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PI and Clinical Negligence update (England and Wales): causation rulings, 2025 whiplash tariffs, military NIHL, service-out disclosure, assessor confidentiality, limitation in solicitors’ negligence, MedCo changes

Published on: 08 May 2025

Published by a LexisNexis PI & Clinical Negligence expert
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In this issue:

  • Key PI and clinical negligence developments
  • Road traffic accidents
  • Occupational disease
  • Noise-induced hearing loss
  • Case management
  • Other PI and clinical negligence news
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Key PI and clinical negligence developments

Material contribution and suicide

In Ms Misa Zgonec‑Rozej (on her own behalf and as executor of the Estate of Mr John Richard William Day Jones deceased) v Pereira [2025] EWCA Civ 171, the court addressed the tragic suicide of a psychiatric in‑patient. The deceased’s dependants contended that negligent care by the treating psychiatrist made a material contribution to his death. Dismissing the appeal, the Court of Appeal reaffirmed that the ‘but‑for’ test is the primary approach to causation. The material contribution doctrine has only a narrow role, engaged solely where causation cannot be resolved on a ‘but‑for’ footing. This serves as a clear reminder for claimants: where medical science is sufficiently developed to determine causation in the usual way, attempts to rely on material contribution are unlikely to succeed...

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