Page 183 - Pharmacy Appeals 1/4/04 to 31/3/05

NHS Resolution Annual report and accounts 2021/22 159

Appendix

Our indemnity schemes
The bulk of our workload is handling negligence claims arising
from NHS healthcare in England. We manage eight clinical

negligence schemes and four non-clinical schemes.

The eight clinical negligence schemes we manage are:
• Clinical Negligence Scheme for Trusts (CNST) • Clinical Negligence Scheme for Coronavirus
which covers clinical negligence claims for (CNSC), a scheme launched on 3 April 2020 to

incidents occurring on or after 1 April 1995. meet clinical liabilities arising from certain special
healthcare arrangements that were put in place
• Existing Liabilities Scheme (ELS) which is
in response to the coronavirus pandemic where
centrally funded by the Department of Health
no other indemnity or insurance arrangements
and Social Care (DHSC) and covers clinical
are in place already to cover such liabilities.
negligence claims against NHS organisations

for incidents occurring before 1 April 1995. We also manage two non-clinical schemes under the
heading of the Risk Pooling Schemes for Trusts (RPST):
• Ex-Regional Health Authority Scheme
(Ex-RHA) which is a relatively small scheme, • Property Expenses Scheme (PES) which covers
centrally funded by DHSC, covering clinical 'first party' losses such as property damage and
negligence claims against former Regional theft, for incidents on or after 1 April 1999.

Health Authorities abolished in 1996.
• Liabilities to Third Parties Scheme (LTPS) which
• DHSC clinical which covers clinical negligence covers non-clinical claims such as public and employers'
liabilities that have transferred to the Secretary liability for incidents on or after 1 April 1999.

of State for Health and Social Care following
In addition, we manage two other non-clinical schemes:
the abolition of any relevant health bodies:
these are centrally funded by DHSC. • DHSC non-clinical which covers non-clinical
negligence liabilities that have transferred to the
• Clinical Negligence Scheme for General
Secretary of State for Health and Social Care following
Practice (CNSGP) which covers clinical
the abolition of any relevant health bodies.
negligence claims for incidents occurring in

general practice on or after 1 April 2019. • Coronavirus Temporary Indemnity Scheme
(CTIS) which provided state cover until 31 March
• Existing Liabilities for General Practice (ELGP)
2022 for employer's liability and public liability, to
which covered interim arrangements relating to existing
fill gaps where designated care home settings were
liabilities agreed with a medical defence organisation
unable to secure sufficient private insurance cover.
(MDO) under which NHS Resolution carried out
the Secretary of State's oversight and governance
responsibilities, and having completed this work this
scheme is now closed. The legal and operational
responsibility of handling claims within scope of those
interim arrangements remained with the MDO until
31 March 2021 and now operational responsibility of
handling claims has transferred to NHS Resolution.
• Existing Liabilities Scheme for General Practice
(ELSGP) which covers claims for historical NHS clinical
negligence and other tortious incidents of GP members
of participating medical defence organisations occurring

at any time before 1 April 2019. This scheme covered
members of Medical and Dental Defence Union of
Scotland from 6 April 2020 and was extended to

Medical Protection Society members from 1 April 2021.