Page 165 - Pharmacy Appeals 1/4/04 to 31/3/05

| NHS Resolution Annual report and accounts 2021/22

• Scheme developments: There is additionally Table 28 shows a summary of the key assumptions
some uncertainty in relation to the impact of the used to determine the CNST IBNR provision, as the
Early Notification Scheme, which impacts some CNST IBNR provision is the largest single element of
maternity incidents that occurred on or after total provisions, and therefore where uncertainty has
1 April 2017, on claims costs and reporting trends. the greatest effect. For each assumption, the degree

of uncertainty in the assumption and the impact of
This year, we have set separate assumptions for
the assumption on the level of provisions has been
claims reported under the EN Scheme and those
categorised subjectively as 'high', 'medium' or 'low'.
reported outside of the scheme. Assumptions have
Where appropriate the same assumptions are used for
been set based on EN experience to date and we
the CNST settled PPOs and known claims provisions.
have assumed that the overall level of risk of brain
damage of babies at birth is similar to that seen Key assumptions in the
in previous years but that the Early Notification
Scheme brings forward the reporting of those CNST IBNR provision
claims. It will take several more years to ascertain The impacts of the various assumptions can
fully what the impact of the EN Scheme may be. be found detailed in Figure 32: CNST IBNR
The provisions in respect of GP Indemnity claims rely sensitivities as at 31 March 2022 (page 148).
on historical claims data provided by organisations
with different claims processes and systems.
This, together with any changes in claims
development following the recent changes
in these arrangements with the take-on of
claims from two MDOs, contributes to the
uncertainty inherent in these provisions.