Recourse Claims for Failure to Pay Contributions

NPE may approve claims for injuries that occurred during a period when the organisation was not covered by the patient injury compensation scheme. In such cases, the organisation will be required to cover compensation payments and case processing costs, known as a recourse claim.

Organisations that have not paid contributions will also be required to make retrospective contribution payments for the years in which they were obligated to pay contributions. The patient will nevertheless be covered by the patient injury compensation scheme.

Consequences of Failing to Pay Mandatory Contributions

Organisations are covered by the patient injury compensation scheme when they have registered their business with correct information and paid contributions for all years in which they have provided treatment.

When an organisation makes retrospective contribution payments for previous years, it is only covered for injuries reported to NPE after the date of the retrospective payment. If a claim has already been reported, we will pursue a recourse claim for that case because the organisation was not covered by the scheme at that time.

If the recourse claim is not paid, the claim will be forwarded to The Collection Authority for collection.

Right to Appeal

A decision by NPE to pursue a recourse claim is an administrative decision that may be appealed. The deadline for submitting an appeal is three weeks from receipt of the recourse claim letter. An appeal must be submitted to NPE for review. If we find no grounds to amend the decision, we will forward the appeal to the The National Office for Health Service Appeals, which processes appeals against our decisions.

Please note that the recourse amount must be paid by the due date even if the decision is appealed.