QB-2022-000824 - [2025] EWHC 1610 (KB)

The experts all agree that on the balance of probability, the Claimant will continue to experience these symptoms and they will not completely resolve as there are very few treatment options available to her. Mr Magos notes that earlier treatment would have reduced but not totally eliminated the risk of chronic PID and pain and superimposed acute infections. Mr Raine-Fenning agrees and opines that her pain symptoms are likely to become worse with further episodes of acute or chronic PID. This is supported by the BASHH 2018 Guideline for the Management of PID (the contents of which the experts agree were applicable in 2016, save in relation to recommended antibiotic regimens) which notes at internal page 10 that “clinically more severe disease is associated with a greater risk of sequelae”. In cross-examination by Mr Gibson, Mr Raine-Fenning noted that once pain has been chronic for some time, say 15 or 20 years, it can become centralised and is known not to go away. I accept all of this evidence.