Medico-legal

Introduction

I provide a medico-legal expert witness service based on my experience as follows:

  • Full-time Consultant in Orthopaedic and Trauma Surgery in both NHS and private practice since 2005
  • Regular medico-legal work since 2001
  • Approximately 40% : 40% : 20% division of claimant: defendant : joint work

I aim to provide high quality, objective medical advice and evidence. My medico-legal reports include a clear prognosis, the range of expert opinion and appropriate references. I strive for clarity, readability, and accuracy, with technical medical terms being avoided or explained. My report can generally be available within six to eight weeks of instruction. My area of Special interest is in Hand and Upper Limb Surgery.

I have expertise and experience in the following areas:

  • All upper limb problems in adults and children
  • Personal injury
  • Road traffic accidents and injuries
  • Whiplash injury
  • Repetitive Strain Injury (RSI)
  • Head, neck and spinal injuries
  • Orthopaedic, trauma and accident surgery
  • Musculoskeletal disorders
  • X-ray diagnosis
  • Soft tissue and muscular injuries
  • Sports injuries
  • Work-related and industrial injury
  • Children’s’ / paediatric orthopaedics and injuries
  • Medical negligence

I comply with the relevant codes of conduct and guidelines of the:

  • General Medical Council
  • Royal College of Surgeons of England
  • British Orthopaedic Association
  • British Medical Association
  • The Law Society
  • British Society for Surgery of the Hand

Terms Of Business

  • Terms-Conditions-for-Medical-Reports
  • I require clear written instructions and a reasonable timescale.
  • The issuing of instructions implies that the solicitor agrees to my Terms of Business and Fees Schedule, which are available on my website at www.ukorthocare.com
  • I am generally able to see a claimant and prepare a report within 4 weeks.
  • The solicitor is required to provide a Letter of Authority including a Statement of Confidentiality signed by the claimant.
  • My standard practice is to require payment of my fee prior to my sending the report to the instructing solicitor.
  • I am prepared to amend my report without charge but significant revision will attract my Supplementary Reporting Fee.
  • Medical records and X-rays from hospitals and/or general practitioners should be requested by the instructing solicitor.
  • I will accept Joint Instruction on the understanding that my appointment is by the solicitor sending the letter of instruction, who agrees to my Terms of Business and is responsible for my fee.
  • It is important that my availability is confirmed at the earliest opportunity prior to arranging dates for meetings or court appearances. For details of my availability dates please contact my medicolegal secretary, Sarah Edwards at E-mail: and copy me on E-mail: .

Medico-legal work requires clear written instructions and a reasonable timescale. I am unable to work in areas outside my areas of expertise, which are described in the Introduction. I can usually see a claimant and prepare a report within 4 weeks of receipt of a letter of instruction. Reasonable requests for more urgent reports can usually be accommodated.
The issuing of a Letter of Instruction implies that the solicitor has agreed to my Terms-Conditions-for-Medical-Reports and Fees Schedule. The solicitor must provide a Letter of Authority including a Statement of Confidentiality signed by the claimant.

My standard practice is to insist on payment prior to my sending the report to the solicitor. Because payment is made in advance of receipt of the report, I am prepared to amend my report where reasonable and necessary. There is no extra charge for this provided these amendments do not contradict the facts given to me by the claimant as recorded in my contemporaneous hand-written notes. More significant revision of the report will attract my Supplementary Reporting Fee or a further consultation with the claimant for the full medical report fee. My fees and arrangements for payment are irrespective of the funding status (e.g. Publicly Funded/Legal Aid) of the claimant.

I am not prepared to:

  • Enter into any arrangement where the amount or payment of my fee is contingent upon the nature of the evidence or the outcome of the case.
  • Accept delayed payment or payment on the conclusion of the case.

My fees should not be subject to taxation by the court.
Medical Records: Medical records and X-rays from hospitals and/or general practitioners should be requested by the instructing solicitor for the following reasons:

  • Details of any charges can be agreed and accepted directly by the solicitor.
  • The solicitor is best placed to find out directly from the claimant where to seek relevant medical records.
  • A solicitor is best placed to request records well in advance of a medico-legal examination since there is often a substantial delay in obtaining such records.

It is of significant benefit if the solicitor requests such records as early as possible. This speeds up considerably the preparation of a definitive report. If medical records arrive after my medical report has been prepared I am willing to supply additional relevant information in a supplementary letter. This will be without charge unless such information requires revision of my medico-legal opinion, in which case my Supplementary Reporting Fee will be charged. I am also willing to reply to written questions of clarification on the content of my report without further charge.
General Practitioners’ records may be of limited value since legibility can be difficult. In addition, photocopied records may have pages, which cannot be definitely identified as belonging to the claimant. If it is likely that the General Practitioner has significant information relating to the medico-legal case it is preferable that a factual summary is sought directly from them.
My standard practice is to return all copies of medical records to the solicitor with the completed medical report. This ensures that the solicitor holds all relevant documents.

Joint Statements: Following the preparation of a medical report I am willing to participate in the production of a Joint Statement after discussion with other expert witnesses. An indication of my fee for this work is given in my Fees Schedule but ultimately depends upon the time and work involved. I reserve the right to discuss and agree on this fee with the other expert(s) involved. In order that a satisfactory Joint Statement can be produced I would advise that we are given specific questions to answer and a reasonable timescale.

Joint Instructions: I will accept Joint Instructions in conformity with the Civil Procedure Rules (1998) on the understanding that my appointment is by a single requesting solicitor, who agrees to my Terms of Business and is responsible for my fee.

Unavailability: My availability for meetings or court appearances is generally known approximately 6 months ahead and it is important that it is established at the earliest opportunity. This is best arranged by email to E-mail: and copy me on E-mail:

Intellectual property rights: unless otherwise agreed in writing, all rights of ownership in my medical report shall remain vested in me.
After completion of my report, I return copies of medical records to the solicitor. I keep copies of my reports and associated correspondence for five years.
Throughout these Terms of Business, the term “solicitor”shall include all other agents (e.g. insurance companies, medico-legal report agencies, compensation authorities, employers etc) who provide instructions to me requesting my medical expert witness services.

Terms-Conditions-for-Medical-Reports

Fee Schedule

  • I accept instructions on an agreed and not a “reasonable” fee basis.
  • Payment of court, tribunal, hearing, meeting, travel and cancellation fees is within 30 days of the date of my invoice.
  • Fees are revised periodically

Current fees for medico-legal reports
Report after interviewing of claimant, medical examination & review of health records – occupation-related issues/fitness for work etc –
£400
Report from health records only – occupation-related issues/fitness for work etc
£200
Report after interviewing of claimant, medical examination, and review of health records – personal injury or occupation related cases
£600
Report from health records only – personal injury or occupation related cases
£265
Report after reviewing health records medical negligence/standards of medical care casesPathfinder or Screening Report:
£0 to £250
(with or without interview of claimant & medical examination)
Liability and Causation Report:
£2000
Condition and Prognosis Report:
£2000
Supplementary report or information (if this requires revision of my initial medico-legal opinion) and other expert work or advice
£260 per hour Min £30
Photocopying fees (per 100 pages or part thereof)
£55
For discussions, conferences & joint statements with other experts: fees to be agreed with other expert(s).
Fees for attendance at Court, Tribunal or Hearing
Qualifying work, preparation for court, attendance at court (to include travelling time).
£260.00 per hour / £1375.00 per day
Not including travel and hotel accommodation.
Fee for evening/overnight stay (not including hotel accommodation).
£425.00 per night
Hotel accommodation
3 star or equivalent
Rail travel:
First Class Fare
Road travel:
80 pence per mile
Cancellation of previously arranged court case
Written notice of cancellation received more than 14 days in advance of the first day of the case
No fee
Written notice of cancellation received 7 – 14 days in advance
25% of daily fee per daypreviously arranged
Written notice of cancellation received 0 – 6 days in advance
50% of daily fee per daypreviously arranged
Cancellation and Non-attendance of previously arranged appointment
Written notice of cancellation received more than 14 days in advance of the first day of the case
No fee
Written notice of cancellation received 7 – 14 days in advance
£150
Written notice of cancellation received 0 – 6 days in advance
£300
Non-Attendance
£600
CV & Report Templates

Brief Curriculum Vitae

QUALIFICATIONS

24th & 25th JUNE, 2003
European Diploma in Hand Surgery.
Federation of the European societies for surgery of the Hand (FESSH), Lisbon
1999
FRCS (Trauma & Orthopaedics)
Royal College of Physicians & Surgeons, Glasgow.
1996
FRCS (General Surgery)
Royal College of Physicians & Surgeons, Glasgow.
1993
MS – Orthopaedics
T.N. Medical College, Bombay, India.
1992
DNB – Orthopaedics
National Board of Examinations, N. Delhi, India.
1991
D. Orth.
College of Physicians & Surgeons, Bombay, India.
1989
MBBS
Kasturba Medical College, Mangalore, India.
CURRENT APPOINTMENT

From 3rd January 2005, Consultant Orthopaedic Surgeon with a special interest in Hand and Upper Limb Surgery at East Surrey Hospital (Surrey and Sussex NHS Healthcare Trust).

EXPERIENCE
I have worked as a Substantive Consultant in Trauma and Orthopaedics with a special interest in Upper Limb and Hand Surgery, at the Surrey and Sussex NHS Trust, from 2005 to date.

Hand surgery is a specialised sub-division within Orthopaedic and Plastic surgery. The hand, wrist, elbow, shoulder, and nerves are infinitely complex. I am widely in refereed journals and have a Research doctorate (MS) from Bombay University. I am a member of the British Society for Surgery of the Hand, Bombay Orthopaedic Society, and the Indian Orthopaedic Association. I lecture locally, nationally and internationally. I hold the European Diploma of Hand Surgery awarded by the European Hand Society. In 2003-04, I worked at the Shoulder unit at Queen Alexandra Hospital, Portsmouth. In 2002-03, I worked as a Consultant in Upper limb and Hand surgery at Ashford and St Peter’s Hospital, Chertsey. In 2001-02, I worked as a National Fellow in Hand Surgery at Queen’s Medical Centre, Nottingham. I am a fully qualified Orthopaedic Surgeon from India and the UK. My interest and training in Hand Surgery started in 1990 when I was an Orthopaedic Resident in Bombay. I am very highly trained in trauma management from Portsmouth, Nottingham, Belfast and Bombay, all large teaching units with a first class trauma service. I have written several papers on Shoulder, wrist and Hand disorders including scaphoid and perilunate injuries, trapeziectomy, Rheumatoid hand and frozen shoulder. I am a member of Faculty on the Advanced Trauma Life Support course, Hand Surgery Course for the FRCS Orth in Nottingham, Basic Science and Hand Surgery course in Chertsey, for several years. I also take a keen interest in training junior doctors at the Surrey and Sussex NHS Trust. As part of Continuing Medical Education, I regularly attend meetings and courses.

I have carried out regular medico-legal work since Jan 2001 as Fellow in Hand Surgery, senior specialist registrar, and Locum Consultant. Since Jan 2005, I have regularly written reports and attended courses to improve my report writing and court skills.

SPECIAL INTERESTS

  • All upper limb disorders in adults and children
  • Personal injury
  • Road traffic accidents and injuries
  • Whiplash injury
  • Repetitive Strain Injury (RSI)
  • Head, neck and spinal injuries
  • Orthopaedic, trauma and accident surgery
  • Musculoskeletal disorders
  • X-ray diagnosis
  • Soft tissue and muscular injuries
  • Sports injuries
  • Work-related and industrial injury
  • Medical Negligence

COURSES ATTENDED

  • A Study day focusing on the medico-legal aspects of Rehabilitation- 2005.
  • Medico-Legal report writing- Core Skills, 6th June 2006.
  • Medico-Legal report writing- Advance Skills, 7th June 2006.
  • Medico-Legal Expert witness course on Clinical Negligence. 23rd May 2008.
  • “Accredited Mediator” after attending Mediation training by the London School of Mediation, 20-24thJanuary 2014.
  • Medico-legal Clinical Negligence Course, 10th September 2015, 218 Strand London.
  • Medico-legal Court Room Skills Course, 22nd October 2015, 218 Strand London.
  • “Advanced Medico-legal Course”, 4th February 2016, London.

ANNOUNCEMENT
I am now available to do Orthopaedic Medical reports at various locations in Surrey.

My Private Secretary, Sarah Edwards is available on

Phone : 08000430760 and eMail : , to make appointments.

Download Detailed Medicolegal-CV

17052020

To download Specimen Medical Report

Personal Injury

To download Specimen Medical Report

Condition & Prognosis

To download Specimen Medical Report

Liability & Causation