- Palliative and End of Life care
- Acute Hospitals
- Community and Hospice care
- Mental Capacity
I qualified as a Registered General Nurse in 1986 and as a Registered Mental Nurse in 1998. Since 1990 I have specialised in palliative and end of life care as a Clinical Nurse Specialist, Consultant Nurse/Clinical Lead and in management/leadership roles. This includes clinical experience in acute hospital, community and hospice environments.
Complementing this clinical experience I gained a Masters Degree in Medical Ethics (Cancer and Palliative Care) in 2000.
I have utilised my clinical expertise to influence and shape national palliative care, end of life care and pain management clinical guidelines. This has included being a member of the Department of Health Pain Benchmarking Tool Development Group (2010) and being a committee member of the General Medical Council (GMC) End of Life Working Group that developed the highly respected GMC guidance: "Treatment and care towards the end of life: good practice in decision making" (June 2010). More recently I was a member of The National Institute for Care and Health Excellence (NICE), Clinical Guideline Development Group: "Care of dying adults in the last days of life" (December 2015).
I also have an excellent working knowledge of the Mental Capacity Act and implications for decision making in relation to treatment and care.
I accept instruction from both claimant and defendant solicitors and insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under Civil procedure Rules (CPR) pertaining to expert witnesses.