General description of the work of a Consultant Nephrologist
The Consultant Nephrologist is a doctor specialising in kidney (renal) disease (nephrology). He/she deals with renal failure, glomerulonephritis, pylonephritis, renal dialysis, diabetic renal disease and kidney transplantation as well as medication issues involved in kidney disease.


Most common clinical areas / procedures leading to a claim of clinical negligence
• medication causing kidney damage
• delay in diagnosis of renal disease
• mismanagement of renal failure
• hypertension (blood pressure) issues related to the kidneys


Sub-Specialities / Alternative and Additional job titles
The Consultant Nephrologist may also be known as a Consultant Renal Physician or a Consultant Physician with a Special Interest in Renal Disease or Diseases of the Kidney.


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


Academic Appointments
The Consultant Nephrologist may be a Lecturer or Professor in Medicine or in Renal Disease or Nephrology. He/She may be an Examiner for one of the Royal Colleges of Physicians.


Our Experts
The Consultant Nephrologists 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 Nephrologists who prepare reports on our behalf has particular areas of clinical interest within his/her practice and we match each case with the most appropriate Consultant.


The Report
The Consultant Nephrologists 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 Nephrologists 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, Records of Blood Tests and Investigations and Correspondence.
There may be copies or X-rays or CT or MRI scans. If these are related to the event in dispute then copies of these will be of help to the Consultant Nephrologist 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 Nephrologist. Copies of the Client’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 Nephrologists 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 Nephrologist. 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 Nephrologists 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 Nephrologist 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 Nephrologists 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 the Client may need to be seen by the Consultant Nephrologist for an examination and we can make the necessary arrangements.