Surgical Error Claims in Ireland

A surgical error claim arises when an operation, or the checks and advice around it, fell below a reasonable standard and caused avoidable harm. This page explains the errors behind most claims, how consent is judged and the evidence that matters.

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  • No upfront fees required
  • Clear written terms before you go ahead
  • Regulated by the Law Society of Ireland
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What is a surgical error claim?

A surgical error claim is a medical negligence claim for harm caused by a mistake before, during or after an operation.

Under the test in Dunne v National Maternity Hospital, you must show that the surgeon or theatre team fell below the standard of a reasonably careful practitioner in the same field, and that this caused your injury.

A recognised complication is not negligence on its own if the operation was done properly and you were warned of the risk.

Most surgical claims involve one of these:

  • Wrong-site, wrong-patient or wrong-procedure surgery, often called never events, because site marking and theatre checklists exist to stop them
  • A swab, instrument or other item left inside the body after the count at the end of the operation
  • Damage to a nerve, blood vessel or organ that careful technique would have avoided
  • Bleeding or infection after the operation that was not spotted or treated in time

Consent and material risk

Before planned surgery, you must be told of any material risk: one that a reasonable person in your position would want to weigh up.

The HSE National Consent Policy describes this as the standard the Irish courts apply, and says the duty to warn grows the more elective the operation is.

If you would have refused or put off the operation had you been warned, the missing warning can found a claim even where the surgery itself was done well.

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How a surgical error claim works

  1. We get your full hospital records: the consent form, the operation note, the theatre checklist, the swab and instrument count, and the notes from recovery and the ward.
  2. An independent medical expert in the same surgical field reports on whether the operation and the consent discussion met a reasonable standard.
  3. A report on causation looks at what your recovery would have been without the error.
  4. If that evidence supports the claim, proceedings issue in court, usually the High Court. Many surgical claims settle, often at mediation.

Surgical claims don't go to the Injuries Resolution Board, because section 3 of the PIAB Act 2003 leaves out claims arising from a medical or surgical procedure. For bone and joint operations, read orthopaedics and clinical negligence claims.

What can a surgical error claim cover?

  • General damages for the injury, assessed with reference to the Personal Injuries Guidelines
  • Corrective surgery and further treatment, public or private
  • Earnings lost during a longer recovery, and future loss if you can't return to the same work
  • Physiotherapy, aids and changes to your home
  • Care and help at home, including care given by family

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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 surgical error 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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FAQS

Surgical error claims in Ireland: FAQs

No. Many operations carry known risks that can happen even when the surgeon does everything right. A claim needs evidence that the surgery, the aftercare or the consent discussion fell below a reasonable standard, and that this caused the harm.

If the risk was one a reasonable person in your position would have wanted to know, and you would have decided differently had you been told, you may have a claim even if the operation was done well.

The HSE National Consent Policy says it is good practice to seek consent well before a planned operation, not on the day.

It is a term for errors that standard safety checks should prevent, such as operating on the wrong site or leaving a swab inside a patient.

Where one of these causes a patient's death, it is a notifiable incident under Schedule 1 of the Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023, and the hospital must disclose it to the family.

Yes. The court still needs independent medical evidence on what the item caused: pain, infection, the operation to remove it and the time you lost from work. That evidence must be in place before proceedings issue.

Nerve injury is a known risk of some operations, so the claim turns on two questions. Was the nerve damaged by poor positioning or technique that a careful surgeon would have avoided, and were you warned of the risk beforehand?

No. Under Part 4 of the Civil Liability (Amendment) Act 2017, an apology or information given during open disclosure is not an admission of liability. The claim is proved from the records and the independent medical evidence.

It changes who answers the claim. For a public hospital, the State Claims Agency manages the claim under the Clinical Indemnity Scheme. For private surgery, the consultant has their own indemnity and the private hospital has its own insurer.

Two years from your date of knowledge: when you knew you had been injured and that the operation may have caused it, under the Statute of Limitations (Amendment) Act 1991.

A retained item can go unnoticed for months, so time may start later than the date of surgery. 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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