Forensic & Expert witness Vascular Focus 2019

Vascular Medico Legal Focus

Professor Bruce Braithwaite Consultant Vascular Surgeon & Expert Witness

Professor Bruce Braithwaite a teaching hospital Consultant Vascular and General surgeon with a wide range of expertise in arterial and venous surgery, including endovascular abdominal aortic aneurysm repair, and peripheral bypass surgery offers his Expert Witness services for any medical negligence or personal injury cases.

PROFESSOR BRUCE BRAITHWAITE MChir MA MB FRCS FRCS (Gen Surg)

FOUNDER OF VEINCARE, CONSULTANT VASCULAR SURGEON & EXPERT WITNESS

Professor Braithwaite has been a teaching hospital Consultant Vascular and General surgeon since 2000. He has a wide range of expertise in arterial and venous surgery, including endovascular abdominal aortic aneurysm repair, and peripheral bypass surgery. He is the Secondary Care Specialist for an NHS Clinical Commissioning Group and was Chairman of a Hospital Clinical Governance Committee. He is a Founding Member and Director of Operations for a National Partnership of Clinicians, Alliance Health Group, for whom he set up the Governance policy.

He has been involved in national and international research projects in vascular disease and has published over 60 peer reviewed articles.

He has a particular interest in varicose veins, deep and superficial venous disease particularly the outcome of deep vein thrombosis. He runs a specialised clinic for patients, receiving referrals from around the UK and has promoted and pioneered some of the latest treatments for the condition.

He is an authority on arterial thrombosis, lower limb ischaemia, varicose vein disease, and the complications of diabetes, including amputations. He has experience in the management of vascular trauma.

He currently prepares over 30 reports per year for clients involved in trauma and medical negligence claims.

He is happy to be involved in either claimant or defendant activity and can see clients in London and the East Midlands.

PROFESSOR BRUCE BRAITHWAITE Please contact

T: 07967 636 769 (Secretary Dawn) T: 0800 170 7470 E: expert@bdb.org.uk

W: www.bdb.org.uk

Mr Philip Coleridge Smith

DM MA BM FRCS Emeritus Reader in Surgery, UCL Medical School

Areas of expertise • • • • • • •

Peripheral vascular disease Deep vein thrombosis Spider veins Thrombosis Varicose veins Venous insufficiency Venous ulcer

Mr Philip Coleridge Smith is one of London's leading vascular surgeons. Operating at the British Vein Institute he is an expert in the treatment of varicose veins. He lectures at University College London and has been the editor of the medical journals, ‘Phlebology’ and ‘The European Journal of Vascular and Endovascular Surgery’. He is currently President of the British Association of Sclerotherapists and is acknowledged as an international authority and expert in venous disease, including the management of vein problems using ultrasound-guided sclerotherapy and other modern methods of vein ablation.

Throughout his career he has treated several thousand patients using injection techniques.

T:0870 609 2389 E:p.coleridgesmith@adsum-healthcare.co.uk W:www.bvi.uk.com W:www.medical-expert-witness.co.uk

The British Vein Institute 24-28 The Broadway, Amersham HP7 0HP

Mr John H Scurr Consultant General and Vascular Surgeon - Senior Lecturer MBBS (Hons), BSc (Hons 1st Class) FRCS

Vascular Expert Witness Reports

John Scurr Medico Legal

Whilst the majority of clinical interventions result in a very satisfactory outcome, a few cases do not. In the majority of cases where a patient is dissatisfied the reason for this dissatisfaction may simply be a failure to understand the procedure or the lack of appropriate advice. Very few people start a medico- legal claim with the sole purpose of obtaining large sums of money.

It has been possible to identify patients with a significant claim and in some cases claims where the patient has suffered a life altering experience.

The first step in conducting a medico-legal case may be to obtain advice from a solicitor. Many solicitors are now experts in this area and will know who to instruct.

We are approached on a regular basis by people who are concerned about the validity of a claim and we are in a position to advise both on the validity of the claim and on the solicitor who can manage the case.

We are in a position to provide a simple case analysis which will identify the merits of the case and point a solicitor in the right direction. More detailed reports can be provided which are suitable for solicitors issuing proceedings.

John Scurr has had considerable experience in the preparation of all forms of reports, both clinical negligence and personal injury. He has appeared in Court on many occasions and many cases have been seen as highly successful. In some instances a successful case may not involve the Court at all but will involve a satisfactory resolution at an early stage.

John Scurr trained as a mediator and has considerable expertise in the preparation of Medico Legal reports both in the field of clinical negligence and personal injury.

For Medico-Legal issues please contact us initially on +353 1 2937863 and medleg2@ eircom.net.

John Scurr continues to provide a clinical service. He works closely with Mr Philip Coleridge Smith (another of our Federation members and expert witness) re the management of varicose veins.

Lister Hospital, Chelsea Bridge Road, London, SW1W 8RH Unit 509/510, Q House, 76 Furze Road, Sandyford, Dublin 18 Ireland Area of work: United Kingdom & Ireland Tel: 020 7259 0692 & 00 353 1 293 7863 Email: jhsgroup@hotmail.co.uk; medleg2@eircom.net

Federation of

Forensic & Expert witnesses

Mr Laszlo Papp

MD, PhD, EBSQ-Vasc (2003) Consultant in Vascular Surgery

Areas of Expertise:

My clinical expertise including day-to-day patient care

• operating lists, arterial and venous surgery • Aortic aneurysm surgery • Carotid artery surgery • Vascular access surgery (dialysis) • Under and postgraduate teaching.

Currently based in North Wales with a number of notable achievements, including winning the right to stage the 2013 ESVS annual meeting.

Mr Laszlo Papp

MD, PhD, EBSQ-Vasc (2003) Consultant in Vascular Surgery 01248 384303 pl1963@hotmail.com

Redwood Collections Ltd joins the Federation of Forensic and Expert witnesses

Experienced debt collection agency joins the federation to assist expert witnesses with credit control and unpaid invoice chasing.

NO COLLECTION, NO COMMISSION Commission is only charged upon successful collections. This focuses their staff on achieving the result their clients desire. Their typical commission rate is 15% in most instances.

On many occasions these additional costs may be legally recovered from your debtor, depending on the content of your terms and conditions.

NO JOINING FEES OR CONTRACTS Redwood do not ask clients to enter into a fixed or formal contact (unless preferred), nor do they charge joining fees or monthly charges. Their service is on-demand and they have found that this flexibility suits their clients who often have seasonal or periodic debt patterns.

They prefer their clients to return because they have received a good service, rather than being obligated to do so under an onerous contract.

TAKING OVER THE BURDEN Credit control is a time-consuming process, often requiring continuous chasing and mediation to achieve payment.

For proprietors of small businesses there may not be enough hours in the day, whereas larger businesses may find their credit control staff need assistance with stubborn debtors.

Whatever the situation is, Redwood Collections can assist you with proactive chasing of your delinquent customers.

A reliable, persistent, yet professional partner when you need one.

COMMUNICATION & REPORTING Their clients are assigned a dedicated account manager and provided with his/her direct contact details. Their account managers have an average of nine years’ experience and respond same-day to most debts referred, quickly getting up-to-speed on the history of the case and establishing a dialogue as soon as possible.

They supply all clients with regular reports in hard copy and 24/7 online access to your cases is available.

ALL UNDER ONE ROOF For cases requiring additional persuasion, Redwood Collections are vastly experienced in recommending the right kind of legal action to instigate against your debtors. They drive forward legal action in-house, saving their clients from over-involvement in a lengthy and time-consuming process.

Unlike most debt collection agencies they retain a panel of highly-regarded solicitors and insolvency practitioners.

They offer a professional and effective solution to your enforcement needs that dovetails seamlessly with their core debt recovery services, offered at very competitive rates.

REPUTATION MATTERS Redwood know their clients value their good names and they strive to uphold their clients’ reputations while also meeting their performance expectations.

Striking this delicate balance is possible due to their investment in quality staff and systems, enabling them to hold themselves to the highest standards when collecting your unpaid debts: • Authorised and regulated by the Financial Conduct Authority.

• ISO:9001 accreditation and externally audited each year.

• Long-standing members of the Credit Services Association.

• All collections staff hold CSA Collector Accreditation Initiative certificates.

• Registered as GDPR data controllers with the Information Commissioner’s Office.

• Comprehensive business insurance with multi-million pound cover.

HOW TO GET STARTED For a no-obligation discussion with Redwood Collections today, members should call Matthew Sales who leads their specialist department. His direct number is 020 3868 6569.

Redwood’s 12,000+ UK clients

Further information on their processes can be found online at www.redwoodcollections.com, where you can also refer a debt to them in less than five minutes.

Tel: 020 8288 3555

Web: www.redwoodcollections.com

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Mr Pau

BSc(Hons), MBBS, MRCS

Consultant in Vascular He is responsible for the strategic and operational oversight of the vascular practice across the acute hospitals within Barts Health NHS Trust (The Royal London Hospital, St Bartholomew’s Hospital, Whipps Cross Hospital, Newham University Hospital). Also Clinical Lead, Vascular Surgery, Barts Health NHS Trust, April 2013 – present and, Clinical Director, North East London AAA Screening Programme, September 2012 - present. He was appointed to a General surgery NTN (LDN/021/023/N) in the NE Thames region in 4/2001.

Mr Flora has undertaken Expert Witness training and is on panel as an expert for The Medico-Legal Experts Practice (TMLEP).

Mr Flora has expertise in the follow

• Open Vascular/Endovascular surgery and hybrid techniques to treat vascular disea • Aortic Aneurysms (Thoracic, infrarenal) • Peripheral aneurysms (Femoral, Popliteal, visceral) • Peripheral arterial disease • Varicose veins • Carotid disease • Thoracic outlet syndrome • Popliteal entrapment syndrome • AV malformations • Sympathectomy: Cardiac and for Hyperhidrosis • Removal of complex neck tumours with ENT or Maxillo-facial surgeons, where carotid reconstru • General/Laparoscopic surgery • Hernia repair • Appendicectomy • Cholecystectomy • Trauma • Barostim Therapy: Performed the first Barostim implant surgery in the UK on two patients at the Ro This is a new treatment for patients with resistant hypertension for whom no current treatm • Cardiac Thoracoscopic Sympathectomy • Google Glass to perform vascular surgery. His team was the first to perform an Open AAA and Car procedures using this technology to further the teaching and training experience • CALM study: Use of Carotid stent to treat resistant hypertension

ul Flora

S, FRCS(GenSurg), MSc

r and General Surgery He aims to provide timely, clear independent reports to the medical profession on the back of 10 years of experience as a consultant surgeon. He fully understands the requirements of instructing solicitors, in particular the restricted timescales for civil litigation, the limitation of expertise, and the absolute need for independent, balanced consideration.

Mr Flora is happy to take instruction from claimant and defendant as well as act as a single joint expert.

He aims to complete the report within 4 weeks of seeing clients Fees and a terms and conditions sheet can be provided on request.

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Memberships: The Royal College of Surgeons of England, Member of International Society of Endovascular Specialists (ISES), Vascular Society, Association of laparoscopic surgeons of Great Britain and Ireland.

The Federation of Forensic and Expert Witnesses member 2019.

Mr Paul Flora

Consultant in Vascular and General Surgery 116 Harley Street London W1G 7JL Contact: Eli Alfaro Tel: 07340 770730 (Eli Alfaro) Mobile: 07711 670623 Email: paulflora@me.com Alternate Email: thesurgeonslih@gmail.com

Consultant Vascular Surgeon Professor Peter Holt FRCS, PhD Clinical interests Professor Holt is professor of Vascular Surgery at St George's University Hospitals NHS Foundation Trust.

His specialist interests are thoracic, thoraco-abdominal and abdominal aortic aneurysms, aortic dissection, and the management of peripheral arterial disease.

Professional profile Professor Holt qualified in 2003 from Imperial College having trained at St Mary's Hospital, London. He worked Charing Cross Hospital, and St George's, for vascular research and clinical practice. During his specialist training he spent two years in Sheffield at the Northern General Hospital, before being awarded a National Institute for Health Research (NIHR) Academic Clinical Lectureship in 2008 for his work on clinical outcomes research and vascular surgery population health research. This award was superseded by a five-year NIHR Clinician Scientist Award. Further sub-specialist training was undertaken in Adelaide, Australia. Prof Holt was appointed to a consultant post in 2013 at St George's Hospital, and promoted to Chair of Vascular Surgery in 2017.

As well as leading on complex aortic surgery, Professor Holt is the Clinical Director for Cardiac, Thoracic and Vascular surgery. He leads a research team examining population health and clinical outcomes research across the breadth of vascular surgery, and health technology appraisals.

Professor Holt is a clinical expert for a number of NICE Technology Appraisals, and has been a standing member of the NICE Indicators Advisory Committee.

Professor Holt has co-authored international treatment guidelines including the European Society for Vascular Surgery Guidelines for the Management and Treatment of Abdominal Aortic Aneurysms, and the Provision of Vascular Services from the Vascular Society of Great Britain and Ireland. His research underpins the vascular society and NHSE specialist commissioning strategic service reconfiguration in vascular surgery, and he was an expert advisor for the 2010 Commissioning Support London CardioVascular Review.

Professor Holt is an Expert Witness in vascular surgery, providing expertise and opinion for clinical negligence cases and Coroner's Inquests

Areas Of Interest Covered Include: • Aortic Aneurysm • Venous Thrombosis • Ulceration • Venous Ulcer • Arterial Ulcer • Diabetic Ulceration • Amputation • Aortic Dissection • Vascular Trauma • Carotid Endarterectomy • Limb Ischaemia • Arterial Bypass • Peripheral Vascular Disease • Varicose Veins.

07968 058988 | peteholt@btinternet.com

Professor Daniel

J M Keenan

Consultant Cardiothoracic Surgeon BSc(Hons), MB, BCh, FRCS, FEACTS.

Danny Keenan is a Professor of Cardiothoracic Surgery at Manchester University NHS Foundation Trust. He has a vast experience in heart and lung procedures. He has worked in various roles in the health service during his career. He led several important innovations in cardiac surgery, both within his hospital and nationally.

Professor Keenan has the distinction of chairing the first Clinical Reference Group in Cardiac Surgery for NHS England.

His experience encompasses a wide variety of professional activities. He is the Associate Medical Director to the Manchester University NHS Foundation Trust dealing with appraisal and revalidation and has experience in dealing with doctors in difficulty. As Medical Director (part-time) to the Healthcare Quality Improvement Partnership in London, he runs the National Clinical Audit programme. He chairs, for NICE, the Indicator Advisory Committee.

He was seconded from the Manchester University NHS Foundation Trust to the Healthcare Commission and the Care Quality Commission, serving as the National Advisor on Hospital Services.

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Areas of Expertise include: • • • • • • • • • • • • • • •

Cardiothoracic Surgery Cardiac Surgery Cardiothoracic Trauma Thoracic/Chest Trauma Fractured Ribs Flail Chest Heart Disease Heart Valve Surgery Thoracic Aortic Surgery Aneurysm Repair of the Thoracic Aorta Coronary Artery Bypass Grafting Ischaemic Heart Disease Left Ventricular Aneurysm Mitral Regurgitation Aortic Stenosis

Memberships: • General Medical Council (Specialist Register 1382637) • Fellow, Royal College of Surgeons • Society of Cardiothoracic Surgeons of Great Britain and Ireland • Fellow, European Association for Cardiothoracic Surgery Clinical Forensic and Legal Medicine Section: The Royal Society of Medicine • The Federation of Forensic and Expert Witnesses

He has been a highly successful Consultant Cardiothoracic Surgeon at the Manchester Heart Centre, based at the Manchester Royal Infirmary, for over 30 years and was Clinical Director of this large and successful unit in Central Manchester, from 1998 until 2002. He practised the full range of adult cardiac surgery and has been heavily involved in the management of thoracic (chest) trauma, managing closed and open injuries.

He is honorary Professor of Cardiothoracic Surgery to the University of Manchester. Professor Keenan has also operated at The Alexandra Hospital Cheshire and carries out medicolegal work at The Beeches Consulting Centre, Manchester and in Central London.

His experience in dealing with medico-legal cases spans his surgical career. He has been involved in this area of activity, working both in the areas of personal injury but also in the areas of malpractice and negligence. He represents both claimants and defendants and has worked for individual practitioners and Trusts and has appeared as an Expert Witness.

With Rooms in Manchester and London, his coverage is National.

Internationally, he works in Singapore.

Please contact: Francesmary Hobbs francesmary.hobbs@icloud.com 07989 582668