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:
- Dr. Khan was liable for all of the costs relating to the child’s disabilities (haemophilia and autism); or
- 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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