Areas of Instruction

I provide independent expert opinion in cases concerning the diagnosis, treatment and management of gynaecological malignancy, including standards of care, consent, complications and pathway governance. This work is undertaken in accordance with the duties of an independent medical expert witness.

Delay in diagnosis of gynaecological cancer

Cases involving delayed diagnosis, delayed referral, delayed investigation or delayed treatment of suspected gynaecological malignancy. This may include issues arising in primary care, secondary care or cancer referral pathways.

Surgical management of ovarian, cervical, uterine and vulval malignancies

Cases concerning operative planning, decision-making, technique, escalation, cancer resection, peri-operative judgement and post-operative management in gynaecological oncology surgery.

Consent and risk disclosure in major gynaecological surgery

Cases involving pre-operative counselling, material risk disclosure, alternatives to surgery and the adequacy of consent discussions in major cancer surgery.

Post-operative complications and peri-operative decision making

Cases involving complications, recognition of deterioration, return to theatre decisions, escalation of care and post-operative management.

Follow-up protocols and cancer surveillance

Cases involving follow-up planning, surveillance pathways, recurrence recognition and the appropriateness of ongoing review.

Hereditary cancer risk management

Cases concerning inherited risk, counselling, onward referral and management decisions relating to hereditary cancer pathways.

Multidisciplinary cancer pathway governance

Cases involving MDT processes, pathway design, governance, escalation, standards and adherence to accepted multidisciplinary practice.

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