“He works hard to do the best possible job for clients." “He is practical and efficient, and very easy to work with." “He highlights strengths and weaknesses in a case and confirms the best way to proceed." “Nigel provides clear advice which is easy to understand."

“His pleadings and schedules are excellent." “Nigel is a very experienced and practical lawyer who is good with clients." “He is good with clients and experts and easy to work." “Nigel is a great all-rounder with great advocacy skills in round table meetings."

“Nigel is extremely pleasant to work with. His pleadings are persuasive, he is good in conference with experts and very responsive. He is easy to work with due to his personable manner, but is a tough negotiator when necessary."

Chambers UK 2025

“He’s a good all-rounder across a breadth of clinical negligence cases."

Chambers UK 2024

“His standard and quality of work is always extremely high. He’s very practical and approachable."

Chambers UK 2024

“He is good with clients and always explains everything in detail to them during conferences and settlement meetings."

Chambers UK 2024

“Nigel is fabulous in conferences both with clients and experts."

Legal 500 2024

“He is very easy to deal with and gets very good results." “He is exceptionally good in pleadings."

Legal 500 2024

“Nigel is very knowledgeable, constantly strive to improve and remain up to date on the law. His pleadings are excellent and one of the best in the country – very clear and succinct."

Chambers UK 2023

“His preparation is meticulous, clients and experts like him and he delivers consistently excellent work."

Legal 500 2023

“Great on paperwork and in conference and responsive. Very organised and approachable. Easy to work with. Always achieves a good result."

Legal 500 2022

“His drafting is superbly clear and he is always approachable."

Legal 500 2021

“…clients endorse Nigel Spencer Ley for ‘eye for detail’ and ‘excellent paperwork."

Legal 500

“…puts his detailed knowledge of the NHS to good use."

Legal 500

“Client friendly and skilled in complex cases."

Legal 500

This was an extremely unusual claim for wrongful life. The Claimant was born with significant disabilities. Her case is that but for the negligence of the Defendant GP she would not have been conceived. Instead her mother would have given birth sometime later to a genetically-identical sibling without disabilities. The claim was settled on the basis of periodical payments order. The gross value of the settlement was in excess of £21m.

X v. X (2024)

As a result of a delay in appropriate medical treatment the Claimant suffered bowel obstruction, leading to the need for surgery to remove most of her bowel. She subsequently developed short bowel syndrome. She is now PEG-fed and very disabled with impaired life expectancy. Liability was largely admitted. The claim was settled on the basis of periodical payments order. The gross value of the settlement was in the region of £8.5m.

S. v. University Hospitals Southampton NHS Foundation Trust (2024)

The Claimant suffered a leg fracture due to the negligence of the First Defendant highway authority and underwent emergency surgery at the Second Defendant hospital. The surgery was undertaken negligently, requiring six further operations and leaving him disabled. The First Defendant later alleged the Second Defendant’s negligence was a novus actus breaking causation. The issue was whether negligent (not grossly negligent) emergency treatment could amount to a novus actus. The claim settled in April 2024.

Jenkinson v. Hertfordshire County Counsel & East and North Hertfordshire NHS Trust (2024)

The Claimants’ son PQR was born in 2018 with severe disabilities caused by Cornelia de Lange Syndrome. They contend they should have been warned during pregnancy that the foetus was likely to have a serious genetic disorder and offered a termination, which they would have chosen. Wrongful birth claims of this kind are rare and raise unsettled legal issues. The claim settled by periodical payments, with a gross value exceeding £11m.

PQR v. NHS Trusts (2024)