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Bolitho--claimant's friend or enemy?

The aim of this paper is to consider whether the decision of the House of Lords in Bolitho v City and Hackney Health Authority [1997] 4 All.E.R. 771 has, in theory and practice, altered the English law on standard of care in clinical negligence cases to the benefit of claimants (patient/plaintiffs). The conclusion reached is that the current signs are very encouraging.