General description of the work Consultant Endocrinologists undertake
The Consultant Endocrinologist is a doctor specialising in the management and treatment of hormone related disorders and diseases such as diabetes and thyroid hormone problems.


Most common clinical areas / procedures leading to a claim of clinical negligence
• The diagnosis, management and treatment of patients suffering from diabetes
• Problems related to the management and treatment of hyperthyroidism and
hypothyroidism
• The diagnosis, management and treatment of Cushings disease, Addison’s disease,
pituitary hormone problems and growth hormone problems


Sub-Specialities / Alternative and Additional job titles
The Consultant Endocrinologist may be known as a Consultant Physician who has an interest in endocrinology or may have the title Consultant Physician and Endocrinologist.


Usual Qualifications
The Consultant Endocrinologist will usually have MRCP or FRCP (Membership or Fellowship of one of the Royal Colleges of Physicians) after his name.


Academic Appointments
The Consultant Endocrinologist may be a Lecturer or Professor in Medicine or in Endocrinology at a Medical School. He/She may be an Examiner for one of the Royal Colleges of Physicians.


Our Experts
The Consultant Endocrinologists who prepare reports on medical negligence cases on our behalf are all experienced NHS Consultants. They are in active clinical practice and they are experienced at preparing medico-legal reports. They are willing to attend Court in the UK and Ireland provided that they are given enough notice and that their fees and expenses for attending are agreed in advance.
Each of the Consultant Endocrinologists who prepare reports on our behalf has particular areas of clinical interest within his/her endocrinology practice and we match each case with the most appropriate Consultant.


The Report
The Consultant Endocrinologists prepare their Reports for the benefit of the Courts. In other words, they prepare unbiased Reports in order to help the Court to decide the case, rather than to help one side or the other.
The Consultant Endocrinologists examine all the documentation and details of the case and look at the standard of care that the Client received. They then give their opinion on whether or not the standard of care that the Client received fell below the standard of care he/she should have received.
Where necessary they provide background documentation and information to back-up their opinion.

Documentation required
The most important documentation is the Client’s Hospital Records. This documentation will usually contain their Doctors’ Records, Operation Records, Nursing Records, Out-Patient Clinic Records and Correspondence. The Client’s GP records will also be helpful.
There may be X-rays and CT or MRI scans. If these are related to the event in dispute then copies of these will be of help to the Consultant Endocrinologist when he/she is preparing his/her Report.
An account of events by the Client and/or the Client’s family will be of assistance to the Consultant Endocrinologist. Copies of the patient’s Attendances with their Solicitor will also help to clarify the areas of care that are at issue in the case.


Time-scale for the Report
Once we have confirmation to proceed with the Report the Consultant Endocrinologists can usually prepare their Reports within 8 to 10 weeks. If a Report is needed urgently we will endeavour to have it prepared sooner than this.


Price of the Report
Once we receive all the documentation we will provide you with a quotation for the price of the Report from the Consultant Endocrinologist. If you decide to go ahead with the Report we will have it prepared and we will forward it to you on receipt of payment.
If you decide not to go ahead with the Report after receiving the quotation we will return all the documentation to you and there is no charge.


Queries on the Report / Addendums
The Reports from the Consultant Endocrinologists are usually very clear and give a concise opinion on the standard of care the Client received.
If minor clarifications are needed then these will be provided at no extra cost.
If, after the Report has been completed, additional documentation needs to be examined by the Consultant Endocrinologist or if additional work needs to be done in order to provide an Addendum to the Report, then there may be an additional charge. If so, we will inform you of this and only proceed with your approval.


Client Examination
The Consultant Endocrinologists do not normally need to see the Client in order to prepare a Report on the standard of care he/she has received. They can usually prepare their Report from the case notes and other documentation.
If the case does progress and a Report is needed on the Client’s current medical condition and/or prognosis for the future, then it is likely that the Client will need to see the Consultant Endocrinologist for an examination and we can make the necessary arrangements.