Cauda Equina Syndrome (CES)

We are very experienced at providing ATE insurance for sufferers of this crippling condition.

After-The-Event insurance for Cauda Equina Syndrome cases

Cauda Equina Syndrome (CES) occurs when critical nerve roots in the lower spine are compressed by a prolapsed disc. Doctors should be alert to this condition if the patient is displaying certain “red flag” warning signs, meaning that urgent surgical intervention is necessary to avoid permanent crippling damage to the nerves supplying lower organs and legs.

The patient frequently attends A&E Depts, where the staff should be able to recognize the seriousness and arrange an MRI scan to confirm the diagnosis of a prolapsed disc compressing the nerve roots at a crucial point in the spine, known as the cauda equina from its resemblance to a horse’s tail.

If surgery is not undertaken within 24-48 hours to decompress the nerve roots, permanent damage results, known as CES.

The Temple Advantage for delayed/misdiagnosis Cases

  • To run a CES claim successfully is no easy task. Reliance needs to be placed in several areas of clinical expertise; including A&E response, radiography, neurology, orthopedics etc. These disciplines can address breach and causation, but then a further spread of experts is needed to report on care, accommodation, loss of earnings, etc. Damages can frequently exceed £1M.
  • With experts costing as much as £5,000 for a report and conference, the need for funding these disbursements becomes a problem in itself, which is neatly answered by our disbursement funding, working alongside our ATE insurance policy.
  • We do not restrict our Coverholders to using only a limited panel of experts. We appreciate that our solicitor partners know the best experts to use in each field. Trials often turn on the relative performance of experts acting for Claimants and Defendants.
  • We offer the most generous degree of delegated authority in the ATE insurance market; which together with our integrated disbursement funding facility makes us the best choice for CES lawyers and those engaged in other high-value clinical negligence matters.

Hypoxic Brain Injury (Hypoxic Ischemic Encephalopathy)

One of the main causes of cerebral palsy is a hypoxic brain injury during childbirth. This is where the baby’s brain gets starved of oxygen. Sometimes this cannot be prevented or it is impossible to work out what has caused the baby to be injured. However, negligent mistakes by doctors and midwives can lead to a child sustaining a hypoxic brain injury.

These errors can result in claims that include:

  • The allowance of labour to go on for too long
  • Failure to properly monitor the baby’s heartbeat
  • Not doing enough cardiotocography (CTG) traces
  • The incorrect interpretation of CTG traces
  • Failing to respond to the umbilical cord being wrapped around the baby’s neck
  • The possible delay of a caesarean section
  • Missing signs of foetal distress such as meconium

Temple ATE Insurance – Peace of Mind for You and Your Client

If breach and causation are established, the instruction of experts to establish quantum then follows. The cover we offer means you can be sure of our support, even though settlement may not be approved for many years.

The ATE insurance cover Temple offer can also include integrated disbursement funding to claimants for court fees, expert reports and mediator fees. This helps ‘unlock’ the claim and puts a claimant in the position of being able to pursue their claim.

Bespoke Underwriting

For complex cases, our experienced team provides quick, commercial decisions to get your funding in place.

Chartered Excellence

As a Corporate Chartered Underwriting Agent, we operate to the highest professional and ethical standards in the UK.

A-Rated Security

Backed by Intact Insurance UK Limited, providing global financial strength for your peace of mind.

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Because of the complex nature of these cases, there is a need for a range of very experienced experts. Disbursement funding means I can instruct them directly, not going via an agency, and I can pay them promptly without any uplift.

Lorraine TaylorBridge McFarland

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My firm and I have worked with Temple for 20 years now. At the time we began our journey with Temple, we were a new firm and Temple were also fairly new to the market at the time.  Over the 20 years we have built an excellent relationship of trust and support and it is thanks to Temple and their collaborative, trusting,  and open approach to the work that we do and their willingness to take calculated risks with us that we have managed to achieve the very best for our clients in some very tricky and challenging cases.  Temple have always been ahead of the curve.  True leaders in their field and in our view, simply the best.

MBE Mehmooda DukeMoosa–Duke Solicitors

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Temple Insurance is an intrinsic part of our litigation model, and in our view, provides maximum protection for our clients at a very reasonable premium. We have been insuring with temple insurance for about 15 years, and before that we tried several other insurance companies.  Temple have been supportive all the way through. They are not overly risk averse, and when a claim fails, they assess our claim fairly and rapidly. I cannot remember a single time when our claim for reimbursement of disbursements has been refused unfairly. Before we used Temple, time and again we faced unreasonable challenges to our insurance claim. I  would recommend any litigation department to rely exclusively on the temple insurance product.

Kevin LiddyLiddy’s Solicitors

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Over the last decade, I have been fortunate to enjoy an excellent working relationship with Temple Legal Protection.

As a small niche practice, it is essential to have collaborative partners who understand the needs of my business and who are responsive to those needs.

From after the event funding through to disbursement funding, the services provided by Temple are exceptional. They have provided to my clients, an essential funding lifeline, at modest cost that other funders simply would not offer.

The Temple Team are responsive, efficient and willing to listen.

I cannot commend Temple and their team highly enough.

Diane RostronSpecialist medical negligence solicitor at Addies Solicitors

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Temple have consistently delivered a high standard of service. Their team is responsive, professional, and approachable, ensuring queries are dealt with promptly and efficiently. The customer service is excellent, with a personalised approach that reflects a genuine understanding of our needs. Their online portal is intuitive and easy to use, making the funding process smooth and straightforward. The disbursement funding facility is particularly helpful—it’s a practical and well-managed solution that supports case progression without unnecessary delays. Overall, Temple offers a reliable, user-friendly, and client-focused service that we would confidently recommend.

Spencer KnaggsBurnetts

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