VHI launches probe into unnecessary hip surgeries in Dublin hospital

Private health insurer VHI has begun a review of claims made under its health policies following the recent report issued in respect of hip surgeries at Temple Street and Cappagh. The report, carried out by an independent UK-based Orthopaedic Surgeon, Simon Thomas, found that many of the surgeries performed on children with hip dysplasia (DDH) did not meet the recommended clinical threshold.

A spokesperson for VHI stated, “We have established details of VHI members who received treatment at the centre of the review in the two hospitals in question. We are liaising with the hospitals to determine whether the findings of the review impact any of these members.”

Implications of the report for VHI and its Members

VHI’s role as a major insurer means it is directly impacted by these findings. VHI would have covered a significant portion of the costs for these potentially unnecessary procedures. This raises questions about the allocation of healthcare funds and the criteria used for determining medical necessity in reimbursement.

The findings may prompt VHI to review its protocols for approving and reimbursing certain surgical procedures, particularly for conditions like DDH, to ensure they align with best clinical practice and avoid unnecessary interventions.

VHI will likely engage with CHI, NOHC, and the HSE to understand the full scope of the issue, the measures being taken to prevent recurrence, and how to ensure consistent, evidence-based care across all providers.

Further Information

At Coleman Legal LLP, we understand the trauma and distress that can come from medical negligence or paediatric negligence, especially when it affects children. Our experienced legal team is actively investigating the matter and is available to assist families who believe their child may have been affected due to unnecessary hip surgeries at Dublin Hospital. We can help you with:

• Reviewing medical records to identify if unnecessary hip surgeries occurred
• Accessing independent medical assessments
• Advising on your rights and potential legal claims
• Pursuing compensation for physical, emotional and financial harm

For further guidance, see our page on unnecessary hip surgeries on children. Call us at our freephone number 1800 904 353 or email us at [email protected]