Ms Alice Bremner-Smith

Consultant Hand and Wrist Surgeon


Ms Alice Bremner-Smith is a highly experienced Consultant Hand and Wrist Surgeon who provides expert evidence in personal injury and negligence cases involving the hand and wrist.

Instructing Ms Alice Bremner-Smith

If you want to instruct Ms Bremner Smith or if you want to discuss using Ms Bremner-Smith for your case, please contact us.

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Ms Bremner-Smith’s practice covers the whole spectrum of adult Hand and Wrist conditions (both plastic and orthopaedic cases). Ms Bremner-Smith works at the Regional Hand and Wrist Unit, Chelsea and Westminster Hospital NHS Trust, where she has been a Consultant for 20 years and Lead Clinician for 3 years.

Ms Bremner-Smith is an Honorary Senior Lecturer at Imperial College London, a trainer and examiner for the British Diploma of Hand Surgery, a member of the British Hand Society National audit committee and an active member of the British Society for Surgery of the Hand. She was the principal investigator for both the DISC and Hands-2 national trial for Dupuytrens Disease of the hand.

Ms Bremner-Smith completed her surgical training in Orthopaedics in Bristol, and then gained specialist international experience in Plastic and Orthopaedic Hand Surgery working at the Institut de la Main (Paris) and the Royal North Shore Hand Unit (Sydney, Australia). She was awarded the Pulvertaft Fellowship and trained further with national leaders Mr David Evans at The Windsor Hand Clinic, Professor Rolfe Birch at the Peripheral Nerve Unit, Stanmore, and Mr Peter Burge at the Oxford Hand and Wrist Unit.

Experience of giving evidence

Ms Bremner-Smith has been preparing medical reports for 16 years. She has prepared more than 500 reports.

An approximate breakdown of her instructions is 70% claimant, 30% defendant, personal inury 80%, negligence 20%.

Ms Bremner-Smith has extensive experience of telephone and face to face conferences with solicitors and barristers. Ms Bremner-Smith has never, as yet, needed to attend court having prepared numerous joint statements to conclude cases.

Cases undertaken

  • Personal injury cases
  • Clinical negligence cases


Languages spoken

  • English – fluent


Hand/Upper Limb

  • Sensory Pathways in the Spinal Accessory Nerve.
  • T. Bremner-Smith, A. Unwin,W.Williams. Paper. J Bone Joint Surg Br. 1999 Mar ;81(2) :226-8
  • Antenna procedure for the correction of Hooknail deformity. M.Strick, A.Bremner-Smith, M.Tonkin. Paper. J Hand Surg (Br) 2004 Feb.29(1)3-7
  • Anomolous Arteries in the Neck A.T.Bremner-Smith, R.L.M. Newell. Abstract. Clinical Anatomy vol 8 March 1995
  • Open versus endoscopic carpal tunnel release for bilateral carpal tunnel syndrome
  • Cronin, A.T. Bremner-Smith, P. Ewings, H. Giele. Paper submitted. J Bone Joint Surg Br. Nov 2003
  • Long term follow-up of composite, non-vascularised toe phalanx transfer for aphalangia. A. Deva, A.T. Bremner-smith, M. Tonkin. Paper submitted .J Hand Surg (Am) Oct 2003
  • Efficacy of locking plate fixation in stabilizing distal radius fractures in patients aged 50 years or over.Tawfik J, Powell-Smith E, Bremner-Smith A.J Hand Surg Eur Vol. 2012 Jan;37(1):80-1. doi: 10.1177/1753193411423865. Epub 2011 Nov 15.PMID: 22086786 No abstract available.
  • Reduction with a temporary intrafocal K-wire during internal fixation of distal radius fractures.Stohr KK, Fageur M, Bremner-Smith A, Garagnani L.Ann R Coll Surg Engl. 2010 Jul;92(5):443. doi: 10.1308/rcsann.2010.92.5.443b.PMID:20626985Free PMC article. No abstract available


  • Choices and Experiences of women offered Breast Reconstruction
  • T. Bremner-Smith, V.Straker, R.Rainsbury FRCS. Abstract. BASO Bulletin 1996
  • Hospital Epistaxis Admission Rate and Ambient Temperature
  • Tomkinson, FRCS., A.T. Bremner-Smith, C.Craven, and D.G.Roblin. Paper. Clinical Otolaryngology May 1995
  • Patterns of Hospital Attendance with Epistaxis. A Study of 6885 Patients
  • Tomkinson FRCS, D.G.Roblin, C.Craven, A.T.Bremner-Smith. Paper. American Journal of Rhinology Feb.1995
  • Low-Molecular Weight Heparin Thrombo-Prophylaxis as a cause of Sciatic Nerve Palsy A.J.Unwin,W.W.Williams, A.T.Bremner-Smith, P.R.E. Baird. Case report. International Journal of Orthopaedics and Trauma Vol.5 1995 138-9
  • Choices and Experiences of women offered Breast Reconstruction
  • T.Bremner-Smith,V. Straker, R.Rainsbury FRCS. Paper. Annals of the RCS Aug.1997
  • Intra-operative Cell-Saver Technique in Pelvic Surgery.
  • T.Bremner-Smith, D. Campbell, M.F. Gargan, J.H. Newman. Abstract. The Royal College of Physicians Autologous Transfusion Bulletin Nov.1998
  • Joint Line Measurement in Total Knee Arthroplasty. A. Bremner-Smith, J. Hardy. Abstract. American Orthopaedic Society Bulletin. Jan 2001
  • Knee scores in a ‘Normal’ Elderly Population.
  • T. Bremner-Smith, A. Weale. Paper accepted. The Knee. May 2003
  • ‘Emergency Orthopaedics and Trauma’ Proof read orthopaedic textbook . A.J.Unwin and M.Jones February 1996


Ms Bremner-Smith dedicates 1 day per week for medicolegal work. She is available for face to face assessment and video assessments.  She is not available to assess persons in their own home. She cannot travel to the person being assessed. She is able to turnaround a report within 14 working days following interview and receipt of all relevant medical records and imaging. She does not undertake assessments within a prison setting.

Qualifications and memberships


  • BSc (Honours) Biochemistry
  • MB BCh (Medical degree)
  • Primary FRCS (England)
  • Primary FRCS (Edinburgh)
  • FRCS  (England and Edinburgh)
  • A.T.L.S qualification
  • Intercollegiate Specialty Examination Trauma/Orthopaedics
  • Certificate of Completion of Specialist Training
  • Examiner British Diploma of Hand Surgery
  • Honorary Senior Lecturer Imperial College London


  • Member British Society for Surgery of the Hand
  • British Hand Society National Audit Committee

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