Consultant Anaesthetist since 1992 • Director of Obstetric Anaesthesia at Homerton Hospital 1994-2016 • Recognised Teacher of the University of London • President of the Obstetric Anaesthetists' Association 2008-2011 • Panellist for GMC Fitness to Practise proceedings 2006-2014 • Main area of expertise is the provision of safe, effective analgesia & anaesthesia for women in pregnancy • Extensive experience in the management of all types of anaesthesia & pain relief for labour & delivery • Particular interest in the management...

Anaesthesia • Obstetric anaesthesia • Labour analgesia • Awareness under anaesthesia • Regional anaesthesia • Anaesthesia for orthopaedic surgery • Anaesthesia for spinal surgery • Emergency anaesthesia • Anaesthesia for airway surgery and other ENT procedures • Anaesthesia for lung surgery • Anaesthesia for gynaecological surgery • Anaesthesia for general surgery • Cell salvage and blood conservation during surgery • Clinical negligence • Ethical issues with COVID • Clinical governance and management of adverse events

Pain management • Assessment, diagnosis & prognosis of unexplained persistent pain & disability following injury • Anaesthetics: general & regional anaesthesia • Pain from injuries due to road traffic accidents, trauma injuries related to the neck, skeletal, soft tissue & spine • Continuing pain following surgery • Management of pain, pain management programmes, pain therapy & relief • Chronic pain syndromes & pain-related disability • Fibromyalgia • Reflex sympathetic dystrophy & complex regional pain syndrome All correspondence...

Dr Ashworth administers cardiothoracic anaesthesia, anaesthesia for heart and lung transplantation, and general and regional anaesthesia. He also administers care to the critically ill, including life support, invasive monitoring techniques, resuscitation and end-of-life care. He has a special interest in extracorporeal membrane oxygenation (ECMO), mechanical circulatory support and transoesophageal echocardiography (TOE).

General anaesthesia • Cardiac anaesthesia • Critical care medicine • Peri-operative care • Peri-operative risk management

Pain management: assessment, diagnosis & prognosis of all pain syndromes • Pain following injury • Work-related pain disorders • Persistent & unexplained pain • Pain management programmes • Complications of analgesic management • Postoperative nerve problems • Chronic pain syndromes • Myofascial pain syndromes • Fibromyalgia • Pain in terminal disease • Spinal cord stimulation • Anaesthesia: general & regional anaesthesia • Epidural & spinal injections • Complications of postoperative analgesia • Acute pain & its consequences • Complex...

Pain management & assessment following injury • Interventional techniques: epidural steroid injections; neurolytic blockade; radio frequency lesioning; cryotherapy; intrathecal drug delivery systems; dorsal column stimulation • Regional anaesthesia: epidural; spinal; peripheral nerve; plexus blockade • General anaesthesia: total intravenous & inhalational (excluding specialist paediatric & cardiac anaesthesia) • Clinical negligence Also consulting at: 25 Harley Street, London , W1G 9QY. Tel: 020 7079 2100

Pain medicine • Pain management of acute and chronic pain • Post-surgical and post-traumatic pain • Neuropathic pain • Visceral pain • Chronic musculoskeletal pain • Chronic primary pain • Complex regional pain syndrome • Fibromyalgia • Neck pain • Mid back pain • Low back pain • Whiplash injury pain • Expertise in diagnosis, causation, treatment, prognosis and assessment of work and leisure prospects from the chronic pain perspective Consults in Goring-by-Sea, Chichester, London and Scotland

Obstetric anaesthesia & analgesia • Complications of epidural & spinal techniques • Anaesthesia for plastic & cosmetic surgery • Hypotensive anaesthesia • Risk management

Anaesthesia for all surgical procedures except cardiac surgery & obstetrics • Airway management & intubation • Resuscitation • Awareness • Anaphylaxis • Preoperative assessment • Postoperative care & complications • Cardiac arrest • Spinal/epidural & regional anaesthesia • Nerve blocks • Anaesthetic equipment & monitoring • Central venous catheterisation • Arterial cannulae • Management of haemorrhage • Human factors in anaesthesia

My expertise is in pain management. I am conversant with the management of axial pain, sciatica, CRPS, neuropathic pain, whiplash, and headache, neuroablative techniques such as radiofrequency denervation, pulsed radiofrequency and spinal cord stimulation. I provide specialist pain management reports for the courts following instruction for personal injury and medical negligence cases and prepare reports on the instruction of claimant and defendant parties, including a joint instruction.

I have been a consultant in pain medicine since 1998 and writing medico-legal reports since 2008. I have attained the Cardiff University and Bond Solon Certification as an Expert Witness in Civil Law in 2015. I deal both with personal injury and complex clinical negligence cases. I have written articles relating to the role of the pain specialist offering the courts an explanation of the basic science and mechanisms as to how pain becomes chronic. I deal with all areas of chronic pain, including whiplash,...

Pain medicine • Pain management of acute and chronic pain • Post-surgical and post-traumatic pain • Neuropathic pain • Visceral pain • Chronic musculoskeletal pain • Chronic primary pain • Complex regional pain syndrome • Fibromyalgia • Neck pain • Mid back pain • Low back pain • Whiplash injury pain • Expertise in diagnosis, causation, treatment, prognosis and assessment of work and leisure prospects from the chronic pain perspective Consults in Goring-by-Sea, Chichester, London and Scotland

Intensive care medicine: • Particular interests: • General intensive care • Acute kidney injury • Sepsis • Prescribing in intensive care medicine • Trauma • Airway care • Metabolic and endocrine disorders • Cardiovascular optimisation Anaesthesia: • Particular interests: • Anaesthesia for breast surgery • Breast reconstructive surgery • Endocrine surgery, orthopaedics and trauma • Emergency surgery and pre-operative assessment • Clinical ethics Please contact by email in first instance Correspondence address: Bronte House, Rock Road,...

Anaesthesia • Critical care medicine • Major trauma • Emergency medicine • Orthopaedics and trauma anaesthesia • Penetrating trauma All correspondence to: British Medical Experts, 13 Park Terrace, Carmarthen, Carmarthenshire, SA31 3DG.

Dr Cain has specialist clinical interests in the following areas: • Critical care medicine • Anaesthesia • Sepsis • Perioperative medicine • Echocardiography • Intubation • Line insertion • Bronchoscopy • Percutaneous tracheostomy • Organ donation • End of life care • Infection control • Transfer medicine • Airway management

Anaesthesia administration & monitoring • General anaesthesia for surgery • Regional anaesthesia techniques • Sedation for medical procedures • Perioperative pain management • Management of anaesthetic complications • Critical care medicine & intensive care units (ICU) • Anaesthetic management in special populations (e.g. paediatrics, geriatrics) • Anaesthetic pharmacology & drug interactions All correspondence to: British Medical Experts, 13 Park Terrace, Carmarthen, Carmarthenshire, SA31 3DG.

Personal injury • Chronic pain • Whiplash-associated disorder • Whiplash injury • Medical negligence • CRPS • Widespread pain • Back pain • Neck pain • Spinal pain • Surgical pain • Fibromyalgia • Pelvic pain • Nerve pain

Intensive care • Anaesthesia • Critical care • Pain medicine All correspondence to: British Medical Experts, 13 Park Terrace, Carmarthen, Carmarthenshire, SA31 3DG.

Consultant in pain management and anaesthesia since 2004. Current NHS practice including a multidisciplinary biopsychosocial approach to pain management and general and regional anaesthesia for surgery, trauma and orthopaedics. Preparing 100 reports per year since 2018, 70% claimant. Feedback from advocates and solicitors quoted on website. Interests in chronic pain following injury and operation, functional, somatoform and psychological pain conditions, CRPS and fibromyalgia.

Anaesthesia (general, spinal, epidural & local) • Awareness during anaesthesia • Injury & complications during anaesthesia • Patient safety • Problems with tracheal intubation • Pre-operative assessment & preparation • Post-operative care & complications • Medical negligence involving anaesthesia • Research involving anaesthesia • Anaesthetic equipment • Regional (nerve block) anaesthesia • Nerve injuries in the perioperative period • Allergic reactions during anaesthesia • Standard of care in anaesthesia