Chair of NHS Resolution (VAC-1674)

Body: NHS Resolution
Appointing Department: Department of Health
Sector: Health
Location: London
Number of Vacancies: 1
Remuneration: £63,000 per annum
Time Requirements: 2 to 3 days per week

Campaign Timeline

  • Competition Launched


  • Closed for Applications

    04/05/2020 Midday

  • Panel Sift


  • Final Interview Date


  • Announcement



Assessment Panel

Vacancy Description

NHS Resolution has many of the characteristics of a financial institution but operates within the public sector across the boundaries between the health and justice systems.

The Chair of NHS Resolution will be accountable to the Secretary of State for Health and Social Care and will:

  • provide leadership, challenge and direction to the organisation ensuring that NHS Resolution:
      • is focused upon delivering excellent services that provide value for money and meet the needs of member organisations (NHS Trusts, general practice, commissioners and other service providers) and patients; and
      • provides insight and analysis to support members and others in the system to learn from things which go wrong in the NHS and shares that learning to improve patient safety and the standard of care;
  • ensure that NHS Resolution carries out its statutory functions under the National Health Service Litigation Authority Regulations 1995, and meets the Government’s policies and priorities, complying with directions and guidance issued by the Secretary of State;
  • in partnership with the Chief Executive, set the tone for excellent working relationships between NHS Resolution and key stakeholders to ensure confidence in the work of NHS Resolution of those who use its services, system partners and government;
  • working with the Board, ensure accountability for expenditure and effective management of resources, seeking efficiency savings and achieving cost reductions where possible (both in the running of the organisation and in its operational activity) and that the strategy and supporting business plans are delivered; and
  • ensure high standards of governance and effectiveness of the Board, including supporting the recruitment of new members and ensuring their effective induction and development, providing guidance and support to them, and advising the Department of Health and Social Care on their performance.

Person Specification

To be considered, you must be able to demonstrate that you have the qualities, skills and experience to meet all the essential criteria for appointment.

  • Ability to provide strong strategic leadership to NHS Resolution, including chairing the board, demonstrated by a significant career record of achievement;
  • ability to interpret and act upon performance information and appropriately challenge management recommendations;
  • excellent communication and influencing skills; and
  • an ability to gain the respect and confidence of stakeholders, including Ministers, and collaborate effectively to lead and support change in a large, complex system.

Additional Information

Introduction from Ian Dilks, Chair of NHS Resolution (NHSR)

“The last few years have seen major changes to NHS Resolution’s role and standing in the system as a result of both its revised strategy and the new clinical negligence scheme for GPs. It has been a pleasure and privilege to Chair the organisation through this period of significant change.

Although the course is set for the next few years some of these changes are still at an early stage and need to be embedded, there is now a need to progress the development of our infrastructure to support the enhanced role and the NHS will continue to evolve. I am sure therefore that the next Chair will also find the role both challenging and rewarding.”

Ian Dilks

Chair of NHSR



NHS Resolution’s purpose is to provide expertise to the NHS to resolve claims and concerns fairly, share learning for improvement and preserve resources for patient care.

The organisation, formerly known as the NHS Litigation Authority, was re-launched as NHS Resolution in April 2017 with a new five-year strategy ‘Delivering fair resolution and learning from harm’, which gives it a greater emphasis on prevention, learning and early intervention. Its four strategic aims are:

  • Resolution – resolving concerns and disputes fairly and effectively;
  • Intelligence – providing analysis and expert knowledge to the healthcare and civil justice systems, to drive improvement;
  • Intervention – delivering in partnership, interventions and solutions that improve safety and save money;
  • Fit for purpose – offering best value and developing our people, relationships and infrastructure.

Three years on, NHS Resolution is making good progress against its strategic aims and undergoing a significant programme of transformation which impacts across the whole organisation. Key achievements since 2017 include:

  • Embedding its Early Notification scheme for brain injuries at birth which is transforming the experience for affected families;
  • Working with system partners to implement a successful incentive scheme for improving maternity safety;
  • Reducing the number of claims moving into formal litigation through the increased use of mediation and other forms of alternative dispute resolution:
  • Supporting the development of a just and learning culture in the NHS, including through the publication of its Being Fair guidance.

In addition, since April 2019, NHS Resolution has taken on the operation of the new state-backed indemnity scheme for general practice, a development which was not envisaged at the time of its 2017 strategy. It is also working closely with the Department and cross-government partners on addressing the rising cost of clinical negligence following reports from the National Audit Office and Public Accounts Committee in 2017.To recognise the progress made to date and re-focus its objectives for the remaining strategy period, NHS Resolution recently published a refresh of its strategic plan for 2019-2022.

Key functions

Key priorities for the year ahead include consolidating the Clinical Negligence Scheme for General Practice (CNSGP) and communicating their enhanced offer to primary care, and initiating and taking forward a series of complex change projects ranging from implementing a new operating model across its claims function, planning for the replacement of its core systems to deliver improved business intelligence, and preparing for an office relocation to Canary Wharf in early 2021.

NHS Resolution’s four areas of business are:

  • Claims Management – delivers expertise in handling clinical and non-clinical negligence claims against the NHS in England. The main scheme is the Clinical Negligence Scheme for Trusts (CNST); members include all NHS trusts, CCGs and some independent sector providers of NHS-funded care.
  • From 1 April 2019, NHS Resolution has operated the new state-backed scheme for general practice, the CNSGP.
  • Safety and Learning – draws learning from claims to drive safety improvement, from working with individual trusts (allowing members to target safety activity to specific clinical areas) to collaborating with others to share learning across the system at a national level. Following the implementation of the CNSGP, this now includes learning from across primary and secondary care.
  • Practitioner Performance Advice – provides advice, support and interventions in relation to concerns about the individual performance of doctors, dentists and pharmacists.
  • Primary Care Appeals – offers an impartial tribunal service for the fair handling of appeals and disputes between NHS England and primary care contractors (GPs, dentists, opticians and pharmacists).

Key Facts

  • Number of staff: approx. 370 with plans to increase to circa 430 in 2020-21.
  • Spend: NHS Resolution spent £2.4bn on clinical negligence claims in 2018-19, and the annual ‘cost of harm’ incurred was approximately £9bn.
  • NHS Resolution manages the second-highest liability in Government. As at 31 March 2019, the provision for future claims liabilities stood at £83.4bn.
  • Legislative basis: NHS Resolution is a Special Health Authority. It was established as the NHS Litigation Authority in 1995 and re-launched as NHS Resolution in 2017. Its legal name remains NHS Litigation Authority.

Links to relevant docs

Our strategy to 2022

Our refreshed 2019-2022 strategic plan: Delivering fair resolution and learning from harm

(NB. The 2020-21 Business Plan is expected to be published in early April 2020)

Early Notification scheme progress report

Evaluation of NHS Resolution’s claims mediation service

an evaluation of our claims mediation service

Being Fair guidance

14.1 diversity-monitoring-form-accessible
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