Queen’s Bench Division
Spire Healthcare Ltd v Royal & Sun Alliance Insurance plc
[2020] EWHC 3299 (Comm)
2020 Nov 3, 4, 5; Dec 10
Judge Pelling QC sitting as a High Court judge
InsuranceContractConstructionInsurance policy covering claimant hospital operator in respect of liabilities for acts and omissions of those providing surgical services at its hospitalsInsurance policy containing aggregation clause in respect of claims consequent on or attributable to one source or original causeConsultant at claimant’s hospitals performing negligently incorrect surgical procedures on patients requiring surgery as well as surgical procedures on patients where no surgery clinically indicatedClaimant reaching out-of-court settlement with affected patients and seeking to claim under insurance policyInsurer accepting claimant’s entitlement to indemnity under policy but raising issue of aggregation and alleging consultant’s deliberate misconduct constituting single causeClaimant asserting two groups of patients constituting two separate original causesProper construction of aggregation clauseProper extent of insurer’s liability under policy

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