Causation & Liability Reports

What it is

A formal medico-legal report (typically Part 35 compliant where required) providing an independent opinion on:

• Standard of care (liability/breach): what should reasonably have been done, based on accepted practice at the time

• Causation: whether any alleged failings caused, materially contributed to, or failed to prevent the outcome on the balance of probabilities

Typical questions addressed

• Was the assessment, investigation, treatment, referral, or follow-up reasonable?

• Were risks appropriately recognised, explained, documented, and managed?

• Were there missed opportunities to diagnose earlier or treat differently?

• If there was a breach, what difference would appropriate care have made (if any)?

• Are the alleged injuries consistent with the records, mechanism, and timeline?

How the opinion is reached

• Structured review of contemporaneous records (primary care, hospital, investigations, correspondence)

• Analysis of chronology and decision-points

• Reference to relevant guidance and peer-accepted practice where appropriate

• Clear reasoning, including consideration of alternative explanations and uncertainties

What you receive

• A clear, well-reasoned written report with:

  • Summary of facts and chronology

  • Issues for determination

  • Opinion on standard of care (with rationale)

  • Opinion on causation (with “but for” analysis where applicable)

  • Discussion of competing explanations and limitations

  • Statement of truth and declarations as required (for Part 35)

Optional add-ons

• Joint statements (experts’ meeting)

• Addendum reports after disclosure

• Attendance at conference, trial, or remote instruction (subject to availability)