The 4D’s of Medical Negligence

Reviewed by
Georgia Briscoe, Director of Medical Neglience

Thinking of making a medical negligence claim?

If you’re thinking of making a claim for medical negligence, we understand that you might be feeling particularly vulnerable. As the UK’s top-rated medical negligence specialists, we have successfully represented thousands of clients right across the UK. The 4 Ds are pivotal to any negligence claim, regardless of whether this is a straightforward case or a more complex one.

It’s important to know that although medical mistakes do happen, you can lean on our dedicated legal professionals for help and guidance.
If a medical professional has caused you harm as a result of a medical mistake or procedure, the following information help you understand how the 4 D’s will impact your potential claim.


Know the 4 D’s

  • Duty
  • Dereliction
  • Damages
  • Direct cause


When investigating your medical negligence claim, all of these factors are taken into account and assessed by your legal representative. The 4 D’s can be related to:

  • Misdiagnosis claims
  • Hospital negligence claims
  • GP claims
  • A&E claims
  • Care home claims
  • Pregnancy and birth claims


1. There is a Duty of Care

In its truest sense, medical negligence is a substandard of care provided by a medical professional or healthcare professional that directly causes harm to a patient.

In the eyes of the law, where your healthcare provider has fallen short is by failing to provide the appropriate duty of care.

Such neglect can unfortunately happen at any point when receiving medical attention, from visiting your GP, to any substandard aftercare following a medical procedure.

As a patient, it is only right for you to expect reasonable care from a medical / healthcare professional. When a medical professional takes on the role of offering medical advice or carrying out a procedure, this then constitutes as the duty of care.


2. Dereliction of your care

You may not be familiar with the term, but dereliction is where a medical / healthcare professional has failed you, as a patient, in your professional relationship.

This is when the medical professional fails to meet the expected standards of healthcare, whilst also stepping beyond the line of appropriate care.

In our experience, we find that any deviation from the expected standard of care is especially prevalent in cases involving:

  • Medication errors
  • Post-operative negligence
  • Birthing and pregnancy injuries
  • Misdiagnosis
  • Delayed diagnosis
  • Surgical errors


3. Claiming for damages

The third D is your final settlement; universally known as damages.

Legally speaking, damage compensation is the total, quantifiable payment made to a claimant following their case against negligence. It’s also not uncommon for damages to be staggered to cover and meet necessary costs, such as:

  • Medical bills
  • Loss of earnings
  • Psychological suffering
  • Physical pain
  • The impact on your family i.e. care and support

The figure you receive in damages can go some way to compensate for the negative experiences you have been through.

As medical negligence specialists, we understand that your experience can be life-changing. Especially for anyone who has fallen victim to a medical error, misdiagnosis or surgical mistake. The damages received may not change your physical state, but they can have a lasting positive impact.


4. Direct causation

Our fourth and final D, direct causation, is the link between medical dereliction and the damages you receive.

Irrespective of the level of negligence you have experienced, what this fourth D tells you is that if you can’t prove this, you’re unlikely to be able to claim.

Now, that can be a bitter pill to swallow, especially if your experience is having a big impact on you, both physically or mentally.

However, with our guiding hand and professional judgement, your odds of linking the two will only improve working with us as your chosen legal representative.

What we can tell you now is that the causation must be direct, or already in action. This means, if you have knowingly been misdiagnosed for an illness and taken medication following a misdiagnosis, you must be able to prove that impact.


Before making your claim…

Medical witnesses can support your claim

Proving dereliction can be one of the more difficult and time-consuming aspects of making your claim. But don’t worry, this is where our expertise shine.

We would always recommend that a claim for medical negligence is supported with an expert medical witness.

An independent, expert witness will showcase their credentials and demonstrate that they are a trustworthy, well trained medical professional, even if they have since retired from practice.

Furthermore, any medical witness is bound by law to be completely honest when offering their perspective.


Effectively proving damages

Taking on a compensation case all on your own is difficult and stressful. Furthermore, you stand a greater chance of receiving the damage compensation you’re entitled to with a dedicated, expert medical negligence lawyer fighting on your side. This is where we come in.

The evidence required includes:

  • Prescription records
  • Medical records
  • Medical bills
  • Expert witnesses and testimonies
  • Your own testimony


Ready to make your claim for medical negligence?

Ask yourself, have the consequences of the medical negligence impacted you severely?

Rest assured, with Patient Claim Line, we have the knowledge and experience to cut through the legal red tape.

Call Patient Claim Line today, the UK’s top-rated medical negligence specialists on 03300 080 352 and know for certain whether or not you can claim.

Meet the team

Adrian Denson
Chief Legal Officer

Adrian joined us in December 2011 as Head of Serious Injury, leading the department through a period of significant growth, whilst working with customers following catastrophic and life changing events. In spring 2017, Adrian was appointed our Chief Legal Officer and oversees all of our legal teams, ensuring our customers are always at the heart of everything we do. Adrian has been named in the Legal 500 as one of the top 10 leading individuals for personal injury in the North West for the second year running.

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Georgia Briscoe
Director of Medical Negligence

Georgia is the Head of Medical Negligence and has an impressive wealth of knowledge. She has over 15 years of legal experience and is responsible for overseeing the whole medical negligence team. Within her role, Georgia ensures that all of our cases are dealt with the utmost efficiency and professionalism.

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Peter Rigby
Director of Medical Negligence Serious Injury

Peter is dedicated to supporting victims of catastrophic medical negligence injuries and endeavours to provide a clear and coherent approach to claims. He recognises the effects serious injuries can have and therefore ensures his customers’ need for support is met. Peter also has a vast amount of experience working with customers who have been injured abroad and is able to act under international law to provide the best outcomes.

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Christian Beadell
Head of Medical Negligence Fast Track

Christian is Head of Medical Negligence Fast Track at Fletchers and has specialised in clinical negligence claims since qualifying in 1997; having dealt with a wide variety of claims throughout his career. He is also featured in the Legal 500 as a recommended claimant solicitor in the North West.

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Sarah's Story

"Now we have peace of mind"

My husband, Nick, went back and forth to the doctors for a long time and tried everything the doctor recommended. But his illness got worse, to the point that he was in agony.

In the end we got so desperate that we asked for a referral. The doctor was reluctant, so we had to consult a private hospital. That’s when we found out there was a tumour. It took years from the onset of his illness to finally start cancer treatment.

He used to be a man with a lot to live for, but in the end he was in so much pain that he withdrew from the family. He became angry that nobody had helped him sooner, and the legal team were able to give him the validation that he was desperately seeking. The NHS confirmed if they had done more, Nick would still be alive today.