Proposals for fixed recoverable costs in lower value clinical negligence claims should include the words “culture change” in relation to the NHS and the NHS Litigation Authority (NHSLA), says Agata Usewicz, head of clinical negligence at Hodge, Jones & Allen, in this week’s NLJ. Usewicz says there is “a plethora of examples” of the NHSLA driving up the cost of claims by failing to admit liability at an early stage.