Example Cases and Court Appearances

Below are example cases, general issues and Breach of Duty cases that Dr Bint has recently been instructed to report upon. A list of Court experience is produced at the bottom of the page.

These case examples are updated from time to time but are not an exhaustive list.

GENERAL ISSUES:

  • Fitness to stand trial, fitness for inheritance purposes. Single Joint medical assessments.
  • Immigration/asylum medical issues for Tribunal.
  • Disability assessment for Tribunal.
  • Personal injury cases.
  • Prescribing issues including failure to prescribe safely resulting in severe allergic reactions, epileptic fits, failure to monitor amiodarone safely, Nitrofurantoin safely, benzodiazpeine prescribing, morphine prescribing, insulin, steroids and NSAIDS and blood thinning medications (clopidogrel, warfarin and aspirin)
  • Assessments in Criminal cases for example, medical reasons for failure to provide a specimen of breath.
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FAMILY PLANNING, SEXUAL HEALTH:

  • Possible failure to diagnose an ectopic pregnancy and resultant surgery complications 
  • Possible overdosed prescribing of contraceptive pill causing side effects.
  • Possible failure to insert a contraceptive device correctly resulting in an unwanted pregnancy.
  • Possible failure to appropriately manage abnormal cervical smear results.
  • Possible failure to diagnose cervical cancer in a timely manner 
  • Possible failure to diagnose an infection during pregnancy resulting in death of foetus.
  • Problems after coil insertion.
  • Possible failure to administer a depo provera injection correctly resulting in abscess formation
  • Failure to administer the correct hormonal injection resulting in a worse prognosis in breast cancer.
  • Possible failure to diagnose pregnancy until past the legal termination limit.
  • Possible failure to refer a patient apporpiately for amniocentesis.
  • Possible failure to diagnose PID (Pelvic Inflammatory Disease) or STI (sexually tramsmitted infection) in a timely manner resulting in infertility 
  • Possible failure to diagnose endometriosis resulting in delayed diagnosis and unnecessary emergency surgery 
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DELAYED DIAGNOSIS:

  • Opinion on possible delayed diagnosis of ovarian cancer.
  • Delayed diagnosis of colon cancer causing a worse prognosis
  • Delayed diagnosis of stomach cancer 
  • Possible delay in diagnosing testicular cancer.
  • Possible failure to diagnose a deep venous thrombosis, the delay in which caused a pulmonary embolus and death of patient.
  • Possible delayed diagnosis of heart attack resulting in death of patient
  • Possible delayed diagnosis of appendicitis, resulting in a prolonged illness; 
  • Possible failure to diagnose significant head injury in a timely manner, resulting in the patient suffering permanent brain damage.
  • Possible delayed diagnosis of pneumonia, resulting in the death of a patient 
  • Possible delayed diagnosis of cancer spread to the spine 
  • Delayed diagnosis malignant melanoma with resulting poorer prognosis  and earlier death of patient.
  • Possible delay in diagnosing temporal arteritis resulting in blindness of patient 
  • Possible failure to diagnose pulmonary tuberculosis causing death of patient 
  • Possible delay in diagnosing testicular torsion resulting in removal of testicle.
  • Possible delay and failure to diagnose ankle fracture resulting in prolonged pain and suffering.
  • Possible failure to diagnose a sarcoma in a timely manner.
  • Delayed diagnosis of pulmonary tuberculosis resulting in stillbirth.
  • Delayed diagnosis of lung cancer resulting in premature death of patient.
  • Possible delayed diagnosis of aspiration syndrome.
  • Delayed diagnosis of pancreatic cancer resulting in reduced life expectancy.
  • Delayed diagnosis of breast cancer causing worse prognosis.
  • Delayed diagnosis of congenital heart condition.
  • Possible failure to diagnose diabetic ketoacidosis resulting in death of patient.
  • Possible failure to diagnose subdural empyema in a timely manner.
  • Possible failure to diagnose atrial fibrillation and treat accordingly resulting in a stroke or death of patient.
  • Possible avoidable delayed diagnosis of spinal cord compression (including cauda equina syndrome), resulting in permanent neurological damage.
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STANDARD OF CARE:

  • Adequacy of record keeping and resultant below standard care of a patient.
  • Failure to transmit important information in a referral letter
  • Opinion on possible unethical behaviour during a consultation and its consequences.
  • Opinion on delay in referring to a specialist or failure to refer to a specialist.
  • Possible failure to administer medication safely and at correct dosage resulting in overdose and death of patient.
  • Administration of wrong medication causing harm.
  • Possible failure to prescibe Zopiclone safely
  • Possible failure to prescribe diazepam safely over a period of several years
  • Opinion on acceptable standard of management of a patient with low back pain.
  • Failure to obtain informed consent for invasive procedure resulting in allegation of assualt, unexpected side effects and physical consequences, amongst others.
  • Opinion on acceptable standard management of neck pain.
  • Possible poor standard of blood pressure management resulting in the patient suffering a stroke.
  • Possible failure to diagnose gastric ulcer perforation
  • Time it took to diagnose prostate cancer and possible delay in treatment and corresponding reduced expected life span and increased severity of side effects.
  • Possible failure to diagnose food intolerance, resulting in suffering prolonged and unnecessary symptoms.
  • Possible poor monitoring and treatment of diabetes leading to avoidable complications 
  • Poor treatment of osteoporosis resulting in unnecessary fracture.
  • Unnecessary injury from poorly performed minor operation.
  • Posible failure to diagnose insulin dependent diabetes in a timely manner.
  • Possible failure to diagnose uterine perforation after coil insertion.
  • Possible failure to diagnose a ruptured Achilles tendon in a timely manner 
  • Possible failure to diagnose undescended testicle.
  • Possible failure to recognise allergy history in a patient resulting in prescription of a medication causing anaphylaxis.
  • Possible failure to account for all acupuncture needles resulting in needle migration.
  • Possible faiure to prescribe in a safe manner resulting in medication side effects (e.g. diazepam, metoclopramide, anti-epileptic medications, antibiotics, NSAIDS causing renal failure or stomach ulceration).
  • Possible failure to prescibe morphine safely leading to addiction and withdrawal effects 
  • Possible failure to diganose renal failure in a timely manner resulting in death of patient or permanent dialysis.
  • Possible failure to diagnose acute Leukaemia in a timely manner resulting in death of patient.
  • Possible failure to diagnose appendicitis in a timely manner
  • Possible failure to diagnose end stage renal failure in a child.
  • Possible failure to diagnose a breast abscess resulting in rupture and scarring.
  • Possible failure to diagnose a cervical neck fracture resulting in complications.
  • Failure to diagnose sepsis resulting in death of patient.
  • Possible failure to diagnose bladder cancer in a timely manner
  • Possible wrong diagnosis of epilepsy and adverse consequences of unnecessary treatment.
  • Possible administration of wrong medication causing psychological harm.
  • Overdose administration of diamorphone medication causing respiratory arrest and subesquent hypoxic brain damage.
  • Abrupt withdrawl of paroxetine medication causing suicidal side effects.
  • Possible failure to diagnose clostridium infection in a timely manner.
  • Possible failure to diagnose renal failure early enough.
  • Possible failure to test for a diagnose MRSA in a patient causing prolonged problems.
  • Possible failure to diagnose a wrist fracture.
  • Possible failure to diagnose a psoas muscle abscess.
  • Possible failure to diagnose tuberculosis. 
  • Possible failue to adequately follow up after the prescribing of antidepressants and failure to advise regarding withdrawal side effects.
  • Possible failure to arrange an adequate social care package resulting in harm.
  • Possible failure to arrange a suitable assement of mental capacity resulting in harm.
  • Possible overprescribing of insulin causing harm.
  • Possible failure to diagnose septic arthritis, Rheumatoid arthritis, Osteoarthritis.
  • Possible failure to adequately counsel a patient on possible side effects of medication (dipyridamole).
  • Possible failure to diagnose subacute bacterial endocarditis in a patient resulting in permanent damage to a heart valve.
  • Possible failure to diagnose an ankle fracture in a timely manner resulting in an angulated fracture and disability.
  • Possible failure to diagnose lung cancer in a timely manner resulting in a poor prognosis.
  • Possible failure to diagnose lymphoedema in a patient resulting in prolonged pain and suffering .
  • Possible failure to diagnose diverticular abscess or diverticular perforation.
  • Possible failure to diagnose pneumonia in a baby resulting in death of baby.
  • Possible failure to diagnose meningitis, resulting in death of child  or permanent disability 
  • Possible failure to diagnose eclampsia resulting in harm
  • Possible failure to diagnose testicular torsion in a timely manner resulting in prolonged pain.
  • Possible failure to diagnose prostate cancer.
  • Possible failure to diagnose kidney stone in a timely manner resulting in kidney damage.
  • Possible failure to manage childhood urinary tract infections appropriately resulting in renal failure.
  • Possible failure to diagnose an ischaemic leg in a timely manner resulting in amputation.
  • Possible failure to diagnose a childhood AVM.
  • Possible failure to diagnose sudden hearing loss and refer urgently to ENT 
  • Possible failure to diagnose and adequately manage lymphoedema.
  • Possible failure to differentiate between Bells Palsy and a stroke.
  • Possible failure to diagnose lymphoma in a timely manner resulting in death of patient.
  • Possible failure to record penicillin allergy appropriately in the records resulting in further administration of antibiotic resulting in anaphylaxis and death of patient
  • Possible failure to diagnose necrotising fasciitis in a timely manner.
  • Possible failure to adequately prevent osteoporosis in a patient taking prolonged steroid medication
  • Possible failure to refer for unilateral deafness (an acoustic neuroma).
  • Pneumothorax caused by steroid injection.
  • Possible failure to diagnose cholesteatoma
  • Possible to failure to diagnose slipped upper femoral epiphysis in a timely manner.
  • Possible failure to fully investigate a chest lump resulting in delayed diagnosis of cancer.
  • Possible misdiagnosis of irritable bowel syndrome at the cost of missing colon cancer 
  • Possible failure to diagnosis stomach cancer resulting in terminal prognosis.
  • Possible failure to diagnose and treat a strangulated hernia 
  • Possible failure to diagnose and treat an empyema
  • Possible failure to diagnose and treat Pelvic Inflammatory Disease 
  • Possible failure to diagnose and appropriately treat/refer a perianal abcess 
  • Possible failure to diagnose in a timely manner an arterial foot ulcer or diabetic foot ulcer resulting in amputation
  • Possible failure to listen to the chest and therefore failure to diagnose haemothorax resulting in death of patient.
  • Possible failure to refer a patient to hospital for investigation into a possible sub-arachnoid haemorrhage
  • Possible failure to provide appropriate terminal care to a patient 
  • Possible failure to diagnose gallstones in a timely manner 
  • Ear drum perforation during syringing for wax
  • Possible failure to diagnose a fractured neck of femur in a timely manner
  • Stomach ulcers causes by non-steroidal anti-inflammatory medications
  • Possibe failure to diagnose glass foreign body in a wound
  • Possible failure to diagnose premature labour
  • Possible failure to diagnose congential hip dislocation in a timely manner 
  • Possible failure to diagnose amiodarone toxicity
  • Possible failure to diagnose pneumothorax in a timely manner
  • Possible failure to diagnose brain tumour meningioma in a timely manner
  • Possible inadequate treatment of osteoarthritis of great toe
  • Possible failure to diagnose coeliac disease in a timely manner 
  • Possible failure to adequately treat chronic fatigue syndrome according to NICE guidelines 
  • Possible failure to administer depo provera injection correctly causing abscess.
  • Possible failure to diagnose intracranial hypertension in a timely manner
  • Possible failure to diagnose an incorrectly repaired third degree perineal tear at the 6 week postnatal check
  • Possible failure to diagnose squamous cell carcinoma in a timely manner 
  • Possible failure to diagnose or investigate for retained products of conception (RPOC) 
  • Possible failure to diagnose neck of femur hip fracture in a timely manner 
  • Possible failure to prescribe the correct version of tegretol anti-epileptic medications
  • Possible failure to correctly manage persistent proteinuria (nephrotic syndrome)
  • Possible failure to refer urgently a patient with herpetic eye ulcer 
  • Possible failure to manage the condition of shin splints correctly
  • Possible failure to diagnose metatarsal stress fracture in a timely manner 
  • Possible failure to diagnose haemachromatosis in a timely manner 
  • Possible failure to diagnose and treat pelvic inflammatory disease/chlamydia infection 
  • Possible failure to diagnosis vulval cancer in a timely manner
  • Possible failure to diagnose diverticular abscess in a timely manner (leading to perforation)
  • Phenol burn during minor surgery
  • Possible failure to identify and refer sub-arachnoid haemorrhage in a timely manner 
  • Possible failure to refer a patient with endometrial cancer in a timely manner
  • Possible failure to diagnose lymphoma in a HIV positive patient in a timely manner
  • Possible failure to diagnose heart failure in a timely manner
  • Possible failure to diagnose a craniopharyngioma in a timely manner
  • Possible failure to diagnose an imperforate anus in a timely manner
  • Possible failure to diagnose ischaemic limb in a timely manner 
  • Possible failure to diagnose a ruptured ovarian cyst
  • Possible failure to diagnose tibial torsion
  • Possible failure to diagnose rib fractures
  • Possible failure to manage asthma in a competent way resulting in death of patient
  • Possible failure to diagnose inflammatory bowel disease in a timely manner 
  • Possible failure to prescribe oxazepam safely resulting in prolonged addiction
  • Possible failure to diagnose neutropenic sepsis
  • Possible failure to appropriately recognise and manage pressure sores
  • Possible failure to recognise and manage appropriately a mastoid abscess
  • Possible failure to recognise dehydration and manage appropriately in an elderly patient
  • Possible failure to spot neurofibromatosis lesions on a child
  • Possible failure to diagnose or manage appropriately an oral cancer 
  • Possible failure to diagnose and obstructed hernia
  • Possible failure to diagnose cholangitis in a patient (resulting in death)
  • Possible sub-standard neck manipulation resulting in injury
  • Possible failure to diagnose or treat a corneal ulcer appropriately
  • Possible failure to refer a broken nose in a timely manner
  • Possible failure to diagnose and treat appropriately a testicular abscess
  • Possible failure to diagnose anal cancer
  • Possible sub-standard cautery resulting in injury of patient
  • Possible failure to diagnose or refer on the suspicion of a brain space occupying lesion 
  • Possible failure to appropriately advise on the risks of medications during pregnancy
  • Possible failure to diagnose a neonatal breast abscess
  • Possible failure to prescribe nebido injections safely
  • Possible failure to recognise and treat appropriately sleep apnoea in a child
  • Possible failure to monitor for and recognise side effects to Dapsone treatment
  • Possible failure to suspect and manage appropriately a finger fracture
  • Possible failure to diagnose Lymphona in a timely manner
  • Possible failure to diagnose heart block 
  • Possible failure to diagnose a septic arthritis in a finger resulting in finger amputation failure to diagnose a knee fracture
  • Possible failure to diagnose gestational diabetes 
  • Possible failure to diagnose endometrial cancer (failure to refer after postmenopausal bleeding).
  • Possible failure to diagnose a fractured clavicle.
  • Possible failure to act upon abnormal proteinuria results and thereafte delay in diagnosis of nephrotic syndrome.
  • Possible failure to manage an ingrowing toenail correctly.
  • Possible failure to treat postnatal depression approrpiately resulting in suicide of patient.
  • Possible failure to prescribe morphine in accordance with guidelines resulting in morphine toxicitiy and death of patient.
  • Possible failure to diagnose Stevens-Johnson Syndrome
  • Possible failure to prescribe zopiclone in accordance with guidelines
  • Possible failure to refer a patient with suspected Crohns disease.
  • Possible failure to diagnose a spinal tumour.
  • Possible failure to administer haloperidol in correct circumstances
  • Possible failure to warn a patient about Pregabalin side effects
  • Possible failure to suspect cystic fibrosis in a child and refer accordingly.
  • Possible failure to warn a patient about banking sperm prior to gender reassignment operation.
  • Possible failure to diagnose Hepatitis B or C.
  • Possible failure to diagnose a basal cell carcinoma and treat appropriately
  • Possible failure to adequately counsel a patient on the need for family screening for inheridated Budd Chiari malformation (leading to death by subarachnoid haemorrhage).
  • Possible failure to manage an episiotomy wound approrpiately leading to infection and wound breakdown.
  • possible excessive administration of furosemide leading to death of an elderly patient from electrolyte disturbance.
  • possible failure to diagnose whooping cough leading to the death of a child,
  • possible failure to act on abnormal scan results demonstrating a meningioma.
  • Possible failure to diagnose Charcot Foot.
  • Possible failure to diagnose vulval cancer
  • Possible failure to diagnose Addisons Disease in a timely manner
  • Possible failure to diagnose a postoperative spinal abscess resulting in paralysis of patient.
  • Possible failure to diagnose B12 deficiency and failure to treat B12 deficiency correctly.
  • Possible failure to prescribe Topiramate safely.
  • Possible failure to diagnose penile cancer in a timely manner resulting in penile amputation.
  • Possible failure to diagnose a retained suture.
  • Possible failure to treat a fungal scalp condition correctly.
  • Possible failure to diagnose and manage correctly Mastoiditis.
  • Possible failure to diagnose pyonephrosis (resulting in death of patient).
  • Possible failure to diagnose bladder cancer.
  • Possible failure to diagnose liver Cirrhosis.
  • Possible failure to diagnose endometritis in a patient.
  • Possible failure to diagnose pancreatitis in a patient.
  • Possible failure to diagnose Superior Vena Cava obstruction in a patient.
  • Possible failure to adequately manage a Caesarian Section wound infection resulting in breakdown of wound and excessive scarring.
  • Possible failure to diagnose metastatic adrenal cancer.
  • Possible failure to managae asthma correctly.
  • Possible failure to diagnose SLE in a timely manner.
  • Possible failure to diagnose an Abdominal Aortic Aneurysm.
  • Possible failure to diagnose Obstructive Sleep Apnoea in a child.
  • Possible failure to diagnose oral cancer.
  • Possible failure to administer safe medications during pregnancy resulting in foetal harm.
  • Possible failure to diagnose a neonatal breast abscess.
  • Possible failure to prescribe safe amounts of nebido, causing harm.
  • Possible failure to diagnose Trochanteric Bursitis.
  • Possible failure to diagnose and manage encephalitis.
  • Possible failure to record approrpiately an Iodine allergy, resulting in harm to a patient.
  • Possible failure to monitor Azathiaprine medication appropriately.
  • Possinle failure to safely perform neck manipulation on a patient.
  • Possible failure to diagnose and manage a corneal ulcer.
  • Possible failure to diagnose anal cancer.
  • Possible failure to diagnose Neurofibromatosis.
  • Possible failure to prescribe Clindamycin at correct dosage.
  • Possinle failure to diagnose a supraspinatus tear 
  • Possible failure to suspect and refer appropriately a case of laryngeal cancer 
  • Possible failure to prescribe Lithium at a safe dose  and failure to monitor Lithium levels correctly.
  • Possible failure to prescribe Tegretol correctly.
  • Possible failure to diagnose a miscarriage.
  • Possible failure to diagnose Hypothyroidism.
  • Possible failure ot diagnose a diaphragmatic hernia 
  • Possible failure to diagnose RSV (death of child).
  • Possible failure to diagnose a Slipped Upepr Femoral Epiphysis .
  • Possible failure to diagnose multiple rib fractures resulting in haemothorax.
  • Possible failure to diagnose tibial torsion.
  • Possible failure to diagnose Pharyngeal cancer.
  • Possible failure to diagnose Motor Neurone Disease in a timely manner.
  • Possible failure to continue clopidogrel medication when warranated resulting in Pulmonary Embolus.
  • Possible failure to manage swine flu appropriately resulting in death of patient 
  • Possible failure to recognise Stevens Johnson Syndrome
  • Possible failure to investigate postmenopausal bleeding approrpiately and thus not diagnosing endometrial cancer
  • Possible failure to act on child protection concerns 
  • Possible failure to act on vulnerable adult concerns 
  • Possible failure to refer for a minor operation approrpiately
  • Possible failure to act on high PSA results 
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Dr Bint's Court appearances

2010

Inner London North Coroner Court case of Gomez

Inner London North Coroner Court case of Kenny

Inner London North Coroner Court case of Ahye

Inner London North Coroner Court case of Khan

2011

Inner London North Coroner Court case of Casey

Croydon Crown Court case of Vipond

Inner London North Coroner Court case of Gilbert

Inner London North Coroner Court case of Roberts

Inner London North Coroner Court case of Shah

Inner London North Coroner Court case of Zbigniew

Inner London North Coroner Court case of Godfrey

Inner London North Coroner Court case of Radosz

2012

Inner London North Coroner Court case of Barnfather

Essex Coroner Court case of Jex

Inner London North Coroner Court case of Cameron

Inner London South (Southwark) Coroner Court case of Adebimpe

Inner London North Coroner Court case of Khan

Inner London North Coroner Court case of Balci

Inner London North Coroner Court case of Goldberg

Inner London North Coroner Court case of Dowdall

2013

Essex Coroner Court case of Adams

Isle of Wight Coroner Court case of Haddon

Inner London North Coroner Court case of Beagle

Inner London North Coroner Court case of Charles

Inner London North Coroner Court case of Choudhoury

Suffolk Coroner Court case of Edwards

Kent Coroner Court case of Austin

Inner London North Coroner Court case of Moss

Inner London North Coroner Court case of Vishram

Inner London North Coroner Court case of Webb

2014

Inner London North Coroner Court case Collins

Inner London North Coroner Court case of Coleman

Surrey Coroner Court (Woking) case of Andrade

Inner London North Coroner Court case of Patel

Inner London North Coroner Court case of Lee

Inner London North Coroner Court case of Qadar

Inner London North Coroner Court case of Taylor

Inner London North Coroner Court case of Thompson

2015

Gloucester Coroner Court case of Waite

Isle of Wight Coroner Court case of Pevreal

Kent Coroner Court case of Broadbent

Inner London South (Southwark) Coroner Court case of Zacharski

Brighton County Court case of Willis v Stern

Patent Infringement Chancery Court, London

Inner London North Coroner Court case of Day

Inner London North Coroner Court case of Johnson

Cornwall Coroner Court case of Titterington

Portsmouth Coroner Court case of Sillence

GMC FTP hearing case of Osakuade

Kent Coroner case of Dean

Suffolk Coroner Court case of Denyer

North London Coroner Court case of Anna Mansfield

2016

Bolton Coroner Court case of Akdemir

Walthamstow Coroner Court case of Marongiu

Kent Coroner Court case of Maunder

Inner London North Coroner Court case of Hamid

Isle of Wight Coroner Court case of Hardman

Inner London North Coroner Court case of Lau

East London Coroner Court case of Lowe

2017

Royal Courts of Justice Cosgrove v Al-Doori

2018

Inner London North Coroner Court case of Nichols

Inner London North Coroner Court case of Petre

Kingston-upon-Hull Coroner Court case of Ali

Kent Coroner (Maidstone) Court case of Mawson

Surrey Coroner Court case of Gillah

Hull Coroner Court case of Gatti 

Royal Courts of Justice Hooper v Burne and others

MPTS GMC v McFarlane
 

2019

East London Coroner Court case of Clive

Kent Coroner Court case of Walton

Sheffield County Court case of Murphy v Holden

Nottingham Coroner Court case of Vaughan

East London Coroner Court case of Lewis
 

2020

Wiltshire Coroner Court case of Narraway

Royal Courts of Justice, London  Child XM v Leicestershire NHS Trust - this was a high value, contested case setting a precident on certain medical issues; High Court Judgment Template (serjeantsinn.com)

Kent Coroner Court case of Wilson


2021

Walthamstow Coroner Court case of Diggines

Walthamstow Coroner Court case of Jalloh

Walthamstow Coroner Court case of Harris
 

2022

Surrey Coroner Court case of Brown


2023

Wakefield Coroner Court case of Nash

Walthamstow Coroner Court case of Harper

Walthamstow Coroner Court case of Smith

MPTS GMC v Gabriel
 

Contact

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MOBILE: 07771910198
EMAIL: alastairbint@nhs.net

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