Expert Witness Journal Issue 64 December 2025 - Flipbook - Page 18
a reduced life expectancy, primarily due to an
increased risk of cardiovascular disease. They will
also have a higher risk of end stage kidney disease,
if they have not already reached this. These are
important questions for a nephrology report on
prognosis. Moderately reduced kidney function
does not usually cause symptoms. However, patients
on dialysis may be unable to work or perform other
activities due to fatigue and the time needed for
dialysis.
Dr. Michael Robson
Consultant nephrologist
BA(Oxon) MBBS PhD
Dr Michael Robson is a highly experienced nephrologist (kidney doctor). His NHS
practice is at Guy's and St Thomas' NHS Trust where he has been a consultant
nephrologist since 2002.
Conclusion
His clinical practice covers all aspects of renal medicine including nephrology, dialysis
and transplantation. He has a particular expertise in lupus, vasculitis and
glomerulonephritis but is able to see and treat patients with any form of kidney
disease.
I hope this article has illustrated the varied nature
of a nephrologist’s job, and how they work with other
specialists to care for patients with kidney disease. It
may not always be clear to a solicitor if an opinion is
needed from a nephrologist, a urologist, a transplant
surgeon, a vascular surgeon or a specialist nurse.
It is therefore important to recommend another
expert at the initial approach, if this is appropriate.
Dr Robson has been preparing medico legal reports since 2016. He currently
prepares approximately 70 reports per year with approximately 90% for the
claimant. He would like to increase the proportion of instructions he receives from the
defendant.
His reports are usually on causation, condition/prognosis or life expectancy. Reports
can usually be produced within three weeks of receipt of documents. Appointments (if
required) are usually available within a week. He is happy to give preliminary advice
on a case, based on an initial letter or email, without charge.
Dr Robson is listed on the UK Register of Expert Witness (vetted) and the AvMA expert
witness database.
He can accept instructions from England, Wales, Northern Ireland and Scotland.
Email: robsonrenal@gmail.com
Telephone: 07925 856001
Website: www.robsonrenal.co.uk
Dr. Nigel Salter
Dr Kailash Krishnan
Consultant in
Emergency Medicine
Consultant in Stroke Medicine
and Hon Asst Professor
MBBS, FRCP, FESO, PhD (Stroke Medicine)
Dr Krishnan is triple accredited in General Internal Medicine, Geriatrics and Stroke
MB BCh BAO FRCP FRCEM MSc PDip SIm
Medicine with expertise in Geriatrics and Stroke Medicine. He completed by PhD in
Stroke at the University of Nottingham and has been a full-time Consultant since
2016.
He is involved in the management of patients in stroke and transient ischaemic
Dr. Nigel Salter is a Consultant in Emergency Medicine and Head of Department at
St. Vincent’s University Hospital, Dublin, and Clinical Director at St. Michael’s
Hospital, Dún Laoghaire. A graduate of Trinity College Dublin, he completed
Higher Specialist Training in Emergency Medicine in Ireland.
attack (TIA) across the whole patient pathway including diagnosis, investigation, acute
treatment, rehabilitation, secondary prevention and long-term complications.
Dr Krishnan is co-lead of the Mechanical Thrombectomy service at Queen's
Medical Centre Nottingham University Hospitals NHS Trust and now involved in
He served as National Clinical Lecturer for the Emergency Medicine CPD Support
Scheme at the Royal College of Surgeons in Ireland and sat on the Irish Committee
of Emergency Medicine Training. He is also an Associate Clinical Professor of
Emergency Medicine at University College Dublin.
roll-out and implementation of AI regionally. Dr Krishnan is also co-lead the PFO
closure for cryptogenic stroke at Nottingham which is now a regional service.
Dr Krishnan is a group chair for developing national guidelines for stroke and part
As Chairman of the Advanced Cardiac Life Support (ACLS) Council of Ireland, Dr.
Salter led efforts to establish a National In-Hospital Cardiac Arrest Register and
directed the first pilot of the National Cardiac Arrest Audit for the HSE Dublin and
South East Region.
of an international consortium which developed guidelines for HRT in stroke,
thrombolysis and mechanical thrombectomy for pregnancy and peuperium for the
European Stroke Organisation.
Dr Krishnan is now a chief investigator of a multicentre, randomised controlled trial
With over 14 years’ experience in medicolegal work, he provides expert medical
reports and testimony for Garda and court proceedings. He is a consultant with
Gleemed, producing independent medicolegal reports for solicitors, insurers, and
organisations handling personal injury and negligence claims.
in acute intracerebral haemorrhage (awarded by the NIHR RfPB) and principal/site
investigator for eight other clinical trials. He has published widely in national and
international journals (including the Lancet) and regularly peer-review publications
submitted to various journals. He is an invited and elected member of various
national and international committees.
Dr. Salter also contributes to hospital committees, conducts research, and regularly
publishes in the field of emergency medicine.
Contact: Kailash Krishnan
Tel: 0115 924 9924 - Mobile: 07771 542 937
Email: kailashkrishnan@doctors.org.uk
Email: nigel.salter@svhg.ie | Telephone: +353-1-2214207
Address: Lincoln Lodge, Bridegate Lane, Hickling Pastures,
Mobile: +353-87-9775737 | Area of work: Ireland and Nationwide
Melton Mowbray, LE14 3QA
Area of work: Nottingham and nationwide
EXPERT WITNESS JOURNAL
15
DECEMBER/JANUARY 2025-2026
