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Claims club, Exeter - September 2016

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Claims club September 2016, Exeter
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Page 1: Claims club, Exeter - September 2016

Claims clubSeptember 2016, Exeter

Page 2: Claims club, Exeter - September 2016

Revised UKRLG Codes of Practice – where are we now? James Fawcett, Browne Jacobson Andrew Cole, Devon County Council

Page 3: Claims club, Exeter - September 2016

Well-maintained Highway Infrastructure – revised COP • Original anticipated release date: October 2015

• Draft version 3 released 1/9/2016

• Comments requested by 12/9/2016

• Aim remains to publish by end September 2016 – unlikely we will see any significant revision

Page 4: Claims club, Exeter - September 2016

Well-maintained Highway Infrastructure

• Part A: overarching principles• Part B: highways • Part C: structures• Part D: lighting

Page 5: Claims club, Exeter - September 2016

Status of the revised Code• Revised Code (Draft 3):

Page 6: Claims club, Exeter - September 2016

Status of the revised Code• Revised Code (Draft 3)

Page 7: Claims club, Exeter - September 2016

Revised Code: overarching principles

Page 8: Claims club, Exeter - September 2016

Revised Code: Collaboration• The expectation that authorities will work

together remains:

Page 9: Claims club, Exeter - September 2016

Collaboration • Both internally within the authority and with other

authorities

“The authority’s designated corporate risk manager will be a key point of contact, as will departmental and team risk management leads”

• Identify the key decision makers

• Find strength in numbers with other authorities?

Page 10: Claims club, Exeter - September 2016

Revised Code: a risk-based approach remains at the heart of the Code

Page 11: Claims club, Exeter - September 2016

Developing and implementing a risk-based approach • Identify risks – intended to cover a diverse range of subjects (risk register) • Evaluate risks – the likelihood and consequence of a particular event• Manage risks – a coordinated approach to the management and mitigation

of risk. • Formulate a matrix?*

• Communication and Consultation – “for risk management to be fully embedded in an organisation the risk management process should be part of normal operations management”

• Monitoring and review – “Monitoring and review should be dynamic so that as risk levels change, an organisation’s approach to managing the risk can too”

*Highways Infrastructure Asset Management Guidance Document

Page 12: Claims club, Exeter - September 2016

Developing and implementing the risk-based approach• We can expect greater scrutiny of the regime in

place – something we rarely see at present

• Justification of the regime: The policy Master statement of senior highway engineer

detailing how the policy was established using the risk based approach – persuasive evidence

Page 13: Claims club, Exeter - September 2016

Network hierarchy

Page 14: Claims club, Exeter - September 2016

Network hierarchy • Is there an opportunity/appetite to refine or

simplify the current hierarchy?

• Is the current hierarchy fit for purpose?

• Consider the system of review - a dynamic hierarchy is envisaged

Page 15: Claims club, Exeter - September 2016

Safety inspections• Section B.5: Inspection, Assessment & Recording

Page 16: Claims club, Exeter - September 2016

Safety inspections – frequency • Revert to risk based approach – consider if there is there an

opportunity to reduce inspection frequency

• Review – as the characteristics of a highways changes/there are developments which improve safety, so to will the inspection frequency

Page 17: Claims club, Exeter - September 2016

Defect identification

Page 18: Claims club, Exeter - September 2016

Defect identification

Page 19: Claims club, Exeter - September 2016

Defect identification• A shift from interventions levels > investigatory

levels (assessment of risk)

• Greater scrutiny of the Highway Inspector’s decision making – potential to leave the inspector and authority vulnerable

• Evaluation of risk by reference to the risk assessment process – provides an opportunity to justify the decision

Page 20: Claims club, Exeter - September 2016

Competency and training

Page 21: Claims club, Exeter - September 2016

Competency and training • Training prior to implementation

• Ensure competency of contractors

• Practical guidance for inspectors and risk managers – mock trial to ‘stress test’ procedures?

Page 22: Claims club, Exeter - September 2016

Contact us…

James Fawcett – [email protected]

T: +44 (0)115 908 4874

Page 23: Claims club, Exeter - September 2016

Devon County Council

Highway Safety InspectionsA New Direction

Andy Cole IEng FIHEHighway Safety Inspection and Reactive

Engineer

Page 24: Claims club, Exeter - September 2016

Some Facts and Figures

• 13,000km of Carriageway• 3000km of Footway• Mix of Urban and Rural• £5.6m Revenue Budget• Approximately 20% Overall Revenue

Budget• 13 Dedicated Inspectors• National Qualification• On IHE Safety Inspectors Register

Page 25: Claims club, Exeter - September 2016

Drivers for Change

• Revision of NCoP (Well-managed Highways Infrastructure)

• Developing a more risk based approach

• Need to drive efficiencies• More collaborative working• Cross boundary consistency• Reasonable and measured

response times

Page 26: Claims club, Exeter - September 2016

Inspection Delivery Changes

Risk Based Inspection Process and Why• Previous policy was very prescriptive• No flexibility to respond quicker• No ability not to repair when risk low• Not always efficient• Repeat visits

Page 27: Claims club, Exeter - September 2016

What’s Happened So Far

• DCC Cabinet October 2015• Approved trials to the 2013

HSIM• Approved the development of

a risk based approach• Amendments to policy

introduced 7th December 2015

• New policy implemented 5th September 2016

Page 28: Claims club, Exeter - September 2016

Summary of Key Changes

Summary of Key Changes• Gaps and trips on kerbs written out (except

crossing points) on F/W 2,3&4 redefined on F/W 1• Roadmarkings redefined (70% worn)• Standard response times removed• Risk assessed response• New defect categorisation

Page 29: Claims club, Exeter - September 2016

Risk Based Approach

Process Flow

Page 30: Claims club, Exeter - September 2016

Risk Matrix

Page 31: Claims club, Exeter - September 2016

GuidelinesRisk Based Inspection Proposal

PROBABILITY / LIKELIHOOD OF INTERACTION WITH HIGHWAY USER

Page 32: Claims club, Exeter - September 2016

GuidelinesRisk Based Inspection Proposal LIKELY IMPACT

Page 33: Claims club, Exeter - September 2016

Worked Example 1Defect - Carriageway pothole M/C – 3 Position of defect – wheel track Dimensions – 45mm deep and 350mm in a horizontal direction Assessment procedure

1. Does the defect meet the minimum intervention level 2. Consider the probability/likelihood score 3. Consider the impact score 4. Calculate the level of risk 5. Apply outcome and assign the appropriate response time

Answers

1. Yes, the minimum intervention level is 40mm deep and 300mm in any horizontal direction

2. Probability/likelihood almost certain, carriageway is m/c3 and defect is in the wheel track. The probability/likelihood score is 5

3. Impact high, pothole may cause vehicular damage, loss of control impact lower unless a cyclist or motorcyclist however this is mitigated by less likelihood of an interaction with the defect. The impact score is 4.

4. Probability/likelihood x impact = level of risk. 5 x 4 = 20

5. Level of risk 20 is a Category 1 defect requiring an end of next working day response.

Page 34: Claims club, Exeter - September 2016

Example 2Defect – Footway Pothole Footway Maintenance Category – 2 Position of defect – against the boundary wall Dimensions – 30mm deep and 70mm in a horizontal direction Assessment procedure

1. Does the defect meet the minimum intervention level 2. Consider the probability/likelihood score 3. Consider the impact score 4. Calculate the level of risk 5. Apply outcome and assign the appropriate response time

Answers 1. Yes, the minimum intervention level is 20mm deep and 50mm in any horizontal direction 2. Probability/likelihood unlikely, footway is m/c 2 and defect is in the against a boundary wall.

The probability/likelihood score is 2 3. Impact minor, the potential impact on an individual if they were to be tripped up is high. The

impact score is 3. 4. Probability/likelihood x impact = level of risk.

2 x 3 = 6 5. Level of risk 6 is a Category 3 defect to be repaired within the next 28 days.

Page 35: Claims club, Exeter - September 2016

Example 3Defect – Footway trip Footway Maintenance Category – 1 Position of defect – underside of bench Dimensions – 30mm vertical level difference Assessment procedure

1. Does the defect meet the minimum intervention level 2. Consider the probability/likelihood score 3. Consider the impact score 4. Calculate the level of risk 5. Apply outcome and assign the appropriate response time

Answers 1. Yes, the minimum intervention level is 20mm vertical level difference 2. Probability/likelihood rare, footway is m/c1 and defect is under the bench. The

probability/likelihood score is 2 3. Impact high, the potential impact on an individual if they were to be tripped up is high. The

impact score is 1. 4. Probability/likelihood x impact = level of risk.

2 x 1 = 2 5. Level of risk 4 is a Category 4 therefore consider an appropriate response including no

further action/monitor. NOTE The position of the defect will not pose any risk to a highway user therefore an option being considered is the policy advises defects that pose no risk are not recorded.

Page 36: Claims club, Exeter - September 2016

Training

• System being tested by Team• Basic risk assessment course in February• Supported by highway specific examples• New system used in parallel with current process• Ongoing support and evaluation• Roll out training across the service• ELearning Module being developed• Team specific training

Page 37: Claims club, Exeter - September 2016

Progress• Smooth transition to new regime• Inspectors generally happy• Numerous Cat 4 defects• More efficient and effective

But• Continue to monitor inspections• Support and advise inspectors• Review how we respond to Public

Page 38: Claims club, Exeter - September 2016

Thank You

Page 39: Claims club, Exeter - September 2016

Noise Induced Hearing Loss

22nd September 2016Kathy GuReserving Actuary, Zurich Municipal

Page 40: Claims club, Exeter - September 2016

Agenda

• What are Noise Inducedfrom?

Hearing Loss Claims and where do they come

• A bit of history

• Some recent experience

• A few thoughts about the future

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Page 41: Claims club, Exeter - September 2016

What are Noise Induced Hearing Loss (NIHL)Claims?

• Hearing loss arising from prolonged exposure to high noise levelsalmost always in the work place and therefore impact Employers’ Liability policies

• Claims generally noticed as age related hearing loss sets in– Average age of claimant 60 - 65– Current claims predominantly from 1960s to early 1990s exposures

• Dates employers deemed to be aware vary by industry – key date ofknowledge is 1963 with a raft of legislation since then.

• UK Insurance industry is currently paying around £80m per yearbased on working party data, of which the major component remains claimant solicitor fees (c.3/4!)

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Page 42: Claims club, Exeter - September 2016

Noise Levels

10 dB - rustle of leaf20 dB - normal hearing threshold30 dB - whisper40 dB - residential area at night50 dB - normal speech at 1meter60 dB - busy office70 dB - loud radio at home80 dB - street traffic90 dB - weaving mill or heavy vehicle100 dB - circular saw or sheet metal shop110 dB - rock drill120 dB - propeller engine130 dB - pneumatic riveting140 dB - jet engine at 25 meters

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Noise level in dB(A) 80-85 85-90 90-95 95-100 100-110 >110

Number of workers exposed 1,097,000 696,800 273,000 124,000 37,100 4,200

Adjusted 1 band for hearing protection 1,619,600 419,900 138,900 45,790 7,490 420

Adjusted 2 bands for hearing protection 1,224,316 343,663 117,997 38,595 6,303 353

Adjusted 3 bands for hearing protection 1,197,193 336,168 116,937 38,532 6,303 353

Page 43: Claims club, Exeter - September 2016

Prevalence by Occupation

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OccupationModerate or worse hearing

difficultySever hearing difficulty only

Other transport & machinery operatives 16.3% 2.4%

Construction 11.5% 5.0%

Material moving & storing 10.7% 5.4%

Repetitive assembly and inspection 10.5% 2.6%

Metal processing 8.9% 2.7%

Other processing 6.6% 2.6%

Electrical processing 4.9% 2.0%

Managerial 4.2% 1.7%

Clerical 3.8% 2.7%

Selling 3.1% 1.0%

All occupations 5.0% 1.9%

Page 44: Claims club, Exeter - September 2016

The History

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Page 45: Claims club, Exeter - September 2016

Average Cost Per Claim

7,000

6,000

5,000

4,000

3,000

2,000

1,000

-

Average paid including nils by SY Average paid excluding nils by SY

Average legal fees of £10,400 per claim!

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1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Page 46: Claims club, Exeter - September 2016

Legal Aid, Sentencing and Punishment ofOffenders Act 2012 & MOJ Portal

• Resulted in a number of changes including:–––

Sentencing for first offendersRestricted the availability of legal aid in some casesIncreased powers of deportation of foreign criminals once their sentence has been servedCreated a new offence of ‘squatting’.

• Vehicle used to enact changes to the funding arrangements injury claims.

for third party

––––

No longer able to recover success fees from losing partyQualified One Way Costs Shifting (QOCS) introducedATE premium less recoverableBanning of referral fees

MOJ Portal

••••

Introduction of fixed fees for claims in the portalIncrease of 10% in General DamagesSubset of claimsDidn’t really bite for disease

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Page 47: Claims club, Exeter - September 2016

Recent Experience

Monthly Notifications12,000

10,000

8,000

6,000

2015 Q4

4,000

2,000

-

21 September 2016

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EL/PL Portal

LASPO Claimant Solicitor Activity

Page 48: Claims club, Exeter - September 2016

Low quality of claims

Development of Nil Rate by Notification Year100%

90%

80%

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

70%

60%

50%

40%

30%

20%

10%

0%1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728293031323334353637383940414243

Development Quarter

21 September 2016

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Page 49: Claims club, Exeter - September 2016

Settlement Rate

Proportion Closed100%

90%

80%

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

70%

60%

50%

40%

30%

20%

10%

0%1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42

43Development Quarter

21 September 2016

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Page 50: Claims club, Exeter - September 2016

The Future?

• LASPO & MOJ portal adjusted to be more relevant

• Settlement packs and schemes set up

• Changes to the guidelines for audiology tests

• Introduction of repeat audiograms

• MedCo for NIHL

Some hot topics:• Implication of de minimis and latent• Claimant solicitors struggling

hearing loss

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Page 51: Claims club, Exeter - September 2016

Summary

• After significant increases the picture appears to be stabilising

• The increases seen historically are not as bad as suggested by thenumber of notifications alone – the nil rate is key, but doesn’t solve everything

• While some big players are feeling the pressure, reforms have notgripped NIHL claims in the same way as some other claim types and further thought is required.

• Many initiatives in discussion/on the horizon but a number of knownissues too – the future remains highly uncertain.

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