Condition & Prognosis Reports
A cardiology condition and prognosis report for the quantum stage — current cardiac status, response to treatment, future care needs and life expectancy, set out for the schedule of loss. CPR Part 35 compliant.
- CPR Part 35 compliant
- Claimant & defendant
- Fixed fee available
Assess future cardiac impairment
and life expectancy
A condition and prognosis report sets out the claimant’s current cardiac status, the expected clinical course, the future care and treatment likely to be needed, and any effect on life expectancy.
Each report is prepared under CPR Part 35 and Practice Direction 35, with life-expectancy opinion given in line with the Civil Justice Council guidance on expert life-expectancy evidence.
- Quantum stage where breach and causation are resolved and the claim turns on future loss, care and treatment.
- Life expectancy in fatal claims under the Fatal Accidents Act 1976, where the deceased had pre-existing ischaemic or valvular heart disease.
- Future treatment and care where the claim depends on cardiac rehabilitation, device therapy, or transplant assessment.
- Defendant review requiring an independent view on claimant prognosis evidence before quantum negotiations.
What the report covers
A condition and prognosis report addresses the consequences of an established injury. It does not address whether the care was negligent or whether it caused the injury — those are separate reports.
Cardiac prognosis evidence
- Current cardiac status and functional impairment — NYHA classification, exercise tolerance, and echocardiographic findings.
- The expected clinical course and response to treatment, referenced against contemporaneous NICE and ESC guidance.
- Future care and treatment — cardiac rehabilitation, device therapy (ICD or CRT), or transplant assessment where relevant.
- Effect on life expectancy, where instructed, using recognised cardiac risk stratification and UK actuarial data.
- A signed CPR Part 35 statement of truth and declaration of duty to the court.
Not covered in this report
- Whether the care was negligent or caused the injury — those are separate breach and causation reports.
- Examination of the claimant, unless specifically instructed and agreed in advance.
- Actuarial or economic modelling — that is prepared by quantum and forensic accountancy experts.
Where we are regularly instructed
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Claimant · STEMI
Post-infarction left ventricular impairment
Delayed PCI following STEMI, with established left ventricular impairment. The report addresses the residual functional deficit, the risk of sudden cardiac death, and any reduction in life expectancy.
Often paired with: Breach of Duty Causation
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Claimant · HFrEF
Heart failure prognosis
Post-MI heart failure with reduced ejection fraction. The report addresses NYHA class progression, device candidacy, and life expectancy using recognised risk stratification for HFrEF.
Often paired with: Breach of Duty Heart failure claims
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Claimant · Valve
Aortic stenosis progression
Delayed TAVI for severe aortic stenosis. The report addresses future functional impairment, the risk of sudden death, and life-expectancy reduction, applying ESC guidance on valvular heart disease.
Often paired with: Combined Breach & Causation Valve disease claims
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Defendant · Quantum
Independent prognosis review
Defence instruction for an independent prognosis view before quantum negotiations — whether the claimant’s functional impairment and life-expectancy figures are supported by the cardiac evidence.
Often paired with: Critique & Rebuttal
Report format, length and turnaround
Most condition and prognosis reports run to twelve to twenty pages. Standard instructions are returned within four to six weeks. Where a hearing date, limitation deadline or court direction requires it, an expedited timetable of two to four weeks is available subject to capacity.
Fixed fee where the records bundle is contained. Larger or complex matters are quoted on an indicative basis with a cap. LAA rates and deferred payment terms available — full fee schedule.
Need a condition and prognosis report?
Submit case details via email or our contact form and receive a same-working-day quotation. For urgent matters, call using the phone number below.
Same-working-day quotation Fixed fee where the bundle allows LAA rates available