9. The Law says we cannot investigate a complaint where a person has, or had, the option to take legal action, unless we consider this is, or was, unreasonable in the circumstances. We discussed this with Mr Y to understand his circumstances and the outcomes he wants. We do not consider whether legal action would succeed but whether it would be a reasonable option to look into.
10. In general terms, clinical negligence takes place when a patient who receives treatment becomes injured as a result of that treatment. Failure to carry out appropriate treatment could also amount to negligence.
11. Mr Y is complaining about the cataract surgery carried out by the Service. He says after the surgery he was in pain and developed an infection. After further investigation he needed more rounds of surgery to resolve this.
12. In deciding whether it is reasonable for a person to take legal action, we consider the level of the financial compensation they want and whether this is something that would be better achieved through legal action.
13. During our correspondence with Mr Y, we discussed the outcome he is looking for. He told us he wants £3,500 for expenses he has incurred and for the impact this has had on him.
14. Mr Y is seeking a significant amount of compensation and his complaint centres around clinical negligence in treatment.
15. Mr Y told us his main concern about seeking legal advice is the cost. He says he has approached a no win no fee solicitor but could not provide us with any evidence of what they told him, whether they considered his questions fully or whether he has sought any other advice. Although we cannot know if a no win no fee solicitor would accept Mr Y’s case, he needs to explore this before we can consider whether affordability is a barrier. Mr Y has not told us about any other barriers (such as mental/physical health barriers) that would prevent him from taking legal action.
16. Having taken all the circumstances into account, we consider it is reasonable for Mr Y to explore taking legal action to address his complaint and to get another opinion about how to achieve the outcome he wants. We can direct him to Action against Medical Accidents, which offers advice on the legal processes involved in clinical negligence cases.
17. In summary, we have decided Mr Y should explore taking legal action first, rather than us looking into the complaint now. However, if Mr Y ultimately decides not to take legal action, or does not achieve everything he wants through legal action, he can ask us to consider his complaint again. At that point, we would need to carefully consider the outcome of any legal action, the time which has elapsed (as time limits apply to NHS complaints) and specifically what Mr Y still hopes to achieve by coming to us.
18. We hope we have fully explained our decision and why we think it is best at this time for Mr Y to seek legal advice to achieve the outcomes he is looking for.