Personal injury and RTA
Reports for road traffic accidents and injuries at work or in public places, documenting injury, treatment and recovery, MedCo registered.
Medico legal · For solicitors and individuals
Independent medico legal reports.
Clear, objective medical evidence for solicitors, courts, tribunals and individuals, from personal injury and DVLA reports to PIP appeals, capacity assessments, PTSD, ADHD and autism. GP-led reports are prepared by a MedCo registered medical expert; psychiatric reports by our consultant psychiatrists. Assessments take place in person at our Palmers Green clinic.
MedCoRegistered expert · DME9158
GMC 6113670Dr Mitesh Parmar
CPR Part 35Duty to the court
What it is
A credible, impartial medical opinion.
A medico legal report sets out the medical facts of a case plainly: the injury or condition, its likely cause, its current effect, and the prognosis. Its value is in being clear and impartial.
I assess the person, read the records supplied, and give an honest opinion. Opinion is kept separate from fact, and where there is a reasonable range of opinion I say so. Whether you instruct on behalf of a claimant, or you are gathering evidence for your own claim, you get a structured report you can rely on.
Where CPR Part 35 applies, the report says so and complies: the expert’s overriding duty is to the court, not to whoever pays the fee. That independence is what makes the report worth instructing.
Assessments are arranged promptly at our Palmers Green clinic, and reports are delivered electronically. Where a physical examination is essential to the opinion, it takes place during the assessment.
The expert
Who prepares your report.
Every report is prepared personally by Dr Mitesh Parmar, independent and objective, with a fixed fee confirmed on instruction and a prompt turnaround.
Dr Mitesh Parmar
MBBS, MRCGP. 21 years in medicine, with a special interest in psychological medicine and a parallel medico-legal practice.
GMC 6113670 · MedCo DME9158- Independent and objective
- Fee agreed in writing before work begins
- Prompt turnaround
GP-led reports
Types of medico legal report.
Every case needs a medical assessment, and every report begins with the evidence. Tell us what the case needs and we will confirm honestly whether we can help.
Whiplash and soft tissue
Focused assessment and reporting on whiplash and other soft tissue injuries, in MedCo accredited format.
Condition and prognosis
An assessment of a current condition, its effect on daily life and work, and the likely outlook.
DVLA and fitness to drive
Medical reports and examinations relevant to licensing decisions, alongside our in-clinic HGV, LGV, bus and taxi driver medicals.
PIP and benefits evidence
Supporting medical evidence for PIP, ESA and Universal Credit claims, including evidence for mandatory reconsideration and appeal.
Capacity assessments
Decision-specific mental capacity assessments, including COP3 completion where a GP assessment is appropriate.
Clinical negligence
An independent, records based opinion to help you understand the medical issues in a case.
Fitness to work or attend
Assessments of fitness to work, study or attend proceedings, with a clear, reasoned opinion.
Consultant psychiatrist-led
Psychiatric reports and assessments.
Where the question is psychiatric, diagnosis, psychiatric injury, complex capacity, the report is prepared by our consultant psychiatrists. See also our psychiatry services.
PTSD and psychiatric injury
Diagnosis and prognosis of psychiatric injury, including PTSD, following accidents, incidents at work or traumatic events.
ADHD assessment
Consultant psychiatrist-led diagnostic assessment of ADHD, with a structured report suitable for treatment planning or formal use.
Autism assessment
Consultant psychiatrist-led autism (ASD) diagnostic assessment, reported clearly for individuals, employers or education settings.
Complex capacity and COP3
Psychiatric capacity assessments where the picture is complex or contested, including Court of Protection COP3 reports.
Benefits appeal psychiatric reports
Expert psychiatric evidence for tribunal-stage benefits appeals, where a claim was undervalued at assessment or mandatory reconsideration.
Bespoke psychiatric instructions
Tell us what the case needs and we will confirm honestly whether our consultant psychiatrists can help, before any fee is agreed.
For instructing solicitors
Instruction is straightforward.
Send the case details and any records, and I will confirm the fixed fee and a realistic timescale. Assessments can be arranged quickly at our Palmers Green clinic, and the finished report is delivered in a clear, ordered format.
To discuss an instruction, email enquiries@cliniquealpa.co.uk or call 020 8882 8088.
- 01
Direct instruction by email or phone, with scope agreed first.
- 02
A fixed fee, confirmed on instruction. No surprises.
- 03
Prompt scheduling and a clear date for delivery.
- 04
Reports written to be clear, structured and easy to rely on.
Fees
Quoted on instruction, fixed before work begins.
Most instructions below are a fixed package. Personal injury work, professional time and post-report work are charged at an hourly rate, and the items marked as individually scoped are quoted case by case, because the volume of records genuinely drives the work.
Civil, criminal and clinical negligence expert work
Instructed work for solicitors, counsel and the court. The duty is to the court, not to the party paying the fee.
Personal injury medico-legal work
| Service and what is included | Typical length | Fee |
|---|---|---|
| Personal injury medico-legal workConsultation and examination, reading medical records and existing reports, analysis, and preparation of the report. A written estimate is agreed before work begins. | Charged for the time the case actually needs | £250 per hour |
| Minimum charge for substantive additional workApplies to substantive additional work agreed after the estimate, below one hour. It is not a surcharge on every task. | Per piece of additional work | £125 |
General civil expert work, non-personal-injury instructions only
| Service and what is included | Typical length | Fee |
|---|---|---|
| Preliminary desktop screening opinionReview of the papers and a short written screening opinion. Non-personal-injury instructions only; a personal injury instruction is charged at the hourly rate. | Screening opinion | £625 |
| Short CPR Part 35 GP reportExamination, records review and a Part 35 compliant report. Non-personal-injury instructions only; a personal injury instruction is charged at the hourly rate. | Short report | £1,250 |
| Comprehensive CPR Part 35 GP reportExamination, full records review and a comprehensive Part 35 report. Non-personal-injury instructions only; a personal injury instruction is charged at the hourly rate. | Comprehensive report | £1,500 |
| Complex multi-issue Part 35 reportScoped individually against the instruction and the volume of records. Non-personal-injury instructions only; a personal injury instruction is charged at the hourly rate. | Multi-issue report | From £2,000 |
| Qualifying MedCo workUndertaken under the applicable fixed-cost regime only. | By instruction | Applicable fixed-cost regime only |
Clinical negligence
| Service and what is included | Typical length | Fee |
|---|---|---|
| Preliminary clinical negligence merits or breach screenReview of the records and a short screening opinion on merits or breach. | Screening opinion | £750 |
| Breach of duty reportRecords review and a written report on breach of duty. | Written report | £1,500 |
| Causation reportRecords review and a written report on causation. | Written report | £1,500 |
| Breach of duty and causation combinedRecords review and a written report covering both issues. | Written report | £2,200 |
| Very complex cases or extensive recordsScoped individually against the instruction and the volume of records. | By instruction | From £3,750 |
Criminal
| Service and what is included | Typical length | Fee |
|---|---|---|
| Short CrimPR Part 19 reportAssessment and a Part 19 compliant report. | Short report | £1,250 |
| Standard criminal expert reportAssessment, records review and a written report. | Standard report | £1,500 |
| Complex criminal medical opinionAssessment, full records review and a written opinion. | Complex opinion | £2,200 |
| Preliminary criminal negligence screeningReview of the papers and a short screening opinion. | Screening opinion | £750 |
| Gross negligence type instructionScoped individually against the instruction. | By instruction | Individually scoped |
Istanbul Protocol
| Service and what is included | Typical length | Fee |
|---|---|---|
| Focused physical injury reportA one-hour examination, review of the papers and a focused report on the physical findings. Suitability and records screening is part of this work, so there is no separate screening fee. | Focused report | £1,500 |
| Comprehensive or highly complex Istanbul Protocol reportA 60 to 90 minute assessment, with the records review and the scope agreed individually against the instruction and the volume of records. An individual written estimate is given before work begins. | Usually up to about 20 pages | From £3,000 |
| Psychiatric or psychological opinionReferred for a separate specialist quote. | By instruction | Separate specialist quote |
This is an independent clinical opinion. It cannot be written to a required conclusion and does not guarantee the outcome of any claim, application, exemption or hearing.
Expert reports: amendments and supplementary work
An expert report is generally final once it has been completed, signed and issued. Where further work is properly required after issue, it is charged as professional time at the rate below, at the same rate as all other professional time.
Requesting an amendment does not guarantee that an amendment will be made. The expert will only amend a report where the amendment is professionally and evidentially justified.
| Service and what is included | Typical length | Fee |
|---|---|---|
| Post-report amendments and supplementary workSubstantive work after a report has been issued: consideration of new or additional records or evidence, substantive factual amendments, further analysis or reconsideration requested by the instructing party, responses to appropriate clarification questions, supplementary opinions, addendum reports, and revision of an opinion where further evidence properly requires the expert to reconsider or qualify it. Undertaken at the expert's professional discretion and by prior agreement. | Per hour | £250 per hour |
| Correction of a clear error made by the expertStraightforward correction of a typographical, transcription or other clear factual error attributable to the expert. This is not chargeable additional work and is distinct from a substantive amendment. | Per correction | No additional fee |
What post-report work covers, and how it is charged
Expert witness reports are generally considered final once completed, signed and issued. The expert's opinion is independent and based upon the clinical assessment, records and other evidence available to the expert. Instructing parties cannot require an expert to alter an opinion, conclusion or other substantive content merely because the findings are unfavourable or do not support their case.
Where appropriate, the expert may consider amendments or further work following issue of the report. This may include:
- consideration of new or additional records or evidence;
- substantive factual amendments;
- further analysis or reconsideration requested by the instructing party;
- responses to appropriate clarification questions;
- supplementary opinions;
- addendum reports; or
- revision of an opinion where further evidence properly requires the expert to reconsider or qualify the original opinion.
Any such substantive post-report work is undertaken at the expert’s professional discretion, by prior agreement, and is charged at £250 per hour. That fee pays for the additional professional work itself. It is not a fee for changing an opinion, and paying it does not entitle anyone to a different conclusion.
Requesting an amendment does not guarantee that an amendment will be made. The expert will only amend a report where the amendment is professionally and evidentially justified.
Errors made by the expert. Straightforward correction of a typographical, transcription or other clear factual error attributable to the expert will not ordinarily attract an additional professional fee. This is a correction, not a reconsideration, and it is treated separately from the substantive work above.
All medico-legal assessments and expert reports are independent professional opinions. No particular diagnosis, conclusion, causation opinion, prognosis, consistency assessment, recommendation or outcome can be promised or guaranteed.
Further work, court and travel
Charged only with prior written agreement.
| Service and what is included | Typical length | Fee |
|---|---|---|
| Professional timeAddenda, Part 35 or Part 19 questions, rebuttal, experts' meetings and trial preparation. Only with prior written agreement. | Per hour | £250 per hour |
| Minimum charge for substantive additional workSubstantive extra work below one hour. Not a surcharge on every task. | Per piece of additional work | £125 |
| Solicitor or counsel conferenceConference with the instructing solicitor or counsel. | Per 30 minutes | £125 per 30 minutes |
| Remote oral evidence, up to 2 hoursAttendance to give oral evidence remotely. | Up to 2 hours | £750 |
| Court or tribunal attendance, half dayAttendance at court or tribunal. | Half day | £1,250 |
| Court or tribunal attendance, full dayAttendance at court or tribunal. | Full day | £2,500 |
| Detention centre or prison attendance, half dayAttendance at a detention centre or prison. | Half day | £1,500 |
| Detention centre or prison attendance, full dayAttendance at a detention centre or prison. | Full day | £2,500 |
| Professional travel timeCharged with reasonable expenses in addition. | Per hour | £125 per hour, plus reasonable expenses |
Turnaround
One rule, for every letter and every report.
| Service and what is included | Typical length | Fee |
|---|---|---|
| Standard turnaround48 to 72 hours after the assessment and after we have all records and instructions. | 48 to 72 hours | Included |
| Priority 24-hour servicePlus 25 per cent of the fee, subject to the diary. | 24 hours | Plus 25% |
Complex PIP tribunal reports, multi-issue Part 35 reports and Istanbul Protocol reports may need a longer agreed window. That window is stated at quotation.
Independent expert opinion
All medico-legal assessments and expert reports are independent professional opinions. No particular diagnosis, conclusion, causation opinion, prognosis, consistency assessment, recommendation or outcome can be promised or guaranteed.
Fees are payable for the expert's professional time, assessment, review of evidence and preparation of the report, irrespective of the conclusions reached.
The content of a report cannot be dictated by the patient, solicitor, instructing party or any other person.
Some services have a fixed price. Personal injury medico-legal work is charged at an hourly rate, and some expert work is individually scoped. Where a price is not fixed, a written estimate is agreed before work begins. Records beyond the stated allowance, addenda and further questions are charged at the professional time rate, and only with prior agreement. To enquire, call 020 8882 8088 or email enquiries@cliniquealpa.co.uk. Short letters and certificates have published prices on our medical letters page.
Questions, answered plainly
Frequently asked questions.
Who prepares the report?
GP-led reports are prepared personally by Dr Mitesh Parmar, a GMC registered GP (GMC 6113670) and MedCo registered medical expert (DME9158). Psychiatric reports and assessments are prepared by our consultant psychiatrists. In every case the opinion is independent and objective, based on the history, the records supplied and an assessment.
What types of medico legal report do you prepare?
GP-led: personal injury and road traffic accident reports, whiplash and soft tissue reports, condition and prognosis reports, DVLA and fitness to drive reports, PIP and benefits evidence including mandatory reconsideration, capacity assessments and COP3, clinical negligence opinions, and reviews of medical records. Consultant psychiatrist-led: PTSD and psychiatric injury reports, ADHD and autism diagnostic assessments, complex capacity and COP3, and benefits appeal psychiatric reports. Tell us what you need and we will confirm honestly whether we can help.
Are your reports CPR Part 35 compliant?
Yes. Expert reports are prepared to the standards the courts expect, including CPR Part 35 where it applies: the expert’s overriding duty is to the court, not to the instructing party, opinion is kept separate from fact, and where there is a reasonable range of opinion we say so. We never guarantee an outcome. That is precisely what makes the evidence worth having.
Can solicitors instruct you directly?
Yes. Solicitors and claims handlers can instruct me directly. Scope, fee and timescale are agreed in advance. Email enquiries@cliniquealpa.co.uk or call 020 8882 8088.
How quickly can a report be produced?
48 to 72 hours after the assessment and after we have all records and instructions. A priority 24-hour service is available at plus 25 per cent of the fee, subject to the diary. Complex PIP tribunal reports, multi-issue Part 35 reports and Istanbul Protocol reports may need a longer agreed window. That window is stated at quotation.
How much does a medico legal report cost?
It depends on the instruction. Personal injury medico-legal work is charged at £250 per hour, covering the consultation and examination, reading records and existing reports, analysis and preparation of the report, with a written estimate agreed before work begins. For non-personal-injury instructions there are published fixed fees: a short CPR Part 35 GP report is £1,250 and a comprehensive Part 35 report is £1,500. Only genuinely multi-issue or very high volume instructions are scoped individually. The full list is on our appointments and fees page, and the fee is confirmed in writing before any work begins.
Where does the assessment take place?
Assessments take place at our Palmers Green clinic. Where attending the clinic is difficult, a home visit assessment can be arranged.
In clinic · Palmers Green
Instruct me, or book an assessment.
Solicitors can send an instruction and I will confirm fee and timescale. Individuals can book a medical assessment directly.