Page 167 - Pharmacy Appeals 1/4/04 to 31/3/05
P. 167

NHS Resolution      Annual report and accounts 2021/22                                           143





             Assumption      Approach          Degree of  Sensitivity  Change in assumption between   Effect of
                                               uncertainty  to changes  31 March 2021 and 31 March 2022  change
                                                                                                      (CNST IBNR)

                              Long term
                                                                      The inflation assumption for PPO
                             claims inflation:
                                                                      damages has decreased by 0.5    -£4.0 billion
                             derived from past
                                                                      pa% from the previous year.
                             settled claims
                             Short-term
                             claims inflation:                        We are assuming that the
              Claims inflation
                             derived from                             higher short-term inflationary
              and risk and                     High       High                                        +£2 . 8  billion
                              HM Treasury                             environment will feed through to
              uncertainty
                              prescribed CPI                          higher short-term claims inflation.
                             forecasts

                                                                      The risk and uncertainty margin
                              Risk and                                has been removed this year.
                                                                                                      -£2.3 billion
                              uncertainty                             Previously it was included in the
                                                                      claims inflation assumption.

                              Derived from
                              past settled                            This has decreased by 2%
              Probability of
                             claims, adjusted   Medium    Medium      for PPO damages. It is          -£1 . 8  billion
              paying damages
                             for incomplete                           unchanged for non-PPOs.
                             development
                                                                      Lag range from 2.9 to 7.5 years,
                              Derived from
              Creation to                                 Medium      increasing by 0 . 1 years at the lower
                              past settled     Low                                                    +£0.7 billion
              payment lags                                (for PPOs)  end and decreasing by 0 . 2  years
                             claims
                                                                      at the higher end of the range.
              Life expectancy   Based on analysis                     Separate assumptions are
              for PPO        of past settled   Medium     Low         specified for EN claims (42 years)   +£1.3 billion
              payments        PPO claims                              and non EN claims (37 years).


                                                                      All discount rates have been
                                                                      updated. Short- and medium-
                                                                      term rates have increased by
              Nominal         HM Treasury
                                               Prescribed  High       0.49% and 0.52% respectively.   +£24.5 billion
              discount rates  prescribed
                                                                      The long term and very long
                                                                      term rates have decreased by
                                                                      1.04% and 1.33% respectively.

                              Based on
                             earnings
             ASHE 6115                                                The ASHE assumption is
                              increases relative   Medium  High                                       -
              (80th percentile)                                       unchanged at CPI+1.75%.
                             to CPI over the
                              longer term
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