Medico-legal expertise: I have been writing Expert Medicolegal reports since 2011, completing both Claimant and Defendant reports. I have had training in Expert Witness skills and Courtroom skills. I write 30-40 reports per year, with Claimant–Defendant split of approximately 70:30. My report expertise mirrors my NHS practice – with foci on Oncology (tumour treatment), head injury, hydrocephalus, Chiari, spina bifida & dysraphism, acute neurosurgery emergencies such as Subarachnoid haemorrhage, and children’s neurosurgery (including child protection); further details above. My usual time from instruction to completion of report is about 4-6 weeks, depending on the case complexity and availability of the Client for examination. C&P examination assessments are usually performed in my Rooms at the Leeds Nuffield Hospital or at Leeds General Infirmary, although assessment closer to a client’s home is sometimes possible.
I am on the AvMA and APIL (Tier 1) Registers of Experts and have been awarded the Bond Solon Cardiff University Expert Witness Certificate (July 2021).
Specialist Interests / Expertise
Paediatric Neurosurgery: Neuro-oncology (tumours), Hydrocephalus & Neuro-endoscopy, Trauma (incl non-accidental injury), VNS therapy for epilepsy, Spasticity Management (Selective Dorsal Rhizotomy SDR & Intrathecal Baclofen ITB), Chiari & syringomyelia, Spina bifida & dysraphism, Infections.
Adult Neurosurgery: Neuro-oncology (Low Grade Glioma & awake craniotomy; ependymoma, meningioma, glioma and other tumours), Complex Hydrocephalus, Neuro-endoscopy, Infections, Trauma, acute management of subarachnoid haemorrhage, Chiari & syringomyelia, spinal dysraphism.
Neurosurgery Background and Training
I studied Medicine at St George’s Hospital Medical School, affiliated to the University of London, graduating in January 1997 with MB BS (Lond). Subsequently, my postgraduate training in surgery was completed in South-West London, with Basic Surgical Training posts including General Surgery, Vascular Surgery, ENT surgery, Orthopaedic surgery and Neurosurgery. I completed the MRCS (England) in 2000. My Neurosurgery Registrar training was in Sheffield and Hull, after also working at Hurstwood Park Neurological Centre, Haywards Heath.
I further supplemented my training with a period as Visiting Fellow in Paediatric Neurosurgery at the Hôpital Necker - Enfants Malades, Paris, France (Summer 2008), and then as the National Fellow in Paediatric Neurosurgery at Alder Hey Children’s Hospital, Liverpool, from October 2008 to February 2010.
In February 2010, I moved to Leeds as Consultant Neurosurgeon (initially locum then substantive from August 2010). In this post I have particular specialist interests in paediatric neurosurgery and adult neuro-oncology.
Within paediatric neurosurgery, I am the Lead for spasticity management neurosurgical procedures. In 2012, I successfully brought Selective Dorsal Rhizotomy (SDR) to Leeds having studied the techniques in USA and then worked to build and develop a multidisciplinary team to deliver the service. By 2020 we have successfully performed >125 SDR operations with no significant complications. The results have been presented at International Conferences.
I am a Core Member of both the Adult and Paediatric Neuro-Oncology MDTs. Within my adult neuro-oncology portfolio, I jointly lead the Low Grade Glioma service and regularly perform Awake Craniotomies for resection of these tumours.
In 2010 I was appointed to the SIOP-Europe Brain Tumour Group, and am the Neurosurgical Lead for the Low Grade Glioma panel. From 2010-2014 I was Clinical Lead for SHO education & training for our department. Having handed over responsibility for day-to-day training matters, I maintain an interest in training. I am on the interview panel for National Selection for Neurosurgery Training.
I am a current member of the NHS England Clinical Reference Group (CRG) for Paediatric Neurosciences, having also served in 2015-16. In 2013-16 I served on the CRG for Adult Brain & CNS Tumours. These CRGs report to NHS England to help to direct future policy development and delivery.
I was on the Steering Group for the NHS England Commissioning through Evaluation process for Selective Dorsal Rhizotomy since its inception in 2013. In 2018 I was appointed to an SDR Policy Working Group with a remit to provide an SDR policy recommendation for NHS England in a tight deadline which was successfully met. The end result was that NHS England started routine commissioning of SDR from July 2018.
In 2014 I was part of the team that successfully developed and launched the North East Paediatric Neuroscience Network (NEPNN) – a collaborative network that oversees the delivery of the full range of paediatric neurosurgery care across the North East of England. I was then appointed as Joint Clinical Lead for the NEPNN and continue in this role.
In 2016 I was successfully appointed as Specialist Neurosurgery Advisor for NICE.
In July 2018 I was appointed as the Clinical Lead for Paediatric Neurosciences in Leeds. This appointment was renewed in 2021.
In May 2019 I was re-appointed to the NHS England Paediatric Neuroscience CRG.