Categories
Women’s Health Negligence

What Can You Do If Your Gynaecological Health Condition Has Been Poorly Diagnosed?

November 2023

In our recent article, “Gender Bias in Healthcare and the Impact of Delayed Diagnosis on Women’s Health”, we explored how delays and failures in diagnosing women’s gynaecological conditions can seriously affect mental health.

We highlighted the experiences of Naga Munchetty and Vicky Pattison, both of whom faced significant barriers when seeking diagnosis and treatment for gynaecological and reproductive health conditions. Their stories reflect a wider issue that many women encounter when healthcare professionals fail to recognise or properly investigate symptoms.

In this article, we look more closely at what can go wrong when diagnosing gynaecological conditions and what steps you can take if your condition has been poorly diagnosed.

What Can Go Wrong When Diagnosing a Gynaecological Health Condition?

Healthcare professionals can mishandle the diagnosis of gynaecological conditions in several ways. The most common issues fall into three categories.

Delayed Diagnosis

A delayed diagnosis occurs when doctors eventually identify the correct condition but take longer than they should. During this time, symptoms can worsen and treatment opportunities may be missed, leading to poorer outcomes.

Failure to Diagnose

Failure to diagnose happens when doctors do not reach any diagnosis at all. This often occurs when a patient reports symptoms but does not receive a full assessment or appropriate follow-up investigations.

Misdiagnosis

A misdiagnosis occurs when doctors diagnose the wrong condition. As a result, patients may receive inappropriate treatment while the underlying condition remains untreated.

Common Causes of Poor Diagnosis in Gynaecological Care

Poor diagnosis of gynaecological conditions may arise for several reasons, including:

  • Failure to access or review previous medical records
  • Failure to refer the patient to a specialist
  • Not ordering appropriate investigations, such as blood tests or scans
  • Limited understanding of gynaecological conditions and how they present

In many cases, a full medical assessment is not carried out when patients present to their GP or hospital consultant. As a result, symptoms are not properly explored.

All too often, severe gynaecological pain is dismissed as “normal” or something patients are expected to live with. This was the experience of Tracey, who was diagnosed with adenomyosis at the age of 56. In March 2023, she told i News:

Any patient presenting with significant gynaecological pain should be referred promptly to a specialist with the expertise to provide an accurate and timely diagnosis.

Most Commonly Misdiagnosed Gynaecological Conditions

Certain gynaecological conditions regularly go undiagnosed or misdiagnosed due to overlapping or vague symptoms.

Endometriosis

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. Symptoms vary widely and often resemble those of conditions such as irritable bowel syndrome or pelvic inflammatory disease, leading to frequent diagnostic delays.

Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder that causes irregular periods, acne, and excess hair growth. Because these symptoms overlap with other hormonal conditions, doctors often misdiagnose or delay diagnosis.

Pelvic Inflammatory Disease (PID)

PID affects the female reproductive organs and often develops from untreated infections. Its symptoms mimic other gynaecological conditions, and delays in diagnosis can cause serious complications.

Fibroids

Uterine fibroids can cause heavy menstrual bleeding and pelvic pain. Doctors sometimes attribute these symptoms to other gynaecological issues rather than investigating fibroids.

Ovarian Cancer

Ovarian cancer symptoms, including bloating and abdominal pain, often appear vague or non-specific. This lack of clear early symptoms frequently leads to delayed diagnosis.

Adenomyosis

Adenomyosis develops when endometrial tissue grows into the muscular wall of the uterus. Women often experience heavy, painful periods and pelvic pain. Because symptoms overlap with other conditions, clinicians can struggle to diagnose adenomyosis promptly.

Can I Claim for Gynaecological Medical Negligence?

When assessing a potential gynaecological medical negligence claim, solicitors apply two key legal tests.

The Bolam Test

The Bolam test considers whether a responsible body of medical professionals would have acted in the same way in similar circumstances. If not, the clinician may have fallen below the required standard of care.

The Three-Part Test for Clinical Negligence

A solicitor will also consider:

  1. Did the doctor owe you a duty of care?
  2. Was that duty of care breached?
  3. Did the breach cause you harm?

Doctors owe a duty of care to their patients. Proving a breach often requires expert medical evidence demonstrating that a reasonable clinician would have acted differently. Finally, a clear link must be shown between the breach and the harm suffered, which can be complex where there has been a long delay.

Case Example Highlighting the Impact of Poor Gynaecological Care

In November 2023, Yvette Greenway-Mansfield received a settlement of at least £1 million after doctors at Coventry University Hospital fitted her with an unnecessary mesh implant.

The implant caused severe pain, internal damage, bleeding, and erosion of the vaginal wall. Clinicians fitted the mesh prematurely and without proper justification. They also altered her consent form after she signed it, adding risks that doctors had not explained.

This case highlights how poor gynaecological treatment can cause devastating physical and psychological harm—especially when clinicians could have explored less invasive treatment options.

What Should You Do If You Believe Your Condition Was Poorly Diagnosed?

If you believe your gynaecological condition was poorly diagnosed:

  • Speak openly with your GP or consultant
  • Seek a second opinion where necessary
  • Request referral to a specialist
  • Be persistent if symptoms continue

From a legal perspective, if you wish to explore a medical negligence claim, it is important to speak to an experienced Medical Negligence Solicitor.

How NJS Law Can Help

Our Medical Negligence Specialists at NJS Law have decades of combined experience representing clients in gynaecological negligence claims, including delayed diagnosis and misdiagnosis of conditions such as endometriosis and adenomyosis.

We offer:

  • Clear, honest advice on whether you may have a claim
  • Compassionate, client-focused support
  • Expertise in complex women’s health negligence cases
  • A free, no-obligation consultation

If you would like to discuss your situation, please contact us by phone or email to arrange a confidential consultation.

We are here to help you understand your rights and pursue the outcome you deserve.

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Categories
Personal Injury

Key Factors Affecting Compensation in a Personal Injury Claim by Joanne Scrivens

November 2023

When someone is injured due to another person’s negligence, they may be entitled to claim compensation through a personal injury claim. However, the amount of compensation awarded can vary significantly from case to case.

Several key factors influence how compensation is calculated. Understanding these factors can help you manage expectations and navigate the claims process with confidence. In this article, Joanne Scriven explores the main elements that affect compensation in a personal injury claim.

General Damages

Nature and Severity of the Injury

The type and severity of the injury play a major role in determining compensation. More serious injuries, particularly those causing long-term or permanent disability, typically result in higher awards.

When assessing severity, the following factors are considered:

  • The impact on daily life and independence
  • The ability to work or return to employment
  • The need for ongoing medical treatment or rehabilitation

Duration of Recovery and Impact on Daily Life (PSLA)

The length of time it takes to recover from an injury also affects compensation. A longer recovery period usually leads to a higher award due to the prolonged effect on the injured person’s life.

Compensation for pain, suffering, and loss of amenity (PSLA) reflects:

  • Physical pain and discomfort
  • Emotional distress
  • Loss of enjoyment of life and hobbies

Medical records and expert evidence are essential in demonstrating how long the recovery process lasts and how the injury affects everyday activities.

Financial Losses (Special Damages)

In addition to general damages, compensation also includes financial losses caused by the injury. These are often referred to as special damages and may include:

  • Medical and rehabilitation costs
  • Past and future loss of earnings
  • Care and support expenses
  • Travel costs and other out-of-pocket expenses

Keeping clear records and receipts can significantly strengthen this part of your claim.

Quality of Legal Representation

The quality of legal representation can have a substantial impact on the outcome of a personal injury claim. An experienced personal injury solicitor understands how to:

  • Accurately value your claim
  • Gather strong supporting evidence
  • Negotiate effectively with insurers

Specialist legal advice helps protect your rights and ensures you pursue the maximum compensation available.

Conclusion

Compensation in a personal injury claim depends on several factors, including:

  • The nature and severity of the injury
  • The duration of recovery and impact on daily life
  • Financial losses incurred
  • The quality of legal representation

Every case is unique, and compensation is assessed on an individual basis.

If you have suffered a personal injury, it is important to seek advice from a qualified solicitor who can explain your rights and help you pursue fair compensation.

Our team has decades of combined experience advising and representing clients in complex public liability and occupiers’ liability claims. We are approachable, supportive, and committed to guiding you through every stage of the process.

Contact us today to discuss your personal injury claim and find out how we can help.

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Categories
Dental Negligence

Rise in Mouth Cancer Deaths Linked to NHS Dental Crisis

November 2023

Deaths from mouth cancer have risen sharply over the last decade, and campaigners warn that declining access to NHS dentists is a key contributing factor. As NHS dentistry continues to struggle, many patients are missing early diagnoses that could save lives.

Figures published by the Oral Health Foundation (ORF) show that more than 3,000 people in England died from mouth cancer in 2021, compared with 2,075 deaths in 2011. This represents a 46% increase in just ten years.

According to the ORF, reduced access to NHS dental care is delaying diagnosis and treatment. As a result, patients are presenting with more advanced disease, which significantly reduces survival rates.

Concerns Over Delayed Diagnosis

Nigel Carter, Chief Executive of the Oral Health Foundation, has warned that access to NHS dentistry is now “in tatters.” Consequently, he fears many people with mouth cancer are not being diagnosed in time.

This concern is reflected in real-life experiences. For example, Ray Glendenning, a 64-year-old jaw tumour patient, told the BBC that he was forced to seek a private diagnosis after several NHS dentists refused to see him.

Meanwhile, campaign groups including Toothless in England (TIE) and the British Dental Association (BDA) have linked the rise in deaths directly to sustained cuts to NHS dentistry. These concerns are further supported by a report from the Health and Social Care Committee, which concluded that NHS dentistry is in crisis and urgently requires fundamental reform.*

The NHS Dental Crisis Explained

The NHS dental crisis is marked by long waiting times, a shortage of dentists, and limited access to essential oral healthcare. Together, these issues are creating serious risks for patient health.

Below, we examine the main causes and consequences of this growing problem.

The Underlying Causes of the Dental Crisis

Shortage of NHS Dentists

One of the primary drivers of the crisis is workforce decline. Many NHS dentists are aged 55 or over and are approaching retirement. At the same time, recruiting and retaining dentists has become increasingly difficult.

In addition, many practitioners are leaving the NHS for private practice. According to the BDA, around 3,000 dentists have moved from NHS to private dentistry in the past two years, further reducing access for NHS patients.

Chronic Underfunding

Equally important is the issue of funding. NHS dental care remains chronically underfunded, and the fees paid for NHS treatments are often not financially viable for practices.

As a result, many dentists prioritise private work, where they can cover costs and remain sustainable. Unfortunately, this shift further reduces the availability of NHS appointments.

Complex NHS Contracts

Furthermore, the NHS dental contract is widely criticised for being overly complex and bureaucratic. Many dentists find it time-consuming and restrictive, which discourages them from offering NHS services altogether.

The Consequences for Patients

Untreated Oral Health Conditions

The impact on patients is severe. Without timely access to dental care, conditions such as tooth decay, gum disease, and oral infections often go untreated. More worryingly, serious conditions like mouth cancer may not be identified early enough to allow effective treatment.

Emotional and Psychological Impact

In addition to physical harm, the crisis takes a significant toll on mental health. Persistent dental pain, combined with long waiting times, can lead to anxiety, depression, and a reduced quality of life.

Increased Pressure on Other NHS Services

Moreover, patients who cannot access dental care often turn to GPs or hospital emergency departments. This places additional strain on already overstretched NHS services and does not address the underlying dental issue.

What Should You Do If You Have Received Negligent Dental Treatment?

Negligent dental treatment can cause significant pain, long-term damage, and emotional distress. Furthermore, changes to your appearance can severely affect confidence and mental wellbeing.

Dentists owe a duty of care to act with reasonable skill and competence. Therefore, if negligent treatment or delayed diagnosis has caused you harm, you may be entitled to compensation.

This compensation can help cover:

  • The cost of private corrective treatment
  • Medical and dental expenses
  • Loss of earnings if you need time off work

Our experienced and compassionate Dental Negligence Solicitors will listen carefully to your experience. Where appropriate, we will provide clear, robust advice and represent you throughout the claims process.

*Source: The Guardian

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Categories
Women’s Health Negligence

Gender Bias in Healthcare and the Impact of Delayed Diagnosis on Women’s Health

November 2023

A growing body of research shows that women’s health concerns are frequently dismissed as being caused by emotions, stress, hormones, age, or even imagination. As a result, thousands of women experience delayed diagnoses, worsening symptoms, and long-term physical and psychological harm.

A recent study highlights the scale of this issue and raises serious concerns about gender bias in healthcare and its consequences for women across the UK.

Study Reveals Millions of Women Living With Undiagnosed Conditions

Researchers from King Edward VII’s Hospital, a charitable independent hospital, surveyed just over 1,000 women to assess their experiences with healthcare and diagnosis.

The findings were alarming:

  • An estimated three million women in the UK are living with symptoms of undiagnosed women’s health conditions
  • Nearly one in three women with symptoms have not received a formal diagnosis
  • Around one quarter have not sought medical help
  • One in four reported a negative impact on their mental health

These findings highlight a systemic problem in recognising and diagnosing women’s health conditions in a timely manner.

Study Reveals Millions of Women Living With Undiagnosed Conditions

On 18 October, BBC newsreader Naga Munchetty told the Women and Equalities Committee that she was only diagnosed with adenomyosis after consulting a private GP.

For decades, Naga experienced extremely heavy periods, repeated vomiting, and severe pain that could cause her to lose consciousness. Despite this, she was repeatedly told by doctors that her symptoms were “in her head” or not taken seriously.

Her diagnosis finally came in November of the previous year, after two weeks of heavy bleeding and intense pain led her to call an ambulance. Only then was she referred to a GP specialising in women’s reproductive health, who advised her to seek private treatment due to lengthy NHS waiting times.

Adenomyosis is a condition where the lining of the womb grows into the muscle wall, often causing severe pain and heavy bleeding if left untreated.

Other High-Profile Cases Highlight Systemic Issues

Naga Munchetty’s experience is not isolated. Television and media personality Vicky Pattison also shared her story as part of the committee’s investigation into the difficulties women face when seeking diagnosis and treatment for gynaecological and reproductive conditions.

Vicky was diagnosed with premenstrual dysphoric disorder (PMDD) at the age of 35, despite experiencing debilitating symptoms from her late twenties. These included:

  • Crippling anxiety
  • Insomnia
  • Extreme fatigue

For years, her symptoms were attributed to standard premenstrual syndrome (PMS), delaying appropriate treatment and support.

The Impact of Delayed Diagnosis on Medical Negligence Claims

Margaret Harvey, one of our experienced Medical Negligence Solicitors, regularly represents clients affected by delays in diagnosing and treating conditions such as endometriosis and adenomyosis.

Margaret frequently sees the consequences of gender bias in healthcare, where women report feeling dismissed or not taken seriously by GPs and hospital consultants—particularly in relation to sexual and reproductive health.

How Delayed Diagnosis Affects Women’s Lives

Many of our clients describe long-term suffering due to unrecognised symptoms and delayed diagnosis. Common impacts include:

  • Chronic pain and worsening physical conditions
  • Mental health issues such as anxiety and depression
  • Strain on personal relationships
  • Social stigma around conditions such as urinary or faecal incontinence
  • Loss of fertility or irreversible surgical outcomes

In some cases, delays in diagnosis have resulted in severe outcomes. Margaret is currently acting for clients where delayed diagnosis led to significant deterioration of their condition, including a case in which a young woman required a hysterectomy due to untreated adenomyosis.

When Delayed Diagnosis May Amount to Medical Negligence

A delayed diagnosis may give rise to a medical negligence claim if:

  • Symptoms were repeatedly reported but not appropriately investigated
  • Reasonable diagnostic steps were not taken
  • Treatment was delayed and the condition worsened as a result
  • Earlier diagnosis would have led to a better outcome

Each case depends on its specific facts, but women who have suffered harm due to diagnostic delays may be entitled to compensation.

How NJS Law Can Help

Our Medical Negligence Specialists at NJS Law are experienced in handling claims involving delayed diagnosis, misdiagnosis, and failures in women’s healthcare.

We offer:

  • Compassionate, client-focused legal support
  • Clear advice on whether you may have a claim
  • Experience in complex gynaecological negligence cases
  • A free, no-obligation consultation

If you believe your symptoms were dismissed or your diagnosis was delayed, we are here to help.

Speak to a Medical Negligence Solicitor Today

If you would like to discuss a potential medical negligence issue, please contact us to arrange a free, no-obligation consultation.

 

We are available by phone or email and are happy to talk through your concerns in confidence.

CONTACT US

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FAQ

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Categories
Occupier Liability

What is the Difference Between Public and Occupiers’ Liability?

November 2023

Public and occupiers’ liability deal with a property owner’s responsibilities regarding the safety of people who enter their premises. Although they are similar in nature, they are not the same. In this article, we explain how the two concepts differ.

What is public liability?

Public liability concerns liability in situations where a person suffers an injury in a park, recreation facility, or police station. In these types of cases, the Defendant is typically the relevant local authority as the land or premises is ‘public’ property.

The duty of care in public liability cases is generally lower than in occupiers’ liability matters. Local authorities are expected to take reasonable steps to prevent foreseeable harm to visitors but are not responsible for all possible hazards. In Bolton v Stone 1951 A.C. 850, the House of Lords considered the degree of care to passers-by that should be attributed to a property owner who allowed cricket games to be played on their land.

When considering whether an action and injury was foreseeable, Lord Porter stated:

“It is not enough that the event should be such as can reasonably be foreseen; The further result that injury is likely to follow must also be such as a reasonable man would contemplate, before he can be convicted of actionable negligence. Nor is the remote possibility of injury occurring enough; there must be sufficient probability to lead a reasonable man to anticipate it. The existence of some risk is an ordinary incident of life, even when all due care has been, as it must be, taken. “.

In Lewis v Wandsworth Borough Council [2020] EWHC 3205 (QB), Mr Justice Steward summarised the important points in Bolton as:

  • Just because an accident was reasonably foreseeable, liability does not automatically follow.
  • The Court must consider the chances of an accident happening, the potential seriousness of an accident, and the measures which could be taken to minimise or avoid an accident occurring.
  • The decision in Bolton does not conclude that anyone who hits a cricket ball out of the grounds or over a boundary escapes liability. The Court must examine all the facts.
  • In appeal cases, the Court should apply Lord Porter’s test as set out above.
What is occupiers’ liability?

Occupiers’ liability focuses on the duty of care an occupier (someone in control of the property) owes to those who enter their premises, including both invited and uninvited visitors. It primarily deals with accidents and injuries that occur on the property that is under the control of the occupier, such as their home, business, or land.

The Occupiers’ Liability Act (OLA) 1957 and the OLA 1984 governs the duty of care that occupiers owe to people who enter their premises.

The OLA 1957 primarily deals with the liability of occupiers concerning visitors to their premises and outlines the duty of care that an occupier owes to lawful and unlawful visitors. The OLA 1957 provides that an occupier must take reasonable care to ensure that the premises are safe, which may include warning about known hazards. In the case of unlawful visitors, i.e., trespassers, the occupier must avoid wilful or reckless injury.

Complimenting the OLA 1957 is the OLA 1984 which addresses the duty of care owed to people who enter premises for recreational purposes. Under 1984 Act, a person who allows others to enter their land or property for recreational activities, such as hiking or picnicking, is generally not responsible for injuries suffered by recreational users. However, there are exceptions, such as if the injury is caused by a hidden danger, the occupier charged a fee for entry, or the occupier intentionally caused harm.

Occupiers are expected to take reasonable care to ensure their premises are safe for all lawful visitors, which may involve conducting regular inspections, maintaining the property, and warning of any known hazards.

This is illustrated in the recent case of Ashton v The City of Liverpool Young Men’s Christian Association [2023] EWHC 707 (KB), 2023 WL 03437939.

The Claimant, A, was spotted hanging from her fingertips from a windowsill on the fourth floor of the Liverpool YMCA. She subsequently fell and landed on the first floor ledge of the building, sustaining serious injuries.

The Defendant, who was the occupier of the building argued that A deliberately exited the fourth floor window of the room which she occupied in an impulsive attempt to kill herself, before having a rapid change of mind.

A stated that she fell from the window when trying to retrieve washing which had been drying and that the opening of which was not restricted, One of the issues the Court had to decide on was whether the Defendant had breached its duty of care under the OLA 1957.

After examining the evidence, the Court concluded that the Defendant had breached the OLA 1957 by failing to ensure that the windows were appropriately restricted and not capable of being easily opened by vulnerable visitors and short term residents.

What should I do if I am unsure whether I have a claim?

The most crucial step to take if you suffer a personal injury because of negligence is to talk to an experienced Personal Injury Solicitor. They can swiftly tell you whether your claim should be brought against a local authority or the owner of a private premises. If they believe your claim has a reasonable chance of success, they may represent you on a no win, no fee basis. Time is of the essence when it comes to personal injury claims as the Limitation Act 1980 states that a claim must be brought within three years of the injury occurring.

Our team has decades of combined experience in successfully advising and representing clients in complex public and occupiers’ liability cases. We are sympathetic and understanding and are here to help you every step of the way.

CONTACT US

Get in touch using the form below or via the following methods:

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