Background and framework In the vast majority of personal injury and clinical negligence cases, where the court makes an award of damages, that award will be made in the form of an immediate payment of a lump sum directly to the claimant. However, in any personal injury or clinical negligence case in which the court is making an award relating to future pecuniary loss, it may order that the damages take the form, whether wholly or partly, of periodical payments. Indeed, the court must in such a case consider whether to make such an order. The Damages Act 1996 (DA 1996) empowers the court in personal injury proceedings to make a periodical payments order (PPO), a lump sum award or a combination of the two. By virtue of DA 1996, s 7(1), 'personal injury' includes any disease or any impairment of the claimant’s physical or mental condition and a claim for personal injury includes a reference to a claim brought under the Law Reform (Miscellaneous Provisions) Act 1934 and to a claim brought under the