Yes, if the emergency department's care fell below what was widely accepted as competent practice, and earlier treatment would probably have avoided some or all of your child's injury. Being sent home with a child who turns out to have meningitis is not negligence on its own, because early meningitis can look like a viral illness. A Victorian claim turns on two questions. Did the assessment, observations, tests and discharge advice meet the standard in section 59 of the Wrongs Act 1958 (Vic), judged against guidance such as the Royal Children's Hospital clinical practice guidelines? And would antibiotics given at that first visit probably have prevented the brain injury, hearing loss or other harm that followed? Both need independent expert evidence. The claim belongs to your child, and a parent brings it as litigation guardian. For a child, the time limit is six years from when the claim became discoverable, with a twelve-year long-stop, and a parent's knowledge counts.
| What an expert asks | Points away from a claim | Points towards investigating |
|---|---|---|
| Was your child properly assessed? | Full observations recorded and repeated, and a documented examination for warning signs | Observations missing or taken once, abnormal readings not acted on, no note of a rash check |
| Were your concerns listened to? | Your concerns noted and answered, with senior review where the picture was unclear | A parent saying the child was not themselves, with nothing in the notes about it |
| Was the discharge safe? | Clear written advice on what to watch for, and when to come back | Sent home while observations were still abnormal, or with no return advice |
| Would earlier antibiotics have changed the outcome? | The illness was already advanced, or moved so fast that earlier treatment would probably not have helped | An expert says treatment at the first visit would probably have avoided some or all of the injury |
These are the questions an expert works through. The table does not tell you whether you have a claim, and it is not medical information.
If your child is unwell right now, this page can wait. Call 000 or go to the nearest emergency department.
If you are reading this after the worst days are over, you may be going back over that first visit again and again. You took your child in because something was wrong, and you were told to take them home. Asking whether that was right is a reasonable question, and it has a structure. This page covers the specific situation of a child sent home from emergency. Misdiagnosis and delayed diagnosis claims sets out the general rules for any missed diagnosis.
Is being sent home with meningitis always negligence?
No. Emergency doctors see many children with fever, and the Royal Children's Hospital sepsis guideline notes that most children with fever do not have sepsis. The Royal Children's Hospital guideline on meningitis and encephalitis notes that infants may have "subtle or non-specific symptoms", such as irritability, lethargy, poor feeding and vomiting. A diagnosis that is hard to make in the first hours can be missed without anyone falling below the standard of care.
Section 59 of the Wrongs Act says a professional is not negligent if they acted in a manner that, at the time the service was provided, was widely accepted in Australia by a significant number of respected practitioners in the field as competent professional practice. A court can set that peer opinion aside if it finds it unreasonable. The words "at the time" matter. The question is what was accepted practice on the day of the visit, based on what was in front of the doctor then, not what everyone knows after the diagnosis was made.
What is an emergency department expected to do with a child who has a fever?
Clinical guidelines are not law, but they are strong evidence of what competent practice looks like. An expert asked to review your child's care is likely to consider these.
- Looking for warning signs. The Royal Children's Hospital febrile child guideline lists features that raise concern for a serious bacterial infection. They include pallor or mottled skin, not responding normally, not waking or only waking with prolonged stimulation, fast breathing, poor feeding, a capillary refill time of three seconds or more, a bulging fontanelle, neck stiffness, and a non-blanching rash.
- Taking a parent's concern seriously. The Royal Children's Hospital sepsis guideline treats a high level of parental concern, and a return to hospital within 48 hours, as red flags that should prompt a clinician to consider sepsis. The national Sepsis Clinical Care Standard says that "in paediatrics, parental concerns and observations are key to initiating an escalation of care".
- Treating quickly once meningitis or sepsis is suspected. The Royal Children's Hospital meningitis guideline says antibiotics should be given within 30 minutes of the decision to treat, and should not be delayed in an unwell child if a lumbar puncture will take more than 30 minutes. The Sepsis Clinical Care Standard says that when signs of infection-related organ dysfunction are present, appropriate antimicrobials are started within 60 minutes.
- A safe discharge. The febrile child guideline says to "always advise parents to return for review if the child is deteriorating", and sets conditions, including arranged follow-up, before some young infants go home.
Safer Care Victoria publishes sepsis pathways for adults and for pregnancy, and guidance on sepsis in newborns. For children beyond the newborn period, this page cites the Royal Children's Hospital guidelines. Which guideline applied in a particular hospital, and which version was current on the day, is something an expert will check.
What would earlier antibiotics have changed?
This is usually the hardest part of the claim. Proving that your child should not have been sent home is only half of it. You also have to prove that the delay caused harm.
Section 51 of the Wrongs Act requires the negligence to have been a necessary condition of the harm. In Tabet v Gett [2010] HCA 12, a case about a six-year-old girl in hospital, the trial judge found that a CT scan should have been ordered earlier, but was not satisfied that it would probably have prevented her brain damage. The High Court held that a lost chance of a better outcome, where the chance was less than probable, is not damage the law compensates.
So the expert question is specific. If antibiotics had been given at the first visit, rather than hours or a day later, would your child probably have avoided some or all of the brain injury, hearing loss, seizures or other harm? That is a question for independent medical experts, often more than one: someone to speak to the standard of emergency care, and someone to speak to how the infection would have progressed with earlier treatment. Their answer depends on the timeline, so the exact times in the records matter.
Who brings the claim: your child, or you?
The claim for your child's injury belongs to your child. Under Order 15 of the Supreme Court (General Civil Procedure) Rules 2025 (Vic), a minor starts a proceeding through a litigation guardian, usually a parent, who acts through a solicitor. The litigation guardian is not personally liable for costs awarded against the child unless the court orders otherwise for a special reason. Rule 15.08 says no settlement of a child's claim in a proceeding is valid without the court's approval. That rule is there to protect your child.
The child's claim can include the cost of future care and treatment. It can also include the care your family gives, within limits. Section 28IA of the Wrongs Act allows damages for unpaid care only where there is a reasonable need for it arising solely from the injury, and not where it is provided for less than six hours a week and for less than six months. What compensation can cover explains the heads of damage more broadly, and birth injury claims covers how lifelong care is approached where a child is injured very young.
A parent may also have a claim of their own. Part XI of the Wrongs Act deals with mental harm. Under section 73, a person can recover damages for pure mental harm arising from shock where they witnessed, at the scene, the other person being injured or put in danger, or where they are or were in a close relationship with that person. Section 72 requires a recognised psychiatric illness. Grief and distress, however deep, are not enough on their own. Section 28LE also bars damages for pain and suffering unless the injury is a significant injury under the Act.
How long do you have to claim for a child in Victoria?
For an injury to a child, section 27E of the Limitation of Actions Act 1958 (Vic) allows six years from the date the claim is discoverable or twelve years from the act or omission, whichever ends first. Under section 27J(3), what a capable parent knows or ought to know is treated as what the child knows. That means time is not simply paused until your child turns eighteen, and the twelve-year long-stop can pass while your child is still young. Time limits for medical negligence claims sets out the general rules, and claiming after many years covers extensions of time.
Does it matter that it was a public hospital emergency department?
Many children are taken to a public emergency department. The negligence test is the same. What changes is who you claim against: generally the health service, rather than the individual doctor or nurse. Suing a Victorian public hospital explains how that works, and whether to complain first.
What records show what happened at the first visit?
The claim is built from the timeline, so the first step is the complete file from every visit, not only the discharge summary. That usually includes the triage note and its time, the observation charts, the doctor's and nurses' notes, any tests ordered and when, the discharge advice, the ambulance record if there was one, and the full record of the return visit, including the time antibiotics were first given. How to get your medical records in Victoria sets out how to ask. Writing down your own recollection of times, what you saw and what you were told, while it is fresh, can also help.
If you want the records and the timeline looked at, start a free assessment. If you do not have the records yet, that is no reason to wait. You will be told what to request and from whom.
Common questions
Can you claim if your child was sent home from emergency and it was meningitis?
Yes, if the care at the first visit fell below what was widely accepted as competent practice at the time, and earlier treatment would probably have avoided some or all of your child's injury. Both parts must be proved with independent expert evidence. A delay that might only have made a difference is generally not enough in Australian law.
Is a missed meningitis diagnosis always negligence?
No. Early meningitis can look like a common viral illness, and the Royal Children's Hospital guideline notes that infants may have only subtle or non-specific symptoms. Under section 59 of the Wrongs Act 1958 (Vic) a doctor is not negligent if they acted in a way widely accepted in Australia as competent professional practice at the time, unless a court finds that opinion unreasonable. What gets examined is what was recorded, what was done about it, and what you were told when your child was sent home.
How long do you have to claim for a child's meningitis injury in Victoria?
For an injury to a child, section 27E of the Limitation of Actions Act 1958 (Vic) allows six years from the date the claim is discoverable or twelve years from the act or omission, whichever ends first. Under section 27J(3), what a capable parent knows or ought to know counts as what the child knows. Time is not simply paused until your child turns eighteen.
Can parents claim for their own psychiatric injury?
A parent may have a separate claim for a recognised psychiatric illness caused by what happened to their child. Part XI of the Wrongs Act 1958 (Vic) allows it where the parent is in a close relationship with the child or witnessed the injury at the scene, and grief or distress on its own is not enough. Damages for pain and suffering also require the injury to meet the Act's significant injury threshold.
Sources
Legislation was checked on legislation.vic.gov.au on 26 September 2026: the Wrongs Act 1958 (Vic) at version 130 (in force from 25 February 2026), the Limitation of Actions Act 1958 (Vic) at version 112 (in force from 25 February 2026), and the Supreme Court (General Civil Procedure) Rules 2025 (Vic) at version 003 (in force from 1 January 2026).
- Wrongs Act 1958 (Vic) — sections 28IA, 28LE, 51, 59, 72 and 73
- Limitation of Actions Act 1958 (Vic) — sections 3(2), 27E and 27J
- Supreme Court (General Civil Procedure) Rules 2025 (Vic) — rules 15.01, 15.02 and 15.08
- High Court of Australia, Tabet v Gett [2010] HCA 12
- Royal Children's Hospital Melbourne, Clinical Practice Guideline: Meningitis and encephalitis (updated October 2024)
- Royal Children's Hospital Melbourne, Clinical Practice Guideline: Febrile child (updated September 2022)
- Royal Children's Hospital Melbourne, Clinical Practice Guideline: Sepsis – assessment and management (updated March 2020)
- Australian Commission on Safety and Quality in Health Care, Sepsis Clinical Care Standard (2022)
- Safer Care Victoria, Sepsis clinical guidance