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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.

 Litigation Insurance in Action – CES Case Studies


Cauda Equina Syndrome trial loss – a fine line between misadventure and negligence.

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Double success for Cauda Equina Syndrome cases

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Don’t Just Take our Word

In CES cases  there are no easy victories, and client anonymity often means we cannot provide any details from a case but, commenting on one CES case insured with Temple,  Daniel O’Keefe from Moosa Duke Solicitors said, ‘The claimant could not have put their case to the Judge without your financial backing’.

Lorraine Taylor, partner at Bridge McFarland echoes our sentiments on CES cases overall, “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.”

See what a number of leading clinical negligence litigators have said about our products and service – click here  (link to for their views on the service we offer.

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Contact Our Experts

We seek approaches from those CES specialist law firms with whom we currently do not work. If you would like more information on our clinical negligence ATE insurance and disbursement funding for CES cases please contact Paul Bonner on 01483 514412 or email

Paul Bonner

Paul Bonner

Senior Underwriter

Paul Bonner

Paul has 35 years' experience in the insurance industry, the last 30 years of which have been exclusively in legal expenses insurance. He joined Temple from The Legal Protection Group Ltd (later First Assist Ltd) where he was Head of Claims.

Since joining Temple, he has been involved with its customers in the development of the whole range of the company’s products and services. This experience means that he has a deep understanding of customers’ requirements in all aspects of personal injury, clinical negligence and commercial litigation insurance, and the proven ability to match Temple’s products and services to their needs.