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Duty of care in wrongful birth

Posted on 30th June 2021 in Medical Negligence

Posted by

Michelle Beckett

Senior Associate & Solicitor
Duty of care in wrongful birth

A recent case has given clarity regarding the extent of compensation that should be awarded where injuries did not relate to the advice sought from a doctor. The Supreme Court considered the extent of a doctor’s duty of care in view of what compensation should be paid.

Facts from Meadows v Khan

  • Ms. Meadows sought advice from her GP to establish whether she was a carrier of the hereditary haemophilia gene.
  • She was negligently led to believe by Dr. Khan that she was not a carrier of this gene and as a result, Ms. Meadows was led to believe that any child that she conceived would not have haemophilia.
  • Ms. Meadows went on to have a son who was born with haemophilia and autism (unrelated to the haemophilia).
  • Subsequent testing revealed that Ms. Meadows was a carrier of the haemophilia gene.
  • Had there been no negligence:
    • Genetic testing pre-pregnancy would have revealed she was a carrier.
    • She would then have undergone fetal testing.
    • The testing would have revealed that her baby was affected by haemophilia.
    • She would have chosen to terminate the pregnancy.

What does the negligent advice mean?

Did the negligent advice that Dr. Khan gave Ms. Meadows regarding the haemophilia mean:

  1. Dr. Khan was liable for all of the costs relating to the child’s disabilities (haemophilia and autism); or
  2. Dr Khan was only responsible for the costs associated with the haemophilia?

In this case, the Court considered some complex issues as to whether the duty of care that a doctor owed was limited to what he/she was being asked to consider or whether it went further than this. 

The short answers to the questions raised are:

  • Dr Khan’s duty of care was limited to the purpose for which he was consulted.
  • Given the above, Dr Khan was only responsible for the costs associated with the haemophilia and, not, the costs relating to the autism as well.

There was a comment from one of the Judges that the scope of a clinician’s care may extend to addressing a matter on which they have not been asked for advice in the circumstance where the doctor recognises or ought to recognise that there is an additional matter which “poses a material risk to the patient”. That was not the case here.

The law surrounding this area is complex.

It is clear that if you go to a clinician seeking information about specific risks of something untoward happening, the information given is negligent and you suffer an injury as a result then you are entitled to compensation. 

The recent case is particularly relevant when considering sensitive cases such as wrongful birth claims – these are claims by parents where it is argued that the child would not have been born had they been given the appropriate advice. For example:

  • Where a person is pregnant or considering getting pregnant and seeks advice about the risk of their future child suffering from some illness, disease, or disability;
  • The advice is negligently given;
  • The child is born with the illness, disease, or disability that the person originally sought advice;
  • The person could prove that they would not have continued with the pregnancy had the advice not been negligent.
  • This person would be entitled to compensation for the costs of bringing up a child with that illness, disease, or disability.

The financial burden of bringing up a disabled child can be extensive, and a successful claim would mean that an appropriate care package could be harnessed to improve both the parents and the child’s quality of life.

How can Tozers help?

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