Nicholas deals with all aspects of clinical negligence and is particularly adept at dealing with complex causation issues.
Nicholas has successfully pursued claims for injuries sustained during delivery, as well as for claims concerning delay in the diagnosis and treatment of conditions such as ADHD. His practice within paediatric medicine litigation is diverse, and he is comfortable dealing with sensitive issues that concern older children, putting them at ease, as well as dealing with the concerns of parents and guardians.
Nicholas has significant experience in dealing with still birth cases. Well-aware of the sensitivities involves in such claims, he is able to assist clients going through the most devastating of losses.
Nicholas has worked with clients who have experienced (or, in cases of children, have been predicted to experience) fertility difficulties as a result of negligence. He is able to tackle the psychological consequences flowing from the same as well as advising on fertility assistance treatments and surrogacy issues.
Nicholas has been instructed in a number of cases concerning obscure haematological conditions.
Aside from the haematological evidence dealt with in the covid-19 vaccination cases in which he has been instructed, Nicholas has dealt with cases involved in issues such as Thrombotic Thrombocytopenic Purpura (‘TTP’).
C.A. v Bolton NHS Trust and Others: Nicholas successfully pursued a very complex case concerning the delay in diagnosis of a patient’s Thrombotic Thrombocytopenic Purpura (‘TTP’) condition which led to her avoidable passing. It was not known the patient had TTP when initially hospitalised and there were delays in the diagnosis and making a transfer to a tertiary treatment centre for specialist treatment which resulted in the patient’s death, leaving behind a very young child.
As well as dealing with birthing cases resulting in hypoxic brain injuries, Nicholas has experience in cases resulting in neurological and neuropsychological injury.
RB v LTH NHST (2023) A claim concerning a failure to diagnose and treat a Transient Ischaemic Attack (TIA) resulting in an avoidable stroke which was successfully settled at court ahead of a trial against Leading Counsel
In DH v LNW UH NHST (2023) Nicholas successfully pursued a case that concerned the failure to assess a patient for a head injury, which resulted in the missed diagnosis of an extradural haematoma causing brain shift and permanent symptoms. The Claimant, who had a prior criminal record, was alleged to be fundamental dishonest. The claim concluded with the Defendant accepting a previous Claimant offer, out of time, shortly before trial.
Nicholas has represented many claimants successfully following delays in treatment for vascular conditions as well as for delays in diagnosis of conditions leading to pulmonary emboli.
Nicholas recently negotiated a settlement in excess of £1.2m in such a case.
Nicholas regularly represents patients and their families in cases concerning delayed diagnoses of cancer. He is astute at advising on the sensitive topic of the timing of settlements, and understands the frustration and concern patients are often going through as a result of the delays in treatment.
Nicholas has extensive experience in dealing with cases involving orthopaedic surgery (including elective surgeries that have gone wrong), spinal surgery, and spinal cord compression (cauda equina) cases. Nicholas has successfully dealt with cases involving permanent disablement and care needs arising from such injuries.
Nicholas has dealt successfully with claims concerning addiction to opiates and illicit substances arising from failures to review patients and heed psychological drivers and red flags.
He is also regularly instructed to represent bereaved families following suicide.
Nicholas deals with all aspects of plastic surgery, aesthetic treatments from unqualified treatment providers and hair transplant cases. His cases have ranged from instances involving adverse outcomes from elective procedures (nationally and internationally) to cases concerning the need for plastic surgery to remedy significant damage arising from other negligence.