This month we introduce Occupational Therapy Expert Witness, Alexander Heaps, who became an...
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BSc (Hons) Nursing Studies, PG Dip Clinical Research , PG Cert Practice Development
I qualified as a registered nurse in 2010. My first position was in a regional liver unit where I cared for patients undergoing medical, surgical and high dependency management of a range of liver conditions including liver transplantation. This gave me an excellent grounding in general nursing care and a passion for liver disease, hepatobiliary surgery and gastroenterology. I subsequently worked in Critical Care to further develop my nursing skills to include the care of patients requiring life support. I have also undertaken a year as a research nurse, during which I undertook post graduate study in Clinical Research and worked closely with the pharmaceutical industry on several drug trials in liver disease.
In 2015 I became a Clinical Nurse Specialist. Initially this was in liver disease, predominantly Hepatitis C and Cirrhosis. Within this role I delivered care across a broad range of settings including the acute hospital, primary care, the prison service and substance misuse and homeless services. As part of this role I also managed an Operational Delivery Network for Hepatitis C and developed a wider understanding of health care delivery at an operational level while maintaining my clinical work load.
In 2019 I wished to bring together all the skills I had gained and wanting to further an interest in palliative care I moved into a Macmillan affiliated role as a nurse practitioner specialising in the upper gastrointestinal (UGI) and hepatobiliary (HPB) cancers. This was a very autonomous role caring for patients from diagnosis through to end of life care with UGI and HPB cancers and the associated complications. In this role I developed a rapid access jaundice service and undertook specialist training in palliative care via Macmillan.
Due to wanting to further develop my clinical skills in 2023 I moved into a trainee advanced clinical practitioner post in UGI surgery. I have completed basic surgical skills training at the Royal College of Surgeons Edinburgh and I am studying towards an MSc in Advanced Clinical Practice. My role includes reviewing patients autonomously in general surgery clinics, first surgical assistant during both laparoscopic and open surgeries, daily ward rounds, complex wound care and nurse and junior doctor education.
I have completed physical assessment and history taking qualifications and I am an independent nurse prescriber. I am also fully IRMER and MRI trained and can request any required radiological and endoscopic tests and interventions to assist in in patient care. My specialist interests are around nutrition in gastrointestinal surgery and cancers, pancreatitis and enhanced recovery after surgery. I continue to regularly undertake bank shifts on acute wards within the NHS to maintain my clinical and general nursing skills.
I accept instructions from both claimant and defendant solicitors and insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under Civil Procedure Rules (CPR) pertaining to expert witnesses.