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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.
Other current national level responsibilities include being a member of the Royal College of Nursing Ethics Committee and being a member of NHS England Clinical Reference Group for the End of Life Care Digital Programme.
I currently work on a part time basis for the Care Quality Commission as a Specialist Advisor in End of Life Care. This involves utilising my clinical expertise and knowledge in participating in regulatory inspections of end of life care services in hospital, community, hospice and nursing home settings. In addition, I work on a freelance basis providing specialist consultancy in End of Life Care and Palliative 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.