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As a clinical negligence practitioner, my hourly rate is whatever Acumension will agree to taking into consideration the length, value and complexity of the case - - this currently seems to range from anything between £50 and £250. Could I have given an accurate estimate of my final agreed hourly rate to each client at the beginning of the case? No, of course not as this depends on evidence I do not yet have and other factors which our outside of my control, such as whether the case will be "rigorously defended" for a few years prior to settlement eventually being agreed before trial. Even in those cases, my hourly rate might still only be £50 an hour due to proportionality rules. Does the client care about any of this? Not in my experience, no.