Our Experts

What we do - tried and tested with excellent results.

We provide expert medical reports for the court. Clinical specialists trained in medicolegal reporting who work directly for solicitors and on recommendation.

White House Medico Legal originates from a long-standing relationship with a highly reputable Medical and Physiotherapy Group that has been established for nearly 50 years.

Our Mission is to provide to a fair, unbiased and balanced medico-legal report, in a timely manner, at a cost that is seen as giving value for money and one that surpasses all expectations.

Typical Instructions

Instruction and case guide
Solicitors will often contact us to enquire whether their case is within the expertise of one of our experts. Here is a guide to the types of instructions we receive, but feel free to contact us further if you are still seeking an appropriate expert or have queries on whether we can assist you with a case.

Musculoskeletal Conditions
Our clinical experts provide invaluable support throughout the case.  We have expertise in both NHS and Private Practice and have Expert Witness validation.

  1. Back pain
  2. Post operative rehabilitation
  3. Diagnosis and management - treatment pathway
  4. Multiple trauma
  5. Future needs
  6. Post operative care
  7. Injury rehabilitation
  8. CES - Cauda Equina Syndrome
  9. Delayed care
  10. Spinal Injuries
  11. Trauma & Orthopaedics (including brachial plexus injuries – adults and children)
  12. Integrated Care Pathways
  13. Arthroplasty (joint replacement) and lifetime management

Special interest and other conditions
The White House Medico Legal expert on Injection Therapy provides a skilled and logical assessment of the case.

  • Paediatrics (Including Cerebral Palsy & Erbs palsy)
  • Manual Handling
  • Women's Health
  • Nursing care and future needs.
  • Injection Therapy
  • Care reports

Neurological Conditions
Our experienced neurological experts provide both claimant and defendant cases and are recognised as Neurological and Care experts.

  • Head Injury / traumatic brain injury
  • Poly trauma
  • Neurological management - strokes, peripheral nerve injury
  • Neurosurgery, Stroke & other neurological conditions
  • Spinal Injuries and Spinal Cord Injury
  • Care pathways and long term care needs
  • Rehabilitation / hydrotherapy
  • Amputee and rehabilitation
  • Nerve injuries - neuropraxia
  • Chronic pain management

We understand the principle legal test cases

Our experts understand the legal test cases and their duties in providing expert evidence in cases of negligence reports
The legal test cases are summarised to show in principle that we have have understanding of the implications and whilst providing expert evidence. As Clinical Negligence Experts we understand our Duty of Care and the tests applied in determining breach of duty in clinical negligence cases with particular consideration to Bolam, Bolithero and Montgomery(England) and Hunter (Scotland).

Bolam Test
A test case, now commonly referred to as the Bolam standard, where a medical practitioner acts and provides acceptable practice in accordance with an average body of similar practitioners. The practitioner may have acted in accordance with an average body of medical opinion although other practitioners may adopt a different practice. A guide used when assessing the appropriate standard of reasonable care in negligence cases involving skilled professionals.

Bolithero Test
Bolitho narrows the scope of the Bolam test, stating that the court must be satisfied that the body of opinion relied upon has a logical basis. A further guide used when assessing the appropriate standard of reasonable care in negligence cases involving skilled professionals.

Hunter v Hanley Test
In order to establish liability in circumstances where deviation from normal practice is alleged, three facts have to be established:

  1. It must be proved that there is a usual and normal practice;
  2. It must be proved that the defender has not adopted that practice; and
  3. Most importantly, it must be established that the course the professional had adopted is one which no professional person of ordinary skill would have taken if he/she had been acting with ordinary care.

The onus rests on a pursuer to establish these three facts, and without all three his case will fail. Like the Bolam test, Hunter was a medical negligence case whose principles in relation to the required standard of care have been extended to apply to other professions including consulting engineers.

Hunter v Hanley is the Scottish equivalent to Bolam.   It sets out a slightly different test applicable to  professional negligence cases under the law of Scotland

Montgomery Test

A medical professional whilst undertaking consent must provide information of known risks and to ensure patient understanding. Clinicians have a duty to take reasonable care to ensure that patients are aware of 'material risks' involved in a proposed treatment and of reasonable alternatives. Appropriate consent must be obtained at all times.

A practice of informed consent by medical professionals
Our experts are experienced in legal report writing and follow the above test cases where appropriate. We will always take advice from our instructing parties whilst we aim to provide a fair, transparent and accountable opinion.

Guidance for the instructions of Experts in Civil Claims

We fully understand our responsibilities in undertaking instructions as experts in Civil Claims. As Clinical Negligence Experts we understand our Duty of Care and the tests applied in determining breach of duty in clinical negligence cases.

All our reports are compliant with CPR35 along with PD35. To be effective in undertaking our responsibilities our clinicians whilst preparing evidence for civil proceedings and are familiar with the essential legal concepts that clinical expert witnesses must understand in providing a medicolegal report.

As experts we understand our responsibilities to the court and have legal training to ensure we comply and fully understand the Wolfe Reforms
Civil Procedure Rules

Part 35 of the Civil Procedure Rules governs the use of evidence from experts and assessors in civil proceedings.

Further guidance is provided in the associated Practice Direction 35 and in the ‘Guidance for the instruction of experts in civil claims’ published by the Civil Justice Council in August 2014 (see below). This guidance replaced the previous protocol on the same topic with effect from December 2014.

Compliant reports: The CPR, the Practice Direction and the guidance concern experts who are giving or preparing evidence to be used for civil proceedings. An understanding on the provision of the form and content of an experts report. This provides the background structure to a medicolegal report to enable consistency and a systematic process for presenting a report. We aim to comply with the standards whenever possible.

Advisory reports: On occasion, such as at the early stages of investigations into liability and causation, our experts may be instructed to provide a report on an “advice-only” basis prior to or during proceedings. Such advice is not designed for use in court and is of a different character to CPR Part 35 evidence, so these rules do not strictly apply. However, we will still follow the guidance and principles when preparing a report even on an advice-only basis.

Our Practice recognises the guide to assist experts in understanding CPR Part 35 and to assist in complying with those requirements.

  • Clear and accountable
  • Experts in our fields
  • CPR and PD compliant
  • Need an appropriate expert - contact our dedicated team

What our clients say

100% Satisfied Clients
star-fullstar-fullstar-fullstar-fullstar-full

Mr Howard, I also wanted to thank you personally for you assistance throughout. I have no doubt that your input and assistance has been instrumental in enabling us to achieve a successful and satisfactory outcome to the case. Bower & Bailey Solicitors October 2017

Bower & Bailey Solicitors
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Ms Bancroft. I am extremely grateful to you for your expert assistance with this case and I look forward to working with you on other cases with in the future.

Hilary Meredith Solicitors

A Wilkinson. I am now writing to confirm that as a result of your assistance in defending this claim, the Trust has been able to agree a significantly discounted settlement.

Capsticks Solicitors

Our Experts

Our experts provide a balance of claimant and defendant Medico-Legal reports. We have worked as Single Joint Experts and are frequently involved with Joint Reports.

We have  have a proven track record in delivering reports on time and of extremely high quality. Most common are our desktop cases where we review all the medical records to provide Breach of Duty, Causation and Condition & Prognosis Reports.

Jason Howard

Medicolegal Director : Consultant Expert and Lead Clinician

Director and Partner. MCSP HCPC MAE Consultant Physiotherapist and Accredited Expert. Field of expertise: MSK and Orthopaedics / Breach of Duty / Causation reports.

Neuro Physiotherapy

Neuro physiotherapist

1st Class (Hons) Degree in Physiotherapy MCSP Physiotherapist. Field of expertise: Neurological conditions including Head Injuries, hydrotherapy, Spinal Cord injuries and Care Reports

Mr Stephen Canning

Partner and Clinical Director of The White House Physiotherapy Clinics.

Field of expertise: Clinical Specialist in MSK and Orthopaedic Physiotherapy including poly trauma, acupuncture, electrotherapy and rehabilitation.

Thomas Mitchell

Wrist and Hand Consultant Physiotherapist

Field of expertise: Physiotherapist with a special interest in upper Limb - Wrist and hand conditions including post operative care.

David Sprot

Advanced Clinical Practitioner - Lower limb

Field of expertise: Physiotherapist with a special interest in lower limb and Foot and ankle. Injection therapy.

Elizabeth Lambert

Occupational Therapist: Care needs

Occupational Therapy Expert. Case Manager. BOAT, HCPC Breach of Duty and Care Reports

Mathew Denton

Clinical Physiotherapist spcialising in Paediatrics

Field of expertise: Paediatric Specialist Physiotherapist. Extended Scope Practitioner with an interest in paediatric conditions and orthopaedics.

Mrs Tamsin Brooks

Women's Health Specialist Physiotherapist

Field of expertise: Physiotherapist with special interest in Obstetric and Gynaecology and pelvic injuries

David Meech

MSK Spinal and NHS pathway specialist physiotherapist

APP - Advance MSK Physiotherapy Practitioner. A keen interest in patient pathways for MSK and orthopaedics.

Julie Dobbs

Specialist Nurse Practitioner

Field of expertise: Nursing with a special interest in ITU and Paediatric Nursing.

Nanette Oaks

Advanced Clinical Practitioners Consultant Shoulder and Elbow Specialist

Field of expertise: Clinical Physiotherapist Shoulder and upper limb Specialist physiotherapist.

Dr Adrian Lim

Consultant Musculoskeletal Physician

Consultant in Sports and Exercise Medicine specialising in soft tissue trauma and treatment management.

Dr Richard Anderson

Associate Dentist in General Dentistry

Qualified as a Dentist in 1987, extensive postgraduate education, mainly in Restorative Dentistry. He worked as a Principle General Practicing Dentist managing his own practice and undertook the role as Clinical Trainer. He specilaised in dental inplant surgery and is a mentor of one of the world's leading dental implant companies, Nobel Biocare.

Dr Peter Howard

Consultant Physician in Chest Diseases and General Medicine

Dr. Howard has a wide experience as a Consultant Chest Physician for over 50 years and as a Medico Legal Expert in Respiratory Medicine for 30 years. He’s trained in the legal aspects of giving evidence in court and in the responsibilities of medical-legal reporting, a single joint expert and joint reports

Clinic Partners

The White House Physiotherapy Group
A team of 20 clinicians led by CEO Jason Howard providing treatment providing centres across Yorkshire for Private and NHS patients. The group treats musculoskeletal conditions, neurological conditions and post op orthopaedic patients.

One Health Group
A leading team of surgeons operating throughout the Midlands and Yorkshire offering the highest standards of NHS and Private surgical treatment with the postoperative support provided by PhysioNet Plus..

PhysioNet Plus
A partnership of over 40 physiotherapy practices supporting NHS referrals, post operative care and treatment centres for the NHS, Private Practice, Councils and local companies. PhysioNet+ works for CCGs ( NHS Clinical Commissioning Groups) providing physiotherapy care for NHS patients in a variety of setting from Triage to Clinical treatments.