Injury type

Amputation Compensation Claims

Amputation claims are among the most serious injury categories in the Judicial College Guidelines, reflecting the permanent, life-changing nature of limb loss and the significant ongoing cost of prosthetic provision, rehabilitation, aids, adaptations and - where relevant - loss of earning capacity. The JCG 17th edition (April 2024) separates amputation cases by upper vs lower limb, by level (above-knee vs below-knee; above-elbow vs below-elbow), and by whether one or both sides are affected.

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Amputation claims are among the most serious injury categories in the Judicial College Guidelines, reflecting the permanent, life-changing nature of limb loss and the significant ongoing cost of prosthetic provision, rehabilitation, aids, adaptations and - where relevant - loss of earning capacity. The JCG 17th edition (April 2024) separates amputation cases by upper vs lower limb, by level (above-knee vs below-knee; above-elbow vs below-elbow), and by whether one or both sides are affected.

Amputation claims are among the most serious injury categories in the Judicial College Guidelines, reflecting the permanent, life-changing nature of limb loss and the significant ongoing cost of prosthetic provision, rehabilitation, aids, adaptations and - where relevant - loss of earning capacity. The JCG 17th edition (April 2024) separates amputation cases by upper vs lower limb, by level (above-knee vs below-knee; above-elbow vs below-elbow), and by whether one or both sides are affected.

Casibus works with SRA-regulated personal injury specialists on a no win, no fee basis. Every case depends on its evidence.

How the JCG values amputation

Double upper-limb amputation

The highest amputation bracket. Loss of both hands or arms. JCG 17th edition general-damages figures are comparable to the most severe brain-injury tier - well into six figures - reflecting the severity of functional loss. Comparable in order of magnitude to very severe TBI or tetraplegia general damages.

Single upper-limb amputation

Loss of one arm, valued by level - shoulder disarticulation / above-elbow / below-elbow. Above-elbow amputation attracts a higher bracket than below-elbow because it prevents use of a cosmetic or functional prosthesis at the elbow joint. Dominant vs non-dominant arm affects final valuation within the bracket.

Double lower-limb amputation

Loss of both legs. JCG 17th edition valuation depends on level - hindquarter / above-knee / below-knee - with higher brackets for higher amputation. Lifetime mobility cost is very substantial.

Single lower-limb amputation

The most common category in our caseload - a single below-knee amputation following an RTA, industrial accident or vascular event. Above-knee amputation attracts higher figures than below-knee because it affects the knee joint and drives the need for more complex prosthetics. Hindquarter amputation (loss of the entire leg at the hip) attracts a higher figure again.

Prosthetics - the recurring cost

The NHS supplies a baseline prosthetic - appropriate for daily activities, adequate for most purposes. For many claimants, that baseline is not enough: the claim typically funds private activity-specific prosthetics (microprocessor knees, or MPKs; running blades; water-rated prosthetics; myoelectric hands with multiple grip patterns). These devices cost tens of thousands of pounds and require replacement every 3-5 years. Over a lifetime, prosthetics alone can run into seven figures for an active younger claimant.

A good amputation claim maps out: current and anticipated future prosthetic needs by activity; replacement intervals; socket replacement and liner costs; servicing / maintenance; and consumables.

Special damages in amputation claims

  • Prosthetics - as above, lifetime replacement cycle costed out.

Common routes to an amputation claim

Vascular and diabetic amputation - when is it a clinical-negligence case?

Not every amputation is a negligent amputation. Amputation is an appropriate treatment for many conditions - severe peripheral vascular disease, sepsis, necrotising fasciitis, non-viable tissue after trauma. A claim arises only where the pre-amputation management fell below a reasonable standard (Bolam / Bolitho). Common patterns we see: delayed referral of a diabetic foot ulcer to specialist vascular care; failure to investigate critical limb ischaemia in time; missed compartment syndrome after a fracture; failure to diagnose necrotising fasciitis. These turn on expert vascular / orthopaedic evidence. See medical negligence.

Military amputation - AFCS and the common-law route

Serving personnel who sustain amputation in service have two parallel routes: the Armed Forces Compensation Scheme (AFCS, administered by Veterans UK) - a no-fault tariff scheme covering injury or illness caused by service on or after 6 April 2005; and common-law negligence against the MOD where negligence can be established. Following Smith v Ministry of Defence [2013] UKSC 41, combat immunity does not apply to training and equipment-provision decisions. AFCS tariff awards for amputation are substantial but often below what a full common-law quantification would produce. Both routes can be pursued - with proper credit against double recovery. See military accidents.

Interim payments

Interim payments under CPR 25.6 are routine in amputation cases - to fund initial prosthetics, accommodation adaptations, and rehabilitation long before final settlement. The first interim typically follows admission of liability or a strong early liability case. See interim payments.

Frequently asked questions

Usually yes, where the claim succeeds. NHS prosthetic provision is a baseline; the claim funds what the NHS does not supply - activity-specific limbs, microprocessor knees, myoelectric hands, running blades - plus the recurring replacement cost. Expert prosthetist evidence supports the quantification.
Significantly. Higher amputations (above-knee, above-elbow, shoulder / hip disarticulation) attract higher JCG brackets than more distal amputations because they have greater functional impact and drive more complex prosthetic needs. Dominant vs non-dominant arm matters in upper-limb cases.
For AFCS, claims normally need to be made within 7 years of injury or its connection to service becoming apparent. For common-law claims, the 3-year limitation period under the Limitation Act 1980 runs from date of knowledge - which, for military claims, is frequently later than the date of service. See military accidents and time limits.
Only if the pre-amputation clinical management was negligent. If standard care was provided and the amputation was the appropriate outcome, there is no claim. Expert vascular / endocrinology evidence is essential - your solicitor will obtain it before committing to the claim. See medical negligence.
Three years for most personal injury claims; 7 years for AFCS; longer for children (running from 18th birthday) and protected parties. See time limits.
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