A&E and Emergency Care Failure Claims in Ireland

An emergency department is judged by what a reasonably careful emergency doctor or nurse would have done with the information they had at the time. This page explains the failures that lead to claims, from triage to discharge.

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  • Clear written terms before you go ahead
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What is an A&E negligence claim?

An A&E negligence claim is a medical negligence claim about care in a hospital emergency department. The court does not expect a busy department to get every diagnosis right at first sight.

Under the Dunne test, it asks whether a reasonably careful emergency doctor or nurse would have acted differently with the symptoms, history and results available, and whether that would have changed the outcome.

Claims usually arise at one of these points:

  • Triage: a patient given a low priority despite warning signs, then left waiting while their condition got worse
  • Delay: tests, scans or a senior review not done in time
  • Missed injury: a fracture, or a bleed after a head injury, not picked up on examination or imaging
  • Missed illness: sepsis or stroke not recognised, so treatment that depends on speed was not started
  • Discharge: a patient sent home without proper review, before results were checked, or without clear advice on when to come back

Triage and waiting times

Triage sorts patients by clinical urgency, not by arrival time. A long wait on its own is rarely negligent. A claim usually needs a failure to recognise how urgent the case was, or to re-check a patient who was getting worse in the waiting room.

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The evidence that matters in an A&E claim

Emergency department records are time-stamped, which makes the timeline easier to prove. We get:

  • The triage record and the category given
  • Observation charts: pulse, blood pressure, temperature, breathing rate and oxygen levels over time
  • Requests and reports for scans and X-rays, with times
  • The discharge note and any advice leaflet

An independent emergency medicine expert reviews the timeline, and often a second expert reports on what earlier treatment would have changed.

Proceedings issue in court only once that evidence supports the claim. The Injuries Resolution Board doesn't deal with A&E claims, because its remit leaves out claims arising from health services.

What can an A&E negligence claim cover?

  • General damages for the harm the delay or missed diagnosis caused
  • Further surgery, such as fixing a fracture that healed out of position
  • Rehabilitation after a stroke or head injury that was treated late
  • Lost earnings and care at home
  • Aids, equipment and changes to your home

Where a head injury was missed, read brain injury claims: the compensation process.

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How It Works

How a Claim Works in 3 Steps

Starting a legal claim is an important decision, so we explain what to expect from the beginning. Here’s how our process works in just three clear stages:
1

Contact Our Team

Contact us through our enquiry form, phone, or email. We’ll review your situation, answer your questions, and explain what to expect next. There’s no upfront fee to begin your claim.

2

Get Clear Legal Advice

Your case will be carefully reviewed by our legal team.

We assess the strength of your claim, advise on the documentation needed, and guide you through key steps such as attending an independent medical examination and preparing the information required for the Injuries Resolution Board (IRB).

3

Going Ahead With Your Claim

Once you decide to move forward, we take care of everything. This includes gathering evidence, contacting the other party or their insurer, submitting your claim to the IRB, managing settlement discussions, and handling any court proceedings if needed.

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The legal term ‘No Win No Fee’ is used to describe how solicitors take on a case where they pay the costs of the litigation.

Solicitors in Ireland who operate on this basis pay all legal costs associated with the personal injury case.

In most cases, clients would not be in a position to fund the cost of litigation, so it is usual for a personal injury and medical negligence firm to operate on a 'No Win No Fee' basis.

It should be noted that there is no prohibition on solicitors in Ireland undertaking work on a no win no fee basis, and solicitors are perfectly entitled to offer their services on a no win no fee basis.
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How we handle A&E and emergency care claims

Paul Kearney founded the practice and leads its medical negligence work in Ireland. He is regulated by the Law Society of Ireland. Read Paul's profile.

Every medical negligence claim needs independent expert evidence. We instruct independent medical experts in the relevant field to report on the care you received and on what difference it made.

We get your medical records and go through them with you, so that you know where you stand before any claim is started.

There are no upfront fees. Before you go ahead, we set out in writing how legal costs work, as section 150 of the Legal Services Regulation Act 2015 requires. No Win No Fee explained.

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Serving Clients Across Ireland

Whether you prefer an in-person consultation or remote support, our team is ready to assist you wherever you are in Ireland.

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Tell us what happened and a member of our team will be in touch to explain your options. There are no upfront fees and no obligation to go ahead.

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FAQS

A&E and emergency care claims in Ireland: FAQs

Not for the wait alone. A claim needs evidence that the delay was below a reasonable standard, for example a missed warning sign at triage, and that it caused you harm that faster treatment would have avoided.

It depends on the review before discharge. The questions are whether your observations were rechecked, whether test results were seen, whether a senior doctor should have reviewed you, and whether you were told which symptoms meant coming straight back.

Clinical guidelines list warning signs after a head injury that call for a CT scan, such as drowsiness, repeated vomiting or a seizure.

If those signs were present and no scan was done, or the scan was misread, an independent emergency medicine expert can say whether the care fell below a reasonable standard.

Possibly. Hospitals screen for sepsis using observations and blood tests, and antibiotics are meant to start quickly once it is suspected. A claim looks at what the observation charts showed, how long it took to act, and what difference earlier antibiotics would have made.

The claim is usually brought against the hospital or the HSE rather than the individual doctor. In a public hospital, the Clinical Indemnity Scheme run by the State Claims Agency covers non-consultant hospital doctors, nurses and other clinical staff.

No. Under Part 4 of the Civil Liability (Amendment) Act 2017, an apology given in open disclosure is not an admission of liability. It is still worth noting what you were told and when.

No. Unlike a road or workplace injury claim, a claim about emergency care goes straight to court once independent medical evidence supports it. See how the Injuries Resolution Board works for the claims it does deal with.

Two years from your date of knowledge, under the Statute of Limitations (Amendment) Act 1991. If a fracture was found at a later visit, time usually runs from when you learned it had been missed. For a child, the two years start at 18.

No. There are no upfront fees. Before you go ahead, we give you clear written terms explaining how legal costs work, as section 150 of the Legal Services Regulation Act 2015 requires. Read No Win No Fee explained.

*In contentious business, a legal practitioner may not calculate fees or other charges as a percentage or proportion of any award or settlement. This statement is made in compliance with section 149 of the Legal Services Regulation Act 2015 and the Legal Services Regulation Act 2015 (Advertising) Regulations 2020 (S.I. No. 644 of 2020).
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