbirth and Neonatal Death Society) 28 Portland Place London W1B 1LY Helpline: Website: SCOPE 6 Market Road London N7 9PW Telephone: Website: 14
16 Freephone For a list of our offices visit our website To see a list of our offices please visit our website. Irwin Mitchell LLP is authorised and regulated by the Solicitors Regulation Authority. Clinical Negligence PLS-PI-MN-0001-B
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