Military and veteran claims, and environmental injury. England and Wales.

Clinical opinion a court can rely on. The machinery that gets it there on time.

An independent expert panel. Reports, assessment clinics and the administration around them. Deepest in military and veteran claims and in environmental injury, and open to instruction across the wider medico-legal work our panel’s expertise covers.

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What we do

Duty to the court

The expert's duty is to the court, and it overrides any obligation to the person instructing or paying.

CPR 35.3

Independent

Instructed by claimant and defendant alike. We decline where a conflict exists, and say why.

Expert led

Trained, governed and hand selected. Expert witnesses drawn from careers of senior practice in their own fields.

What we offer

Three things, done properly.

Expert reports

Compliant with CPR Part 35 and Practice Direction 35, and written to answer the question actually asked. Preliminary and screening opinions where you need to know quickly whether a claim is worth running.

Breach of dutyCausationCondition and prognosisPart 35 questionsJoint statements

Assessment clinics

Face to face examination with the report written from it. Where a group of claimants shares an index event or an alleged mechanism, we run it as a scheduled clinic programme rather than a queue of separate instructions.

Group litigationScheduled clinic daysVeteran cohorts

Medico-legal administration

The laborious work around an instruction, done by a team that already handles service personnel medical records under Ministry of Defence contract: retrieval and sorting, bundle preparation and pre-screening, booking, chasing, formatting and invoicing. For instructing firms and insurers.

Records retrievalBundle preparationPre-screeningSchedulingFormat compliance
Scope of opinion

What a report can address.

Breach of duty

  • The standard of care at the time, without hindsight
  • The Bolam test, as qualified by Bolitho
  • Consent and information given, following Montgomery

Causation

  • Factual causation on the but for test
  • Material contribution to injury
  • Apportionment across competing causes, and pre-existing conditions

Condition and prognosis

  • Prognosis, with and without treatment
  • Effect on function, employment and daily living
  • Recommended treatment and its likely cost
  • Care and assistance needs

After the report

  • Part 35 questions, within the deadline
  • Discussions and joint statements under CPR 35.12
  • Single joint expert instructions
  • Conference with counsel, court attendance and cross examination
Areas of expertise

What the panel covers.

Military and veteran health

  • Service records and service populations
  • Medical boards, fitness for service and appeals
  • Recruit selection and discharge
  • Blast and ballistic injury
  • Non-freezing cold injury

Environmental injury

  • Cold injury, frostbite and hypothermia
  • Heat illness
  • Altitude
  • Polar
  • Marine, jungle and desert
  • Expedition and travel medicine

Clinical specialties

  • Orthopaedics and trauma surgery
  • Musculoskeletal, ligament and joint injury
  • Imaging of the brain and spine
  • Vascular surgery
  • General practice
  • Anaesthesia, pain and critical care
  • Ambulance and out of hospital care
  • Women’s health, paediatrics and mental health
  • Dentistry and oral surgery
  • Toxicology

Scope. Military and veteran claims and environmental injury are where we are deepest, and we are glad to consider instructions across the broader medico-legal domains our panel’s expertise covers. We give breach of duty opinions only where the care falls inside the expert’s own field and current practice, and say so at the outset where it does not. We work in England and Wales only, and do not undertake MedCo soft tissue reporting. Where a case falls outside what we can properly opine on, you will hear it at the letter of instruction stage, not after the records arrive.

Military and veteran claims

We know the population, the record and the injury.

A service or veteran claim takes more than a clinician who has read the medical record. It takes someone who knows how that record was made, what a board was deciding, and what the injury pattern of service life looks like.

That knowledge sits on the panel first hand. Collectively our experts have served through the British operations of the last three decades.

Their Defence and veteran work continues today: medical records, casework and appeals under a Ministry of Defence contract, a regional clinical lead role in the NHS veterans’ physical health and wellbeing service, and direct experience of how Defence sets and audits its own clinical standards, the yardstick a military breach of duty opinion is measured against.

Records and boards

Service medical records, the board process and the route of appeal, read by people who have worked inside them rather than met them for the first time in a bundle.

Fitness for service

Recruit selection, downgrading, discharge and appeal, including where the claim is that a decision was wrongly made or wrongly recorded.

The injuries of service life

Blast and ballistic injury, non-freezing cold injury, musculoskeletal loading, adventurous training injury and heat illness, assessed by clinicians who treat them in current practice.

What we declare. Some of our people hold current or former connections with Defence, and ASG Rescue holds commercial contracts with the Ministry of Defence. Each is declared in writing to both sides before papers are accepted, and we decline where it bears on the opinion. A connection disclosed at the outset is a matter of record. One that surfaces later is a problem for whoever instructed us.

Environmental injury

Cold, heat, altitude and immersion.

The other thread running through this panel is injury caused by the environment. Non-freezing cold injury is where the two meet: largely an injury of service life, turning on whether the exposure was avoidable and on what it costs over a working lifetime, and easy to assess badly if you have not seen it.

Between them the panel holds a seat on the UK working group on frostbite and non-freezing cold injury, twenty years of medical directorship of deep field Antarctic operations, faculty on the UK Diploma in Mountain Medicine, and the editorship of the polar medicine section of Auerbach’s Wilderness Medicine. Not everyone on the panel does this work, and the areas of opinion on each card below say exactly who does.

Cold injury

Non-freezing cold injury, frostbite and hypothermia: exposure history, diagnosis and differential, cold sensitivity and neuropathic sequelae, and prognosis for function and employment.

Heat, altitude and immersion

Heat illness and exertional collapse, altitude illness, and marine exposure, including the adequacy of recognition, treatment and evacuation.

Where the claims come from

Military training and operations, expedition and commercial adventure travel, occupational exposure, and the marine and polar environment.

The people

Leadership team

AJ Alun Jones

Alun Jones

MSc

Practice Director

Alun is the first point of contact for an instructing firm: whether we can take the case, the cost, the timescale, and the conflict check run before any papers are accepted.

He is not a clinician and gives no clinical opinion. Thirty years of operational leadership in military and commercial security, including investigations instructed by law firms.

Expert panel

MN Dr Matt Newport

Dr Matt Newport

MBChB MSc DTM&H PGCert MAcadMEd FRCA FIMC (RCSEd.) FFRRHHEd

GMC 7074100 (opens the GMC register in a new tab)

Prehospital, retrieval and transfer medicine, anaesthesia and trauma
Background and areas of opinion

Consultant Anaesthetist at East Lancashire Teaching Hospitals and Consultant in Prehospital Emergency Medicine with the North West Air Ambulance. GMC subspecialty accreditation in prehospital emergency medicine.

Deputy Chair of the Clinical Standards Committee at the Faculty of Pre-Hospital Care, and a Fellow of the Faculty of Remote, Rural and Humanitarian Healthcare, both Royal College of Surgeons of Edinburgh. Humanitarian deployments with UK-Med, awarded the Humanitarian Medal.

  • Prehospital emergency medicine
  • Retrieval medicine
  • Patient transfer, including critical care transfer
  • Anaesthesia and critical care
  • Major trauma
  • Military and veteran health
SH Dr Sean Hudson

Dr Sean Hudson MBE

MBBS MSc MRCGP DCMM DMM FAWM FEWM

GMC 4042626 (opens the GMC register in a new tab)

General practice, environmental extremes, toxicology and trauma
Background and areas of opinion

General practitioner, with a career-long theme of expedition, humanitarian and austere medicine in high risk and hostile environments.

Sits on the UK working group on frostbite and non-freezing cold injury. Senior clinical and advisory roles with the International Committee of the Red Cross, including board and strategic committee involvement, the HALO Trust and Medics4Ukraine. Appointed MBE for training the White Helmets.

  • General practice
  • Environmental extremes
    • Non-freezing cold injury
    • Frostbite
    • Heatstroke
  • Toxicology
  • Major trauma
  • Military and veteran health
SG Dr Sam Gregson

Dr Sam Gregson

MB ChB FRCR

GMC 7074174 (opens the GMC register in a new tab)

Neuroradiology, brain and spinal imaging, causation from imaging
Background and areas of opinion

Consultant Neuroradiologist at Royal Preston Hospital since 2019, on the GMC Specialist Register in clinical radiology since 2018.

Leads the neuro-oncology and complex spinal imaging multidisciplinary teams, and performs spinal intervention under fluoroscopic and CT guidance.

Reports on the imaging and on its interpretation by others: whether a finding is there, whether it was reported to standard, and above all whether the trauma caused it or it was already present.

  • Causation from imaging: traumatic versus pre-existing
  • Traumatic brain injury
  • Spinal trauma and complex spinal imaging
  • Stroke, including delayed or missed diagnosis
  • Neuro-oncology
  • Imaging interpretation and reporting standards
AK Mr Andrew Kent

Mr Andrew Kent OBE

MB ChB FRCSEd FRCS (Tr & Orth) FFRRHH

GMC 3249037 (opens the GMC register in a new tab)

Trauma and orthopaedic surgery, spinal surgery
Background and areas of opinion

Consultant Orthopaedic Surgeon at Raigmore Hospital, Inverness from 2002, specialising in trauma and spinal surgery, and clinically active since retiring from full-time NHS practice in 2024. On the GMC Specialist Register since 2000 and a trainer recognised by the General Medical Council.

Lieutenant Colonel, Royal Army Medical Corps, retired, with operational service from the first Gulf War through to Iraq. Surgical Lead for UK-Med, and vice-chair of the Faculty of Remote, Rural and Humanitarian Healthcare at the Royal College of Surgeons of Edinburgh. Appointed OBE in the 2023 New Year Honours.

  • Trauma and orthopaedic surgery
  • Spinal injury and surgery
  • Fracture management and outcomes
  • Limb injury and amputation
  • Blast and ballistic injury
  • Military and veteran health
DO Mr David Ormesher

Mr David Ormesher

MBChB MPharm (Hons) FRCS

GMC 7074113 (opens the GMC register in a new tab)

Vascular and endovascular surgery, veteran health
Background and areas of opinion

Consultant Vascular and Endovascular Surgeon at Manchester Royal Infirmary, and Medical Director of AVA Clinics, Manchester. On the GMC Specialist Register in vascular surgery since 2022. Greater Manchester Lead for Op RESTORE, the NHS veterans’ physical health and wellbeing service.

Reports 60 to 80 instructions a year, including high value negligence claims, split roughly three to one between claimant and defence. Has prepared joint statements under CPR 35.12 and given oral evidence under oath. Holds Bond Solon civil procedure and report writing certificates.

  • Aortic aneurysm, open and endovascular repair
  • Peripheral arterial disease and critical limb ischaemia
  • Varicose veins and chronic venous insufficiency
  • Deep vein thrombosis and pulmonary embolism
  • Carotid artery disease and stroke prevention
  • Diabetic foot disease and amputation
  • Vascular trauma and injury assessment
  • Venous and arterial imaging
KJ Dr Kelly Jefferies

Dr Kelly Jefferies

MB BCh BAO MRCGP DRCOG DCCH DMH DFFP

GMC 3305416 (opens the GMC register in a new tab)

General practice, medical education, military medicine and clinical governance
Background and areas of opinion

GP Partner, on the GMC General Practitioner Register since 2006 and a trainer recognised by the General Medical Council. GP Trainer and Educational Supervisor, Child Protection Lead and Prescribing Lead.

Military medicine as a Civilian Medical Practitioner and Army Recruit Medical Examiner, with particular expertise in medical appeals, and currently contracted to the Army Personnel Centre on medical appeals.

  • General practice standard of care
  • Military and veteran health
  • Recruit selection, fitness for service and medical appeals
  • Prescribing and medicines governance
  • Safeguarding and child protection
  • Women's health, paediatrics and mental health
BL Mr Burjor Langdana

Mr Burjor Langdana

BDS MDS FDSRCS FFRRHH

GDC 79255

Dentistry, oral surgery, dental and facial trauma
Background and areas of opinion

Dental surgeon in NHS general practice in Leeds since 2013, with a special interest in oral surgery. Master of Dental Surgery in oral and maxillofacial surgery, and a Fellow in Dental Surgery of the Royal College of Surgeons of England since 1997.

Honorary Clinical Professor in Extreme Medicine at the University of Exeter Medical School, author of the dental chapter in the Oxford Handbook of Expedition and Wilderness Medicine, and dental surgeon to the British Antarctic Survey across three Antarctic seasons. Lead tutor on facial trauma training in a conflict setting.

  • Dental and facial trauma
  • Dentoalveolar and maxillofacial injury
  • Dental negligence and standard of care
  • Emergency dentistry
  • Dental and facial pain
  • Treatment related complications and prognosis
  • Expedition and remote dentistry
MR Dr Martin Rhodes

Dr Martin Rhodes

MA MBChB DipMtnMed

GMC Registered (opens the GMC register in a new tab)

Polar, mountain and expedition medicine, cold injury
Background and areas of opinion

General Practitioner by background, on the GMC General Practitioner Register since 2006, with a career in the medicine of cold and remote environments. Medical Director of Antarctic Logistics and Expeditions from 2003 to 2025, responsible for medical cover of deep field Antarctic operations.

Emergency medicine in the French Pyrenees and doctor to the PGHM mountain rescue service. Faculty for the UK Diploma in Mountain Medicine, and editor of the polar medicine section of Auerbach’s Wilderness Medicine. Read jurisprudence at Oxford and qualified as a Solicitor of the Supreme Court before medicine.

  • Non-freezing cold injury
  • Frostbite and hypothermia
  • Altitude and mountain medicine
  • Polar, expedition and remote medicine
  • Medical planning and evacuation in austere environments
Panel minima

What every expert meets before they take an instruction.

Minimum standards every Meridian expert meets before accepting an instruction
Hand selectedExperts are recruited and onboarded, not listed. Vetting and reference checks before joining.
Bond Solon trainedFormal expert witness training, funded by the practice.
Corporate indemnityProfessional indemnity extending to medico-legal expert work, carried by the practice.
Demonstrable scopeA stated scope, with instructions outside it declined. Full CVs and court experience come with the terms of business.
Governance and administration

The machinery behind the opinion.

Meridian Medicolegal is a trading name of ASG Rescue Ltd, an ISO 9001:2015 and Cyber Essentials Plus certified company.

A certified quality system

ASG Rescue's ISO 9001:2015 certified quality management system, with document control, a risk register and turnaround tracked against deadline.

Conflicts checked at instruction

Run as a step before papers are accepted, not left to memory. We take claimant and defence instructions, so it is checked and recorded every time.

Records handled properly

Retrieval, sorting, bundle preparation and pre-screening under documented governance. Cyber Essentials Plus, and registered with the Information Commissioner's Office, with a named governance lead.

Separate by design

The duty to the court under CPR 35 comes above everything else. ASG Rescue provides the structure around it; the panel's opinions are its own.

Contact

Get in touch

You will get a prompt, direct answer on whether we can accept the instruction, what it will cost and when you will have it.

Instructions

instructions@meridianmedicolegal.co.uk

Letters of instruction and new enquiries.

Telephone

+44 (0)20 4585 0293

Weekdays, 09:00 to 17:00.

Registered office

Ascensis Tower
Juniper Drive, London SW18 1AY.