Developing a pressure sore while in the care of a hospital, care home, or community health team can be a sign that something has gone seriously wrong and that negligence has occurred. Serious pressure ulcers, particularly grade 3 and grade 4, are widely recognised as largely preventable with proper care. If you or a loved one has suffered a pressure sore due to negligent treatment, Farleys’ specialist medical negligence solicitors are here to help you understand your rights and pursue the compensation you deserve.
Contact us today on 01254 606 008 or via our online enquiry form for a free initial consultation.
A pressure sore claim, also known as a bed sore or pressure ulcer negligence claim, is a form of medical negligence claim brought against a hospital, care home, NHS Trust, or individual healthcare professional responsible for a patient’s care. Pressure sores occur when skin and underlying tissue is damaged through sustained pressure, typically because a patient has been left in the same position for too long without appropriate intervention or if, for example, something (a bandage or a boot or such like) has been left for too long.
Serious pressure sores (grade 3 and grade 4) are almost always an indication of a failure in the standard of care. The NHS estimates that nearly half a million people develop pressure ulcers in the UK each year, and the majority of serious cases are considered preventable with adequate monitoring, repositioning, and risk management.
Pressure sores are classified into four grades, each reflecting the severity of tissue damage. Understanding which grade applies to your situation helps determine the strength and likely value of your claim.
Grade 1 — Surface-Level Skin Changes
Grade 1 pressure sores are not open wounds. The skin remains intact but appears red, and does not blanch when pressed. The affected area may feel warmer than the surrounding skin and can be painful to the touch. While grade 1 sores may resolve with prompt intervention, their presence can indicate that appropriate monitoring was not in place.
Grade 2 — Broken or Blistered Skin
At grade 2, the outer layers of the skin are broken. The sore may resemble an open abrasion, shallow crater, or blister, and is typically painful and tender. Skin damage at this stage can be irreparable and may require specialist wound care to prevent further deterioration.
Grade 3 — Deep Tissue Damage
Grade 3 pressure sores represent a significant deterioration in the patient’s condition. The damage extends below the skin into the underlying tissue, and fat may be visible through the wound. These sores are extremely painful and carry a serious risk of infection. Grade 3 sores are generally considered a strong indicator of negligent care.
Grade 4 — Severe, Life-Threatening Wounds
Grade 4 is the most severe classification of pressure sore. The wound extends to the muscle, tendons, and in some cases the bone, causing extensive damage that may be irreparable. Serious medical complications, including sepsis, osteomyelitis (bone infection), and in the most severe cases, life-threatening systemic infection, can follow. A grade 4 pressure sore almost always represents a serious failure in patient care.
At Farleys, we have represented clients who have developed pressure sores in hospitals, care homes, and through community health and nursing care. The failures that lead to preventable pressure ulcers typically include:
If any of these failures occurred in your case or the case of a loved one, you may have grounds for a pressure sore negligence claim. We’ll assess your circumstances carefully and give you an honest view of whether a claim is viable.
We handle every aspect of your claim, so you can focus on recovery rather than paperwork and process. Here’s what to expect:
Step 1 — Free initial consultation
We’ll listen to what happened, in as much or as little detail as you’re comfortable sharing. We’ll explain whether we think you have a viable claim and what the process involves, with no obligation to proceed.
Step 2 — Obtaining medical records
We request the full medical records relating to the patient’s care, including nursing notes, risk assessments, wound care records, and any incident reports. These form the foundation of your claim.
Step 3 — Independent expert review
We instruct specialist independent experts, typically consultant clinicians and tissue viability nurses, to review the records and provide a professional opinion on whether the standard of care fell below an acceptable level and whether that failure caused or materially contributed to the pressure sore.
Step 4 — Letter of claim
Once expert evidence supports the claim, we formally notify the NHS Trust, care home, or other responsible party. They have a defined period under the Pre-Action Protocol for Clinical Negligence Claims to investigate and respond.
Step 5 — Negotiation and settlement
The majority of pressure sore claims are resolved through negotiation rather than court proceedings. We pursue the maximum compensation available and will not accept a settlement that does not reflect the full impact of the negligence on the patient’s health and quality of life.
Step 6 — Court proceedings if necessary
If the responsible party disputes liability or fails to offer fair compensation, we will not hesitate to issue court proceedings.
With decades of experience behind us, we understand that pursuing a medical negligence claim can feel like a daunting step, particularly when you or a family member are already dealing with the physical and emotional impact of a serious wound. Our job is to make the process as straightforward as possible, so you can focus on what matters.
We appreciate that ultimately, you’re the one who knows what’s best for you and your family. That means our role is to listen carefully to your experience, assess your circumstances in detail, and lay out your options clearly, with honest recommendations tailored to your situation and what we believe will achieve the best possible outcome for you.
To speak to one of our medical negligence solicitors to discuss our free service in more detail, please do not hesitate to call us today on 01254 606 008 or via our online enquiry form.
Contact UsCan I make a pressure sore claim on behalf of a family member?
Yes. If your loved one lacks the mental capacity to bring a claim themselves, you can act on their behalf as a litigation friend. If a family member has died as a result of complications related to a pressure sore, you may be able to bring a claim on behalf of their estate under the Law Reform (Miscellaneous Provisions) Act 1934, and a dependency claim under the Fatal Accidents Act 1976. Speak to us and we’ll explain the options available to your family.
How long do I have to make a pressure sore negligence claim?
The standard time limit for a medical negligence claim is three years from the date of the negligent treatment, or three years from the date of knowledge, that is, when you first became aware (or should reasonably have become aware) that the pressure sore was caused by negligent care. For patients who lacked mental capacity at the time, the three-year period does not run during that period. We recommend seeking advice as early as possible to preserve evidence and meet all relevant deadlines.
How much compensation can I receive for a pressure sore claim?
Compensation for a pressure sore claim depends on the severity of the wound and its consequences, the pain and suffering endured, any financial losses incurred (including care costs and lost earnings), and any long-term impact on health and quality of life. Grade 3 and grade 4 pressure sore claims, particularly where sepsis or other serious complications developed, can result in substantial awards. We will give you an honest assessment of the likely value of your claim at the outset.
Does making a claim affect ongoing NHS care?
No. Making a clinical negligence claim does not affect your right to receive NHS care, or the care of your loved one. Claims are handled by NHS Resolution, a separate legal body, and your clinical relationship with healthcare providers is not impacted by pursuing a claim.
Are pressure sores always a sign of negligence?
Not always. In some circumstances, for example, where a patient is critically ill with multiple organ failure, pressure sores may develop despite appropriate care being in place. However, serious grade 3 and grade 4 pressure sores in patients who were not critically ill are very rarely unavoidable, and in most cases reflect a failure in the standard of care. We’ll obtain independent expert evidence to assess whether negligence occurred in your specific case.
Where can I find further information about pressure sore prevention?
The National Institute for Health and Care Excellence (NICE) publishes guidance on the prevention and management of pressure ulcers, available at nice.org.uk/guidance/cg179. This guidance sets out the standards of care that healthcare providers are expected to follow and departures from it can be relevant evidence in a negligence claim.
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