Introduction from Sally Cheshire, Chair of NHS Resolution
Dear Applicant,
NHS Resolution works at the cusp of the health and justice
sectors in England, advising the NHS on resolving concerns and disputes fairly,
and sharing our learning from claims to improve patient safety. This year marks
the 30th anniversary of NHS Resolution’s establishment in 1995 with
an original mission to deliver reliable and comprehensive indemnity solutions for
the NHS in England.
We manage the second largest financial liability across
government and in 2024/25 we paid out £3.1 billion on compensation and
associated costs on all of our clinical scheme, reinforcing the need for our
continued focus on insights to improve safety and learning. We continue to
develop our services to respond rapidly, keep more cases out of formal
litigation and drive best value for public funds, working closely with our
sponsoring department, the Department of Health and Social Care. Our three
decades as an expert partner, developing and delivering indemnity schemes and
fair resolution, leave us uniquely placed to inform options for change in areas
such as potential legal reform.
Earlier this year, NHS Resolution published a new three year
strategy which refreshes its focus on fair resolution, sharing data and
insights and driving improvements in maternity and neonatal care. We are proud,
in an era of continued operational pressure in the NHS and constrained public
finances, that our efforts to learn and act to prevent future incidents of harm
to patients will ensure that value for money is achieved for the taxpayer.
The Board plays a crucial role in guiding our organisation
and we are seeking new non-executive with the skills and ambition to ensure
NHSR’s continued success.
If you have the skills we require, want to work with a
talented and dedicated team and wish to make a valuable contribution to the
health sector and patient safety in England, I do hope you will apply.
Yours sincerely,
Sally Cheshire CBE
Chair of NHS Resolution
As a Non-Executive Director of NHS Resolution, you will be responsible for the good governance of the organisation, including the expenditure of considerable sums of public money. You will ensure that NHS Resolution promotes the values of the NHS and places a high priority upon helping the NHS improve the safety of patients.
You will play a key role in ensuring that the organisation meets the needs of both primary and secondary care providers in England (NHS Trusts, commissioners, General Practitioners and other service providers) and is focused upon providing excellent services and good value for money including cost effective resolution services. You will provide appropriate challenge, scrutiny and support at Board level ensuring that the organisation learns from things which go wrong in the NHS and shares that learning, to improve the safety and standard of care.
In your role as the Chair of NHS Resolution’s Audit and Risk Committee, you will ensure the effective functioning of that committee which, as an important sub-committee of the Board, is responsible for providing assurance that NHS Resolution manages its financial resources effectively and efficiently; has appropriate financial controls in place; oversees management’s procedures for the identification and management of risk; and achieves a high quality of financial reporting.
NHS Resolution is an Arm’s Length Body of the Department of Health and Social Care (DHSC), responsible for:
Key successes
- We are committed to tackling the distress and cost associated with clinical negligence. Our ambition is that no compensation claim against the NHS should enter litigation unless absolutely necessary. We have progressed a number of initiatives to address rising costs and improve safety and the experience of claimants and healthcare staff.
- Innovation in dispute resolution. We have driven forward innovation in dispute resolution models, which give us an opportunity to choose, in collaboration with claimants and their representatives, the most suitable course of action, tailored to each case. In 2023/24 81% percent of clinical claims were resolved without litigation, by comparison this figure was 66% in 2016/17. Only a tiny number go to trial or to the appeal courts; usually on cases where clarity on the law is needed.
- Claims Evolution Programme (CEP). We will continue to develop our claims management operating model, which aims to capitalise on the reduction in formal litigation to bring more claims management in-house to NHS Resolution and reduce the money spent on external legal costs. CEP is due to be delivered within the current 3-year strategic period.
- Early Notification Scheme. In 2017 we launched an Early Notification scheme for obstetric brain injury to better support the trust, the family and the healthcare staff involved, share learning for improvement and to investigate eligibility for compensation earlier.
- Maternity Incentive Scheme. Established in 2018, we have used the lever of indemnity scheme pricing to drive improvement in maternity and neonatal services by incentivising ten safety actions agreed with system partners.
- Sharing data and insights. We have published research and insights that provide practical, actionable patient safety insights. This is always undertaken in partnership with others and includes learning from claims, resolution of performance concerns and resolution of disputes.
Corporate Strategy 2025-28
NHSR’s three-year strategy was published in May
this year and refreshes its focus on fair resolution, sharing data and insights
and driving improvements in maternity and neonatal care. A link to the document
can be found here: Resolution
through collaboration: 2025–28 strategy - NHS Resolution
Annual Report and Accounts 2024-25
- Highlights a record 83% of clinical claims being resolved without the need for legal proceedings.
- £3.1 billion was paid out in 2024/25 for compensation and associated costs on all of NHS Resolution's clinical schemes, compared to £2.8 billion in 2023/24.
- £1.3 billion of the total clinical negligence payments in 2024/25 related to maternity
Board meetings take place around every two months.
Board and sub-committee meetings are usually held at 10 South Colonnade, Canary Wharf, London, E14 4PU and also virtually via Teams.
The next Board meeting is scheduled for 28 January 2026.