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I do not see how fixed costs are going to work in Clinical Negligence unless this is only to apply in cases where breach of duty and causation are admitted. Quite a low value contested claim can generate substantial costs and to restrict costs in such a case is to restrict any proper access to justice because even reasonably incurred costs will be dissallowed [yes - I have seen the case law where that happened] and meritorious claims will not be cost effective to pursue. Please do not let anyone think that litigants in person can run Clinical Negligence claims!