Example Cases & Areas Covered

Delayed or Missed Diagnosis

• Possible delayed or missed diagnosis of cancer (e.g., lung, breast, colon)
• Delayed diagnosis of myocardial infarction (heart attack)
• Delayed or missed diagnosis of deep vein thrombosis / pulmonary embolus
• Delayed diagnosis of infection (pneumonia, meningitis, sepsis)
• Delayed recognition of neurological conditions (e.g., temporal arteritis, stroke)
• Failure to identify serious injury (e.g., significant head injury, spinal cord compression)

Management & Clinical Decision-Making

• Evaluation of chronic disease management (e.g., diabetes, hypertension)
• Assessment of asthma and COPD management standards
• Review of prescribing and monitoring of high-risk medications (e.g., anticoagulants, steroids, insulin)
• Assessment of medication errors, interaction management, and adverse effects
• Evaluation of telephone and remote consultation decision-making

Standard of Care Issues

• Adequacy of clinical assessment, examination and documentation
• Failure to act on abnormal test results
• Failure to refer in a timely manner to secondary care or urgent services
• Record keeping and continuity of care concerns
• Safety-netting and follow-up systems evaluation
• Failure to obtain or document informed consent

Prescribing & Medication Safety

• Incorrect prescribing and dosage errors
• Failure to monitor therapeutic levels or side effects
• Prescription of contraindicated medications
• Assessment of impact of medication errors on patient outcomes

Communication & Consent

• Evaluation of communication with patients including risk explanation
• Consent issues in language-diverse populations
• Impact of communication breakdowns on care delivery and outcomes

Regulatory & Fitness to Practise

I provide expert evidence in regulatory and professional discipline matters, including but not limited to:

• Evaluation of clinical performance against accepted GP standards

Coroners’ Court & Inquests

I accept instructions in Coroners’ Court proceedings relating to deaths involving primary care decision-making, including:

• Deaths following delayed or missed diagnosis in the community
• Deaths where consent or communication is a central issue
• Chronologies of GP care and contributory factors analysis
• Evaluation of primary care involvement in terminal or acute events

General Practice Domains

Examples of general practice clinical areas I cover include:

• Acute presentations and emergencies in general practice
• Long-term condition management (e.g., diabetes, cardiovascular disease)
• Children’s health and paediatric presentations
• Women’s health (e.g., antenatal care, reproductive health)
• Elderly care and frailty assessment
• Musculoskeletal and pain presentations
• Mental health issues in primary care
• Practice systems, governance, and safety processes

Communication & Cultural Competence

Given fluency in Punjabi, Hindi and Urdu in addition to English, I can provide context where communication and cultural factors are central to the issues in dispute, particularly where understanding of information, consent processes or clinical decision-making may be affected by language barriers.

Note: This list is illustrative and not exhaustive. I can provide expert opinion on a broad range of medico-legal issues arising from UK general practice. Case scope and suitability are determined on a case-by-case basis.