Julia Smyth

Qualifications

MRes Clinical Research, PG Cert Sensory Integration, BSc Occupational Therapy

Specialisms

• Paediatrics including
• Visual Impairment
• Neurodisability
• Long Term Conditions

Introduction

I am a paediatric occupational therapist, with specialist skills in neurodisability and child development. I am particularly experienced in childhood vision impairment, social communication disorders (autism), long-term ventilation via tracheostomy/facial mask, prematurity, and the effects of long-stay hospital admissions on developmental progress. I have experience of a range of genetic, metabolic, and neurological conditions, physical disabilities, and complex medical needs. I have worked in children’s community, secondary and tertiary level care. 

I qualified in 2008 and worked in a secondary level hospital in South Africa. I emigrated to the United Kingdom in 2010. I held a community paediatrics role working for an independent practice. Thereafter, I took a position in a London tertiary children’s hospital between 2012 and 2021. My primary responsibilities were within a multidisciplinary, specialist neurodisability service and long-term ventilation service. In my neurodisability role I worked within the neurodevelopmental assessment clinic and developmental vision service.  I also worked in rheumatology, respiratory, and supported complex discharges across the hospital.

Between 2021 and 2024, I worked in a tertiary children’s hospital in the South West of England. I was the lead occupational therapist within the NHS National Barth Syndrome Service. This is an NHS England Specialised Service providing multi-disciplinary, treatment, and management for adults and children with Barth syndrome. I subsequently worked in a secondary level hospital in the South West of England. I provided developmental clinics for babies following their discharge from the neonatal unit and who were born before 28 weeks, with HIE Grade III and above, or a low birth weight. I co-ordinated the clinic and contributed to the multidisciplinary team management of the children.
 
Currently, I am a clinical lead occupational therapist for neurodisability in a community service in the South West of England. I am responsible for the delivery of clinics and patient pathways that provide care for children with neurodisability and for leading these services.  I hold a generic and specialist caseload and support for other therapists with their complex neurodisability cases.

I was awarded funding from the National Institute of Health Research (NIHR) and Health Education England (HEE) to complete a Master of Research in 2015/2016. My dissertation described the influence of vision level on the way that children with severe and profound vision impairment use their hands in the first three years of life.  The degree was awarded with distinction and I presented this research both nationally and internationally. In 2020, I undertook an HEE/NIHR Bridging Fellowship to further develop my research skills. In 2013, I completed a Postgraduate Certificate in Sensory Integration, with distinction. 

I accept instructions 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.