Wound Care Consultants – Medico‑Legal Services

Wound Care Consultants provide a comprehensive range of medico‑legal services delivered by an internationally recognised expert in tissue viability, wound management, and nursing standards of care and we have access to experts in physiotherapy, occupational therapy and diabetic foot wounds. We are educated by Bond Solon. Our services include:

Breach of duty

• Non‑healing wounds

• Pressure ulcers (all categories)

• Falls and fall‑related injuries

• Nursing and professional negligence

• Failures in Rehabilitation

• Diabetic Foot

• Lymphoedema

• Pressure ulcers developed from seating

• Standard of care assessments

• Cases arising from hospital, community, and nursing/residential care settings

Expert Witness and Advisory Services

• Expert nursing opinion for claimant, defendant, or single joint instruction

• Comprehensive report preparation, writing, and submission

• Site visits and home visits where required for Condition and Prognosis

• Full patient assessment and clinical evaluation

• Attendance at conference with Counsel and/or opposing expert

• Attendance at court to provide expert evidence

Condition and Prognosis Reports

Wound Care Consultants provides detailed Condition and Prognosis Reports for assessing care requirements following litigation. These reports are prepared by an internationally recognised expert in tissue viability and nursing standards of care, ensuring clarity, authority, and robust clinical reasoning.

Scope of Condition and Prognosis Reports

Our reports provide:

• A clear description of the individual’s current clinical condition, including wound status, comorbidities, functional ability, and care needs

• An assessment of healing potential, likely clinical trajectory, and anticipated complications

• Evaluation of risk factors affecting recovery, including mobility, nutrition, comorbidities, and care environment

• A professional opinion on the expected prognosis of pressure ulcers and non-healing wounds, including short‑, medium‑, and long‑term outcomes

• Recommendations for ongoing care, equipment, interventions, and support needs

• Consideration of the impact of the condition on quality of life, independence, and future care requirements

• An expert nursing perspective on whether the current condition is consistent with the reported history and care provided

Condition and Prognosis Reports are commonly requested for:

• Litigation involving non‑healing wounds, pressure ulcers, or complex care needs

• Cases involving falls, functional decline, or care‑related injuries

• Claims requiring an expert view on future care costs

• Assessments of long‑term impact following substandard care or breach of duty

• Court proceedings requiring an authoritative nursing opinion

Professional Standards

All reports are:

• Prepared in accordance with Civil Procedure Rules (CPR Part 35)

• Evidence‑based, impartial, and clearly reasoned

• Supported by clinical examination, documentation review, and (where required) site or home visits

• Delivered with the clarity and precision expected of a senior expert witness

Death Caused By Poor Care:  Services for Police, the Crown Prosecution Service, and Coroners.

Wound Care Consultants provides independent, objective, detailed and expert clinical opinion to support the criminal justice system. Its core function is to interpret and translate complex wound‑related evidence into clear, defensible reports and oral testimony that withstand judicial scrutiny. Operating at the intersection of healthcare and law, such services ensure evidential integrity, regulatory compliance, and procedural fairness.

The distinction between the sides is clear and fundamental: the prosecution seeks to prove guilt, while the defence works to protect the accused and challenge the case against them. We have undertaken over 400 hundred cases in 20 years and pride ourselves on producing unbiased reports whether for defence or prosecution.

We are also experienced in assisting the police with manslaughter cases and in assisting Coroners to reach a decision on cause of death in cases related to our experience.

Purpose and Scope of the Service

• Independent Expert Opinion
  Offering impartial, evidence‑based analysis of wounds, skin damage, pressure ulcers, and tissue viability concerns to assist investigative and judicial processes.

• Clarity from Complexity
  Converting detailed clinical information, photographs, and medical records into structured, comprehensible reports that can be relied upon by police, CPS, coroners, and the courts.

• Support Across the Criminal Justice Pathway
  Providing timely advice during investigations, case preparation, and court proceedings, including expert testimony where required.

Key Functions

• Assessment of Wounds and Skin Damage of living or deceased individuals.
  Determining wound type, mechanism, timing, severity, and consistency with alleged events or explanations.

• Evaluation of Care and Clinical Standards
  Reviewing the appropriateness of care, adherence to guidelines, and whether omissions or actions contributed to harm.

• Medico‑Legal Reporting
  Producing structured, transparent, and defensible reports that meet the standards of the Criminal Procedure Rules and expert witness guidance.

• Courtroom Expertise
  Delivering clear, confident oral evidence that assists the court in understanding clinical issues central to the case.

Principles Underpinning the Service

• Independence and Objectivity
  The expert’s duty is always to the court, not to any instructing party.

• Evidence‑Based Practice
  Opinions are grounded in current clinical standards, peer‑reviewed literature, and established wound care science.

• Transparency and Accountability
  All reasoning is explicit, traceable, and capable of withstanding cross‑examination.

• Respect for Dignity and Sensitivity
  Recognising the human impact behind each case, particularly in matters involving neglect, abuse, or unexplained injury.