Acute and general medicine experts

We provide acute and general medicine expert witnesses and court reports

Who are Acute and general medicine experts?

Acute and general medicine experts are specialist doctors involved in the assessment, investigation, diagnosis and management of patients who have an acute medical illness; either the first presentation of an illness (for example chest pain requiring investigation) or the worsening of an underlying condition (for example an exacerbation of the symptoms of chronic obstructive pulmonary disease). Acute and general medicine experts may start assessing patients in the accident and emergency department, as well as working on acute clinical assessment units and on general medical wards.

Acute and general medicine experts

Doctors in acute and general medicine often perform invasive investigative procedures, including lumbar puncture, pleural aspiration (draining fluid around the lungs) and paracentesis (draining fluid usually from the abdominal cavity for diagnostic purposes.

How specialist is an acute and general medicine expert?

All doctors in acute and general medicine will have completed an average of five years of medical school, followed by two years of foundation training. Trainees then complete two to three years of core medical training, before specialising in acute or general medicine for another three to four years of training. Some doctors choose to dual train in both acute and internal medicine, which is a longer and more intensive training programme lasting at least six years.
Patients treated under the umbrella of acute and general medicine make up the largest group of patients in hospital, so specialists in this field have a wide range of knowledge and skill.

Why might you need to instruct an acute and general medicine expert witness?

Acute and general medicine expert witnesses may be instructed for an expert opinion in any case involving an acute medical presentation, which is a wide field. As with any area of medicine, sometimes things do not go as planned and an expert may be called to give their opinion in a case of personal injury or clinical negligence. An example of this could be if a doctor in acute and general medicine performed a diagnostic lumbar puncture but caused bleeding in the spinal canal leading to a walking impairment and bladder dysfunction. It would be important to establish, with the aid of an expert in acute and general medicine, how common spinal bleeds are as an outcome of a lumbar puncture, whether it could have been avoided, whether appropriate action was taken to avoid further damage, and how necessary the lumbar puncture was in the first place. The opinion of an acute and general medicine expert can be very helpful to the court in a case such as this.

Acute and general medicine experts are also very accustomed to investigating and treating people in the first stages of an illness or internal injury and can therefore provide helpful guidance on the underlying cause of a medical presentation, and what investigations and treatment would be expected. They can also give an expert opinion on prognosis and further management needed to optimise quality of life. This may be on a wide range of medical disorders and acute and general medicine experts are therefore generally accustomed to being instructed in civil and criminal cases, cases of clinical negligence in particular, and for both claimants and defendants.

Other incidences where an acute and general medicine expert may be instructed include:

  • Chest pain
  • Breathlessness
  • Venous thromboembolism (pulmonary embolism and DVT)
  • Sepsis
  • Collapse and falls
  • Confusion and delirium
  • Headaches
  • Seizures
  • Overdose and poisoning
  • Alcohol use and related disorders
  • Head injuries
  • Gastrointestinal bleeding
  • Endocrine/diabetes emergencies
  • Road traffic accidents leading to internal injury
  • Occupational related illnesses e.g. exacerbations of asbestosis

What experts does Expert Court Reports have?

We have a highly experienced and well-respected acute and general medicine expert witness on our panel, Dr Phil Jacobs.
Dr Jacobs is an experienced physician with dual certification in acute medicine and general internal medicine. He has been a medical expert since 2015 and has experience of a wide range of medical expert reports. He has been a lead investigator of Serious Untoward Incidents, using Root Cause Analysis to identify care and service delivery issues. He was a Clinical Advisor to the National Confidential Enquiry into Patient Outcomes and Deaths (NCEPOD), and has peer reviewed cases for NCEPOD’s sepsis, acute non-invasive ventilation, heart failure and pulmonary embolism studies. Dr Jacobs has produced over 250 reports, for both the Defendant and Claimant.
He completed the Royal Society of Medicine and BPP University course “Expert witness skills masterclass – how to avoid the pitfalls” in 2018 and undertakes continuing professional development for medical expert witnesses. His special areas of interest include sepsis, acute kidney injury and DVT/pulmonary embolism.

Why use Expert Court Reports?

A good acute and general medicine expert witness should come with years of clinical experience as well as specific competencies to act as an expert witness. Look for someone who has established expert witness experience. Our acute and general medicine expert, Dr Phil Jacobs, has many years of clinical practice and established experience of acting as an expert witness.

How quickly can you provide a report?

At Expert Court Reports Ltd, we understand the pressures of the legal profession. We recognise that litigation is subject to defined timescales and for this reason, we will be as flexible and accommodating as we are able to be. However, we pride ourselves on not promising work that cannot be reliably delivered within a given timescale. The quality of the evidence which is provided by our experts is subject to review and scrutiny. All expert reports are subject to a detailed and robust proofreading process to ensure that our expert evidence is accurate and expertly formatted.


Instructing an expert witness

If you would like to find out more about how our acute and general medicine expert witness could assist you, please call us on 01865 587865, email, or request a quote by completing our online form.

Contact us