Fitzpatrick family to receive €4.5m settlement

A six-year-old, permanently brain-damaged boy is to receive €4.5m plus legal costs in settlement of his marathon legal action against the National Maternity Hospital alleging negligence in the management of his birth.

A six year old permanently brain damaged boy is to receive €4.5million plus legal costs in settlement of his marathon legal action against the National Maternity Hospital alleging negligence in the management of his birth.

The hospital is now facing a total legal cost bill estimated at €4m.

The settlement in the case of Paul Fitzpatrick was made without admission of liability by the hospital which had denied negligence.

However, because the High Court had last March found the hospital was liable for Paul's injuries, a decision which the hospital has appealed to the Supreme Court, the Supreme Court will be asked by the sides on Friday to set aside the High Court finding on consent.

The case, which had been before the courts for some 59 days, was brought by Paul, suing through his mother Michelle Fitzpatrick, St Catherine's Close, Carman Hall, Dublin, against the NMH, Holles Street, Dublin for injuries alleged sustained in the management of his birth at the hospital on December 26, 2001.

The case was the longest running birth injury case here and Mr Justice Herbert had found the hospital was liable for the injuries sustained by Paul.

In his 109-page judgment, he found Paul would not be severely mentally and physically disabled except for the "substandard and negligent" management of his birth.

He found Paul should have been delivered some half an hour earlier than he was and, if that had occurred, he would not have sustained irreversible brain injury leaving him totally dependent for the rest of his life.

The case was due before Mr Justice Herbert again today for assessment of damages to be paid in the event of the hospital losing its appeal.

The assessment hearing was expected to last several weeks as there were issues between the sides on several matters, including Paul's life expectancy.

However, after discussions between the parties, Mr Justice John Quirke was told by Paul's legal team of Aongus O'Brolchain, SC, Bruce Antoniotti SC and Paul O'Neill the matter had been settled for €4.5m, plus costs, without an admission of liability.

Counsel said there would be an application to the Supreme Court next week to have Mr Justice Herbert's judgment set aside.

Although there was a finding of liability against the hospital and that the parties differed on the amount of damages that should be paid, with his side assessing them at €6.9m and the hospital offering €2.5m, his clients were satisfied to accept the settlement, Mr O Brolchain said.

Outlining his side's reasons for accepting the settlement, counsel said it could be a further two and a half years before the Supreme Court would determine the appeal and while his side were confident the hospital would not win the appeal, it was possible the case could be referred back to the High Court for a re-hearing.

The Fitzpatricks were meanwhile living in an apartment and wanted to move from there and buy a house, which would be specially fitted out to cater for Paul's needs as well as pay for the aids, appliances and therapies that Paul will require for the rest of his life, Mr O Brolchain said.

Ms Niamh Fitzpatrick told Mr Justice Quirke that, while there would be no admission of liability, she and her family "would like to move on".

Mr Justice Quirke said he would approve the settlement, which he noted allows the hospital's Supreme Court appeal to stand even though that "might not reflect the real position", because he was informed it was in the best interest of Paul.

The judge also paid tribute to the care provided to Paul by his mother and the rest of the child's family.

Outside court, Ms Fitzpatrick thanked her legal team, especially their solicitor Michael Boylan.

She said the family now looked forward to leaving the apartment and getting a house with a garden and a swing for Paul.

While the settlement was made without an admission of liability, the fact the hospital had settled for €4.5m "speaks for itself", she said.

The Fitzpatricks had claimed that the hospital was negligent because it failed to act upon the deterioration of the boy's fetal heart trace at 6.30am on the morning of the delivery and failed to stop the use of the delivery accelerant drug oxytocin.

They also claimed failure to carry out a second fetal blood sample to check the condition of the baby and a failure to perform a caesarean section.

It was claimed that the oxytocin infusion was continued when it was inappropriate and dangerous to continue to do so and there was a failure to inform the mother the baby was in distress and needed to be delivered immediately.

There was failure to perform an urgent delivery at 7.10am on December 26, 2001, when there was a dramatic and major deterioration in the nature of the CGT trace, it was also claimed.

Paul was born at 8.03am and transferred to the neo natal intensive care unit.

An MRI a week after this birth showed some abnormalities and it was claimed that the alleged negligence has left him significantly mentally and physically disabled for the rest of his life.

The NHM had denied the claims.