General damages
The award for the injury itself and the effect on your life, known as pain, suffering and loss of amenity. Our page on pain, suffering and loss of amenity explains how that part is assessed.
Personal injury solicitors for clients throughout England & Wales
England & Wales
A personal injury claim is not only about what has already happened. Where an injury is likely to need further treatment, whether that is surgery in a few years, ongoing therapy, or rehabilitation you have not started yet, the cost of that treatment forms part of the claim. Our solicitors explain how future treatment is worked out and why the medical evidence matters so much.
We act for clients throughout England and Wales, from those facing a further procedure some way off to people with a lifetime of treatment and therapy ahead. Getting this part of a claim right depends on understanding how the injury is likely to develop, not just how it looks today.
Yes, where the medical evidence shows you are likely to need treatment going forward. Future treatment is a form of special damages, which means it compensates for money the injury will cost you rather than for the injury itself. It can cover surgery, therapy, medication, specialist consultations and rehabilitation that has not yet happened. The claim is built from expert evidence on what you are likely to need, how often and for how long, rather than from an estimate.
This is the part of a claim that most depends on looking forward rather than back. A loss that has already happened can be documented. Treatment that has not happened yet has to be predicted, and the quality of that prediction is what determines whether the claim succeeds. That is why medical experts give a prognosis, and why the reasons behind it matter as much as the conclusion.
It is worth thinking about this early even if treatment feels a long way off. A knee injury that may need replacing in ten years, a spinal injury where further intervention is possible, or a psychological injury where therapy is expected to continue, all need to be identified while the claim is being built. If a future need is not raised before settlement, it cannot usually be added afterwards.
The treatment that can be included depends entirely on the injury and the prognosis. These are the categories that come up most often.
Further surgery
Operations the medical evidence indicates are likely, such as joint replacement, further fixation of a fracture, or revision of earlier surgery.
Ongoing therapy
Physiotherapy, occupational therapy and other therapy expected to continue, calculated from the recommended frequency and duration.
Psychological treatment
Counselling, cognitive behavioural therapy and psychiatric care where the injury has caused ongoing psychological harm.
Specialist consultations
Future appointments with consultants and specialists needed to monitor the injury and manage treatment.
Medication
Prescribed medication likely to be needed on an ongoing basis, including the cost of repeat prescriptions over time.
Rehabilitation programmes
Structured rehabilitation, sometimes with case management, where the injury requires a coordinated approach over months or years.
One question underpins all of this. Would the treatment have been available on the NHS, and if so, how long would the wait have been? Where NHS care would have met the need within a reasonable time, the claim is usually built on that basis. Where the wait is excessive, or the treatment is not available on the NHS at all, a claim for private treatment can succeed. The evidence needs to address it directly.
The calculation starts with a medical expert's prognosis. That report sets out the current condition and the expert's view on how it is likely to develop, including whether further treatment is expected and what form it would take. Without that evidence there is nothing to base a future treatment claim on.
The treatment then has to be costed. A specialist works out what the recommended treatment would cost, how frequently it would be needed, and over how long a period. Where the need continues for years, the calculation has to account for that duration properly, and in serious cases actuarial evidence on life expectancy may be required.
Where the future is uncertain, the medical expert has to address the possibilities rather than only the most likely outcome. If a condition could deteriorate, the report should say so and explain why. That allows the claim to reflect the risk rather than ignoring it, and in some cases it supports a settlement that can be reviewed if the injury develops in a particular way.
This is why claims for serious injuries are often not settled quickly, and why we are cautious about early figures. Where treatment needs are still emerging, a settlement based on today's picture may leave you short when the need grows. Our page on serious injury solicitors explains how those longer term needs are planned for.
Future treatment is a financial loss, so it forms part of the special damages. It sits alongside past treatment costs, lost earnings, care, equipment and travel, and it is dealt with separately from the award for the injury itself.
The award for the injury itself and the effect on your life, known as pain, suffering and loss of amenity. Our page on pain, suffering and loss of amenity explains how that part is assessed.
Treatment you have already paid for is claimed under medical and rehabilitation costs, and it is proved with receipts. Future treatment is the same head of loss looking forward, calculated from evidence rather than from documents.
Where an injury is serious, future treatment rarely stands alone. It connects to care, to equipment, and often to lost earnings. Our page on solicitors for personal injury compensation sets out how those losses fit together.
Yes, where the medical evidence shows you are likely to need treatment going forward. Future treatment is a form of special damages, which means it compensates for money the injury will cost you rather than for the injury itself. It can cover surgery, therapy, medication, specialist consultations and rehabilitation that has not yet happened. The claim is built from expert evidence on what you are likely to need, how often and for how long, rather than from an estimate.
A medical expert reports on your condition and prognosis, which means their view on how it is likely to develop. Where further treatment is expected, that report sets out what will be required. A specialist, sometimes a care or rehabilitation expert, then works out what that treatment will cost, how frequently it will be needed and over what period. The two together produce the figure for this head of loss.
Yes, where a medical expert considers that surgery is likely to be needed. This is common in orthopaedic injuries, where a joint may eventually need replacing, and in spinal and brain injuries where further intervention may be required. The claim reflects the cost of the procedure, the recovery period, and any associated care or lost earnings. Because it depends on a prediction, the medical reasoning behind it matters.
That is a difficulty the law recognises, and there are ways of dealing with it. Where deterioration is possible but not certain, the medical evidence has to address the likelihood and the consequences. Sometimes a settlement can be structured to allow for review if the injury develops in a particular way. Settling too early where the future is unclear is one of the main risks in a serious claim, which is why the medical picture matters so much.
Yes. Where the injury has caused psychological harm and further therapy is likely to be required, counselling, cognitive behavioural therapy or psychiatric treatment can form part of this head of loss. Evidence from a psychologist or psychiatrist is usually needed to establish both that the therapy is necessary and how long it is likely to continue.
It depends on the circumstances. Where NHS treatment is available within a reasonable time, the claim is usually based on the NHS provision, because that is what would otherwise meet the need. But where the wait is excessive, where the treatment is not available on the NHS, or where private treatment is medically necessary to avoid deterioration, a claim for private treatment can succeed. The medical evidence and the availability of NHS care both matter.
General damages compensate for the injury itself and its effect on your life, and they are assessed rather than calculated from documents. Future treatment is a financial loss, so it is worked out from what the treatment will actually cost. The two are claimed together but proved in completely different ways, and a serious injury claim usually includes both.
Sometimes. Where the NHS would have met the need at no cost to you, the claim may be limited, because you would not have had to pay. This is why the medical and treatment evidence needs to set out clearly what treatment is required and how it would be provided. It is a technical area, and it is one where the detail of the expert evidence really matters.
Often it can be. Where liability is admitted or the insurer accepts responsibility in principle, it is sometimes possible to arrange treatment or rehabilitation early with the cost met by the insurer, and an interim payment may occasionally be sought to fund it. This matters most where early treatment improves recovery. It is never guaranteed, and it depends on the attitude of the insurer in the individual case.
Yes. Future treatment is simply one element of the compensation, funded in the same way as the rest. Suitable claims may be accepted under a Conditional Fee Agreement, commonly called No Win No Fee, subject to an assessment of liability, the evidence and the prospects of success. If the claim succeeds, a success fee may be payable, and in many personal injury claims the legal cap is 25% of the relevant categories of damages including VAT.
The answers above explain the position generally. Every claim turns on its own facts, and the applicable rules are those in force at the relevant time. For advice on how long you have to bring a claim, see our page on personal injury claim time limits.
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Read our Regulatory InformationTell us what happened and a member of our team can explain whether you may have grounds to claim and how future treatment needs are likely to be assessed. The assessment is free, and there is no obligation to proceed.