Expert Witness

Mr Miller is a Director of Director of Urology Chambers Limited.  His medico-legal practice is supported by a medico-legal co-coordinator and two secretaries.

He has specialist medico-legal knowledge in:

  • gynaecological injury to the urinary tract
  • bladder over distention
  • stone disease
  • cauda equina and cancer cases

He is also able to report on general urology:

  • torsion
  • vasectomy
  • prostate surgery
  • pelvic fractures

Mr Miller is happy to consider the merits of a case based upon a short summary letter and provide full costings in advance of work being undertaken.

Mr Miller was Head of Department at the Whittington Hospital for 25 years with honorary positions at the Institute of Urology, UCH and the Royal Free Hospital.  He is fully validated (GMC) in full-time private practice and sees NHS patient (via Choose and Book) at Highgate Private Hospital.

Mr Miller has an international reputation in urology.  Research has been the foundation of his clinical practice.  With over 140 publications, 250 abstracts, 2 text books, 27 chapters and 300 international presentations, he is able to demonstrate his in-depth knowledge of urological conditions and their management.  This has been recognised by a Hunterian Professorship (RCS), Invited Harveian Lecture, the Cutler Prize (RCS) and Alexander Simpson-Smith Lecture, as well as prizes from both the French and German Urology Associations.  In addition, he has supervised and funded 8 post-graduate degrees.

Mr Miller has an extensive medico-legal practice spanning thirty years at consultant level.  He is a BAUS approved expert witness fully validated on the UK Register of Expert Witnesses and a member of the Academy of Experts.  He accepts over 100 new cases a year, divided into 30% defendant, 60% claimant and 10% single joint expert.  These cases are either negligence or major injury cases. He attends court in England and Ireland 4-5 times per year.

To ensure a high standard of report writing Mr Miller has attended six courses on preparation of medical legal reports, and a course of court presentations, as well as participating in many meetings on medico-legal issues.  In 2017 he received the “Lawyers Monthly” Expert Witness Award.

Mr Miller has also lectured on preparation of medico-legal reports and legal issues (RSM, Holyrood Urological Society and the French Urological Course, BMA, MPS, BAUS, LCA, the Patient Safety Association as well as invited hospital talks and the Aspen Group).  He has participated in the Inner Temple Further Education Day for Barristers (advocacy training for Barristers) and is the Medico-Legal Advisor to the London Clinic MDT.  He has also lectured at the Gough Square Clinical and Legal Update Seminar.

Leading claimant and defence litigators in England and Ireland have regularly instructed Mr Miller over the last twenty five years.   These have included Irwin Mitchell, Slater and Gordon, Coles, Weightmans, Wardhadaway, Callan Tansey, Augustus Cullen Law, Hempsons, JSP, BLClaims, Londgen Walker and Rennie as well as the NHS Litiagtion Authority, MDU, MPS, and GMC.  He has also advised the ISCAS.

Most reports are completed within 10-14 weeks of receipt of the full notes bundle in hard copy.

 

Area of Expertise

Based on thirty years’ experience Mr Miller can report on a wide range of general urology. He has special interest in the areas detailed below on which I routinely report on a medico-legal basis.

Renal Stones

Mr Miller has been a supra-regional urological specialist for both open and endoscopic renal (kidney) surgery for many years, with a particular interest in stone disease. He has an international reputation in this area.

Gynaecological Injury Urinary Tract

As lead urological clinician for a busy obs and gynae unit Mr Miller has extensive experience of the correction and management of major surgical complications following gynaecological surgery (perforated bladder, fistulae, ureteric damage, bladder distention).

Cauda Equina – Management of Neuro Urology

For twenty five years Mr Miller was responsible for the urological management of the complications associated with the spinal unit and neurological department at the Whittington NHS Trust.   I have extensive experience in the diagnosis, treatment and evaluation of cauda equina syndromes.

Fractured Pelvis – Urological Consequences

Mr Miller is routinely instructed by specialist motor-cycle injury lawyers, as he has a proven record in the clinical and medico-legal diagnosis and treatment of erectile dysfunction and urethral injuries associated with fractured pelvis.

Scrotogenital Day Surgery

Mr Miller received the prize of the German Urology Association for his work on urological day surgery.  As such he is familiar with all aspects of scroto-genital surgery including circumcision, torsion of testes, vasectomy, vasectomy reversal, epididymal cysts, hydrocoele, varicocoeles, and testicle removal.  He has experience of the catastrophic complications of Fournier’s Gangrene.

Malignant Disease Kidney and Bladder

Mr Miller is a member of the British Association of Urological Surgeons, Uro-oncology Section. He has held the post of Chairman of the North London Cancer Network Urology Committee, responsible for the governance and outcome of all tumour surgery in the region. He has vast experience of both renal and bladder cancer surgery having worked in the Region Cancer Centre.

Prostate Conditions

Mr Miller has performed several thousand trans-urethral resection (TURP) for benign prostate disease and is completely conversant with the operation and its possible complications.

Pain Syndromes

Over the past ten years, Mr Miller has developed an interested in urological pain syndromes (painful bladder syndrome, urethral syndrome, prostatitis, pelvic pain of a urological origin, chronic testicular pain).  He regularly undertakes a number of novel treatment (including specialist nerve blocks) for these difficult conditions.

Enquiries

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Meet the Team

Linda Morrell – Medico-Legal Co-coordinator RGN, Post Grad. Dip., MSc in Health Service Management.

Linda qualified as a nurse in 1987.  She was Surgical Nurse Manager at The Whittington NHS Trust before being appointed as Directorate Manager for Urology and Nephrology at University College Hospital where she was responsible for the operational management of this very busy tertiary referral center, which included the Institute of Urology.  Her role encompassed the investigation and reporting of complaints.  She joined Urology Chambers Limited in 2012. Her extensive experience of dealing with medico-legal cases ensures the smooth running of the medico-legal service.

Debbie Vandepeer – Clinical Practice Manager

Debbie has worked with Mr Miller for 25 years.  She originally joined the medical secretariat at the Whittington Hospital progressing to run Woolaston House Private Medical Chambers, coordinating Mr Millers clinical practice.  She works closely with Linda to provide clients with outpatient appointments and investigations.  Debbie heads up a very experienced team of secretaries including Kate, Siama, Emma and Barbara.

Karen Gordon – Urology SpR

Karen is an experienced Urology SpR who is planning a career as a Urological Expert Witness once she has attained a consultant post.  She is gaining work experience with Mr Miller by being involved in the preparation of medical reports.

Georgina Miller – Part time Clerical Assistant

Georgina has been working at Urology Chambers since 2016.  She helps with general office duties and preparation of legal files.  She is anticipating a career in law after going to university.

Nisha Patel – Accounts

Nisha joined the Urology Chambers team in 2012.  She is responsible for accounts and book keeping.  She liaises with Linda Morrell regarding all aspects of late payment and debt recovery.

Testimonials

Rosie Banks – Irwin Mitchell Solicitors (2016)

Mr Miller has been extremely helpful on this case. He has been very responsive to request that have sometimes been at very short notice. The level of detail of his reports is hugely helpful – he as an extremely in-depth level of knowledge and fully understand the requirements of a medico-legal report in respect of the format and required detail.

Roger Murray – Callan Tansey (2017)

Thank you very much indeed for your superb report in this matter and for the nuance view that you have taken.

James Cahan – Thompson Snell and Passmore (2016)

Top Notch

Tim Ransley – Senior Associate Irwin Mitchell Solicitors (2016)

Service was excellent, Mr Miller contacted instructing solicitor to explain what was necessary in the appointment, Client call the following day to say the day of the appointment was very challenging but that Mr Miller made it easier. Report was prepared the day after and detailed everything instructing solicitor had requested. The usual issues that so many experts do not deal with (e.g. costs/provisional risk) were all dealt with. A five-star service.

Duncan Stackhouse – Broadgate Legal (2016)

A “thoroughly good” expert.

Dr John Mahony SC – Republic of Ireland (2016)

Mr Ronald Miller is an excellent expert Urological Surgeon witness. He takes a profound interest in cases in which he is retained as an expert medical liability expert witness. He prepared for trial with great care and attention. I am always happy to act in cases with Mr Miller as on expert medical liability urology witness – knowing that his participation as an expert is quite beneficial to those cases in which he acts as an expert witness.

Clare Milne – Girlings Solicitors (2016)

We would not hesitate to instruct Mr Miller in the future.

Patrick Buckley – Buckley Solicitors (2016)

I have been practicing in the medical negligence field for the past 35 years at the highest level and Mr Miller’s report is of exception quality and content. His report shows a deep understanding of medical negligence law and what is require of a medical expert.

Scott Tolliss – Irwin Mitchell (2016)

I have used Mr Miller many times and trust his opinion entirely. I would have absolutely no hesitation in recommending him to other legal professionals.

Alison Hampshire - Morris Orman Hearle Solicitors (2016)

First Class!

Kym Proven Partner – BL Claims Solicitors (2016)

Excellent turnaround time when urgent report required. Clear analysis of issues set out in the report. Very responsive support team.

Adam Wright – Irwin Mitchell (2016)

Very highly regarded expert. He is our No1 for all urology queries. Thank you!

Helen Coughlan Partner – Patrick Farrell Solicitors (2015)

Excellent Service

Tom Fletcher – Irwin Mitchell (2015)

Always prepares very well written and structured reports. Very responsive. Clearly demonstrates fantastic specialist knowledge, Top quality secretarial/administrative support.

Alison Hampshire Morris Orman Hearle Solicitors (2015)

Probably the best expert I have ever used. Approachable, good manner with the client, quality report received promptly. First Rate! Top Class! Five Star!

J Jenkins – Hempsons Solicitors (2015)

Report provided very quickly. Mr Miller took the time to call me and discuss the case which was very helpful.

Gill Muir – Wardhadaway Solicitors (2015)

Very impressed with standard of report and also speed of response to instructions and other queried. Thank you!

Kate McInerney – Michael Houlihan and Partners.

Mr Miller repost are very thorough accessible and demonstrate a very good understanding of what is required and the issue to be dealt with in a report of an expert medical witness.

Paul Sankey Principal Lawyer – Slater Gordon (2015)

Very helpful and comprehensive report. I value the telephone conversations we have had to date.

Jenna Harris -Irwin Mitchell Solicitors (2015

Excellent report which addresses all the issues. Thank you

David Cartwright Partner Wakefield Law (2015)

Taken time to explain the issues in the report and also issues not mentioned in the report so as to give a “heads up” with regard to possible future challenges by The Defendant.

Pam Roberts Head of Clinical Negligence – Woodcocks, Haworth and Nuttall. (2015)

Made sense of an extremely complicated medical issue for me!

News

5th January 2017 – Urology Chambers Limited celebrated its 5th Anniversary at The Ritz.

We all raised a glass of champagne and will be looking forward to another successful year.

Mr Miller presented at GP Seminar 23rd Jan 2017 – Cauda Equina Syndrome and The Role of the GP.

Mr Miller received excellent feedback from participants. Scoring between 4.8 and 4.9 out of 5 in all audited aspects of his presentation. Mr Miller continues his keen interest in communicating with GP colleagues and assisting them with urological and legal problems.

Mr Miller presented at GP National Symposium 4th February 2017 – Female Urinary Conditions in General Practice.

Scoring an average of 4.8 out of 5 in all feedback categories. This is a great opportunity to deal with this important subject which is often misunderstood by GPs and patients.

4th March 2017 – Georgina Miller (Part-time Clerical Assistant)

Celebrated her 18th Birthday and one year working at Urology Chambers Limited.

7-8th March 2017 Mr Miller attended The World Congress in Minimally Invasive Surgery and gave the key note address on Renal Stone Treatment Past Present and Future.

This was not only an opportunity to meet colleagues from all over the world but also to highlight the latest developments and potential future innovations in Stone Management.

10th March 2017 BMA Medical Legal Conference London Mr Miller presented on Medical Manslaughter.

Mr Miller was invited to present at this meeting as he was responsible for the evidence which convicted and imprisoned the first urologist on such charges. He has also been involved as an expert witness in the defence of urologist potentially liable for such charges on behalf of The Defence Unions. This lecture involved a lively debate and many questions from the audience who were keen to hear about the impact of medical manslaughter legislation, wilful neglect and corporate manslaughter and the effect it will have on Defensive Medicine

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