Hot-Tubbing and Giving Oral Evidence as an Expert Witness

People seated along a wooden table taking notes on paper during a meeting

An expert witness report is written work, prepared over weeks, checked and re-checked before it is served. Giving oral evidence is none of those things. When a case reaches trial and the judge wants to hear from the experts directly, the format may not be the sequential cross examination most people picture. Under Practice Direction […]

Expert Advisor vs Expert Witness, and Why the Difference Matters

Wooden judge's gavel resting on a row of books against a dark wooden wall

An expert advisor works for the party who instructs them. An expert witness works for the court, even though one party usually pays the bill. That single difference decides who the opinion is written for, what the other side gets to see, and whether the same person can take both roles in the same case. […]

How to Write a High Quality Expert Witness Report

Professional in a suit writing with a gold pen on a document on a clipboard, beside a laptop

A court judges an expert report on whether it can be followed and trusted, not on how forcefully it argues. Practice Direction 35 sets out, in a numbered list, what a report has to contain, and much of the criticism experts attract in judgments comes from missing items on that list rather than from getting […]

How AI Is Changing Expert Witness Reports

Professional in a suit signing a document at a desk beside a laptop and a pair of glasses

Most experts who write for the civil courts already have an AI tool somewhere in the workflow. Usually it is dictation software, a search box, or a spellchecker that has quietly become something more. The question the courts are asking is not whether experts use these tools. It is whether the person reading the report […]

The Role of Plastic Surgery in Limb Reconstruction

Black and white image of a seated woman holding her knee, with a red highlight along the shin showing where the pain is

When a severely injured limb is going to be saved rather than amputated, the biggest job is often only just beginning. Restoring working skin, muscle and blood supply over exposed bone, repaired vessels or fixed fractures, sometimes across several operations, is what plastic surgery in limb reconstruction actually involves, and it is frequently where the […]

Medicolegal Challenges in Paediatric Plastic Surgery and Reconstruction

Young girl in a hospital bed hugging a teddy bear, with a clinician holding a clipboard in the foreground

A child who is injured today will be a different size, shape and person by the time the claim is ready to settle. That single fact separates paediatric plastic surgery from adult work more than any difference in technique. A scar that looks well placed on a seven year old can sit in the wrong […]

Facial Trauma in a Medicolegal Context

Woman with her head bandaged, a dressing on her nose and bruising around the eyes, receiving an injection from a gloved clinician

A broken cheekbone and a broken wrist are both fractures, and they are not judged the same way. Facial trauma sits across two heads of loss at once. It changes how somebody eats, breathes, sees and speaks, and it changes the face other people respond to. Separating those two effects, and working out how much […]

How Correcting a Facial Deformity Is Judged Medicolegally

Close-up of a woman's face in sunlight, eyes closed, with wet hair

Correcting a facial deformity is a different category of surgery to elective cosmetic enhancement, and it’s judged by a different medicolegal standard. Where an aesthetic procedure is chosen to change a normal feature, deformity correction addresses something objectively identifiable, a cleft, a post-traumatic asymmetry, the result of disease or its treatment, and that distinction runs […]

Patient Expectations and BDD in Facial Cosmetic Surgery Claims

Woman in a surgical cap whose face is being marked with dotted lines by a gloved hand holding a pen, before cosmetic surgery

A facial cosmetic surgery claim doesn’t always involve a surgical error. Some of the most difficult cases involve a technically competent procedure that left the patient genuinely unhappy, because what they expected going in was never realistic, and nobody caught that before surgery happened. In short: patient expectations are central to facial cosmetic surgery claims […]

Informed Consent Failures in Plastic Surgery Claims

Woman with her head bandaged, a dressing on her nose and bruising around the eyes, receiving an injection from a gloved clinician

Most plastic surgery negligence claims that succeed aren’t really about the surgeon’s hands. They’re about the conversation that happened, or didn’t happen, before the patient ever went into theatre. Informed consent failures are one of the most common grounds for a claim in cosmetic and reconstructive surgery alike. In short: informed consent isn’t satisfied by […]