Pyper Medical Services was founded in 2010, to streamline medicolegal work, providing better liaison and faster turnaround times in clinical negligence cases. Our experts are accredited consultants at the top of their field, who are experienced in writing comprehensive, court compliant reports, covering a broad spectrum of expertise.

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Complications of gynaecological surgery, as well as problems with early pregnancy and contraception.

All problems associated with pregnancy and delivery, including birth injuries to the baby.

Complications of treatment of prolapse of the uterus and vagina, as well as treatment of urinary incontinence.

Expert Witnesses

Pyper Medical Services was founded in 2010 to improve the organisation of medicolegal work, providing better liaison and a faster turnround time in the rapidly expanding field of clinical negligence. Our experts are accredited consultants at the top of their field who are experienced in writing comprehensive, court compliant reports, covering a broad spectrum of areas of expertise. 

 

Richard Pyper has many years’ experience of preparing reports, but as demand from solicitors increased, a more efficient and responsive organisation was created to streamline the service. As the company has grown, we have invested in the latest technology to manage documentation and monitor the flow of work for our clients.

 

Since 2016, Ruth Mason has been an invaluable member of the team, preparing many reports in Obstetric cases which makes up a growing proportion of our work. We were delighted when Rahila Khan joined Pyper Medical Services in 2021 to offer her expertise in Obstetrics and maternal medicine cases.

Richard Pyper

Richard Pyper has been writing Expert Reports on Clinical Negligence in Obstetrics and Gynaecology for over 28 years. He is a Consultant Obstetrician and Gynaecologist at Western Sussex Hospitals NHS Foundation Trust and has been in post since 1992. He has a broad experience of all aspects of O&G with a special interest in urogynaecology and hysteroscopic surgery.

Ruth Mason

Ruth Mason joined Pyper Medical Services in 2016 and has completed the Cardiff University Bond Solon Civil Expert Witness certificate. She is a Consultant Obstetrician at Western Sussex Hospitals NHS Foundation Trust, in post since 2010. She has a broad experience of all aspects of Obstetrics including Risk Management, Intrapartum Management and Fetal USS.

Rahila Khan

Rahila Khan joined Pyper Medical Services in 2021 and has completed `Expert Report Writing course’ of InSpire MediLaw. Her current post is Consultant Obstetrician and Gynaecologist at University Hospitals Sussex NHS Foundation Trust. Since 2010, she has been the lead in Maternal Medicine and Diabetic pregnancy at Worthing Hospital with broad experience in all aspects of Obstetrics and Gynaecology, including high-risk pregnancies and intrapartum management.

Jim English

Jim English joined Pyper Medical Services in 2022 having completed the in-person Expert Witness Training program of Inspire MediLaw. Since 1998, he has dedicated his consultant career in Worthing and Brighton to general gynaecological laparoscopic surgery and to complex pelvic surgery for endometriosis including bowel, urinary tract and neurosurgery. After 20 years as an NHS consultant, he was appointed lead surgeon at Endometriose in Balans in the Netherlands, which became the largest centre in Europe dedicated to the treatment of severe endometriosis.

Ruth Mason

Ruth Mason joined Pyper Medical Services in 2016 and has completed the Cardiff University Bond Solon Civil Expert Witness certificate. She is a Consultant Obstetrician at Western Sussex Hospitals NHS Foundation Trust, in post since 2010. She has a broad experience of all aspects of Obstetrics including Risk Management, Intrapartum Management and Fetal USS.

How does PMS work?

Pyper Medical Services (PMS) has experience of every aspect of litigation in Obstetrics and Gynaecology. 

When a medical complication or injury occurs, the client seeks advice from a solicitor who in turn asks PMS to produce a report.

PMS have provided more than 850 Breach of Duty and Causation reports on a wide variety of subjects and over 85 Single Joint Expert reports were prepared in the Liverpool Urogynaecology litigation. The Claimant to Defendant ratio is 75%: 25%, although many reports have also been produced for coroner’s inquests, GMC hearings and personal injury.

What kind of reports are available?

Breach of Duty & Causation Report

This provides a full and detailed review of the medical records, to identify any areas in which there was a breach in duty of care and its link to causation of an injury.  This report would be CPR compliant and addressed to the court.

Condition & Prognosis Report

The aim is to provide a thorough account of how the alleged breach of duty has affected the individual.  This report will usually need the expert to be in contact with the client, whether by telephone, video call or face to face appointment.

Screening Report

This is a brief summary based on a limited review of the notes to indicate whether there is a case to answer. It is written for the benefit of the client and is not court compliant. Answers to follow up questions are not included.

Who should I contact to obtain a price for a report?

Please email pms@pypermedical.co.uk with some details about the case and the type of report that you require.

What other services does PMS provide?

The majority of our work is in clinical negligence, but PMS also produces reports for GMC hearings, Coroner’s inquests and personal injury cases. Our experts attend over 40 medico-legal conferences per year with Solicitors and Barristers and have considerable experience of giving evidence in court. PMS has also conducted research in the literature on recent surgical innovations and product liability for tapes and meshes.

Which expert will cover my report?

Richard Pyper’s expertise is in Gynaecological surgery and Urogynaecology, including tapes and mesh complications.

Ruth Mason specialises in all aspects of Obstetric care, including feto-maternal medicine and ultrasound scanning.

Rahila Khan specialises in all aspects of Obstetrics and has a special interest in maternal medicine and diabetic pregnancy.

How long is the turnaround for reports?

Usually three months for most types of report.

I need a report really quickly. Can that be done?

Please email pms@pypermedical.co.uk with the details of the case and the date that you require the report.  Usually we can accommodate fast track reports and will let you know a completion date.

Should I send electronic or hard copy records?

PMS prefers all notes to be provided in electronic format, whether they are emailed, or need to be downloaded from a server or portal. Please contact us if this is not possible. Hard copies may incur extra time and expense.

How can I help speed up the turnaround and reduce costs?

Well organised paginated medical records enable our experts to quickly and easily navigate large volumes of documentation, resulting in cost savings to you. Incomplete and disorganised notes significantly slow the process of report writing, or even stops the process mid-flow, resulting in delays and increased fees.

What They Say

We dealt with a similar case fairly recently with Mr Pyper and he was outstanding both in preparing his report and in conference.
Solicitor in South Wales
I am pleased to say that the matter has now settled. Please thank Dr Mason for all of her work for our client. Her input has been incredibly useful.
Solicitor's Firm
North-East England
My firm and myself have for some time been using the services of Pyper Medical and Mr Richard Pyper in respect of gynaecological clinical negligence cases. Richard has provided the most detailed and thorough reports in respect of our clinical negligence claims. He has been able to contribute significant insight and understanding to some very complex claims.
Solicitor's Firm
South Wales
I confirm that my firm and myself have been using the services of Pyper Medical and Dr Ruth Mason in respect of gynaecological clinical negligence cases. Ruth’s reports are excellent, her patient skills with our clients are outstanding and her grasp of the legal aspects of a claim both in her written reports and in conference have been of significant assistance.
Solicitor's Firm
South Wales
Having worked with Richard for many years I understand that I will get a professional service, a balanced view and an insight into the medical issue that few Doctors have. It is refreshing to be able to discuss matters and explore aspects of the claim with a trusted advisor. Richard has a lovely rapport with clients and puts them at ease. They find him very easy to engage with. The service is just as you would want
Solicitors’ Firm
North-West England
I have been using the services of Pyper Medical and Dr. Ruth Mason in particular for medical negligence cases in Ireland for some time now. In that time I have found the service to be of the highest standard with the reports furnished to be of equal excellent standard.
Solicitors’ Firm
South-West Ireland
I have instructed Mr Pyper, often on a joint basis, for many years and in many cases, including group actions. I have found him to be responsive, forensic and robust.
Solicitors’ Firm
National
Significant expertise. Thorough, reliable and approachable – highly recommend
Solicitors’ Firm
North-West England

Ruth Mason
Consultant Obstetrician
pms@pypermedical.co.uk
+44 1903 741154

Ruth Mason joined Pyper Medical Services in 2016 and has completed the Cardiff University Bond Solon Civil Expert Witness certificate. She is a Consultant Obstetrician at Western Sussex Hospitals NHS Foundation Trust, in post since 2010. She has a broad experience of all aspects of Obstetrics including Risk Management, Intrapartum Management and Fetal USS.

Ruth Mason obtained her medical degree at the University of Edinburgh. She completed an MD in Fetal Immunology at the University of London / Imperial College before commencing her Registrar rotation in the Wessex Deanery. During her training she was awarded the RCR/RCOG Diploma in Fetal Ultrasound Scanning. She became a Member of the Royal College of Obstetricians & Gynaecologists in 2006 and was elevated to Fellow in 2019.

Ruth was appointed as Labour Ward Lead Consultant at Western Sussex Hospitals NHS Foundation Trust Worthing Hospital in 2010 and led the unit to achieve CNST level 1, 2 and 3 in sequential years, a feat never previously achieved by an Acute NHS Trust. Risk Management reviews sparked her interest in the medico-legal sector leading to her joining Richard at Pyper Medical Services to provide expertise on Obstetric cases in 2016. She completed the Cardiff University, Bond Solon Civil Expert Certificate and has used this to inform her reports and court appearances.

Ruth now regularly acts as Expert Witness for HM Coroner in cases involving Intrapartum and Early Neonatal deaths (with corresponding court experience).

Having undertaken a project looking at the importance of medical record keeping as a junior doctor, Ruth has been influential in improving the approach to record keeping at Worthing Hospitals as part of her role as RCOG college tutor, a post she held for 8 years. As tutor she gained extensive experience supporting trainees with root cause analysis investigations into pregnancy cases. The majority of her clinical care now comprises the management of complex pregnancies including the use of ultrasound to support these pregnancies.

Outside work Ruth plays hockey for a local club, now also managing the junior team and enjoys skiing with her family in the winter.

Click to view Ruth’s CV

Specialty: Consultant Obstetrician

Degrees: MD MRCOG

 

Rahila Khan
Consultant Obstetrician & Gynaecologist

pms@pypermedical.co.uk
+44 1903 741154

Rahila Khan joined Pyper Medical Services in 2021 and has completed `Expert Report Writing course’ of InSpire MediLaw. Her current post is Consultant Obstetrician and Gynaecologist at University Hospitals Sussex NHS Foundation Trust. Since 2010, she has been the lead in Maternal Medicine and Diabetic pregnancy at Worthing Hospital with broad experience in all aspects of Obstetrics and Gynaecology, including high-risk pregnancies and intrapartum management.

She obtained her medical degree from Dhaka Medical College Hospital, Bangladesh, and moved to UK for higher training in 1989. She became the member of RCOG in 1993. She then enrolled in a Fellowship Programme in Maternal Fetal Medicine at University of Connecticut Health Centre, USA, which included management of complex cases and obstetric ultrasound scanning.

After completion of the Fellowship, she worked as an Assistant Professor in O&G at BIRDEM General Hospital (Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic disorders) and used her UK and USA experience to improve care in complex cases. She was the lead in establishing epidural analgesia in labour at BIRDEM.

Rahila is an excellent team player, who can adapt to new situations, and this was the key factor which helped her to blend in with the different systems of working in UK, USA, and Bangladesh. This has given her extensive experience of O&G in 3 continents and different perspectives on treatment.

She has always had a special interest in audit and many recommendations from studies have been implemented in clinical practice to improve care and patient safety. She has been the principal investigator of several multi-centre research projects.

In her present post, she established a Maternal Medicine clinic to treat pregnant women with complex medical conditions and liaise with tertiary centres. She is also the lead for Diabetic Pregnancy and runs the joint antenatal clinic with a consultant endocrinologist.

Women with abnormal or traumatic experiences are seen in a postnatal debrief clinic and these cases are often discussed in Obstetric Risk Review meetings and presented in ‘Joint Perinatal Meetings’, developing her interest in risk management. Reflection on these cases, and several obstetric serious incident reviews, have led to an interest in medico-legal work.

Outside work, Rahila enjoys singing and has participated in various cultural programmes. Her hobbies include gardening and painting.

Click to view Rahila’s CV

Specialty: Consultant Obstetrician & Gynaecologist

Degrees: MBBS, MD, FRCOG

Richard Pyper
Director & Consultant Gynaecologist

pms@pypermedical.co.uk
+44 1903 741154

A career obstetrician and gynaecologist from the start, Richard sought a broad experience of general surgery as a basis for specialist training in gynaecological surgery. His training was in London, starting at the Middlesex Hospital, St Mary’s Hospital, Queen Charlotte’s Hospital, Guys Hospital and then as Senior Registrar at St Bartholomew’s Hospital.

He was appointed as an NHS Consultant to Western Sussex Hospitals in 1992. He was Clinical Director for 6 years until 1998 and was Chairman of the Labour Standing Committee from 1999 to 2003.

Enjoying the intellectual challenges of being the Clinical Tutor for the Royal College of Obstetricians and Gynaecologists (RCOG) on behalf of the hospital from 2004 to 2012, Richard expanded into the medico-legal sector where he now runs a busy practice. He has been an Expert Witness since 1994 and has prepared more than 900 reports on a wide variety of subjects for both claimants and defendants. He was instructed as a Single Joint Expert in the Liverpool Urogynaecology litigation from 2011-2014 and wrote 90 reports on Breach, Causation, Condition and Prognosis after consultations with each patient.

Consultations with clients for Condition and Prognosis reports take place in the local private hospital in Sussex. Richard undertakes 30 medicolegal conferences per year with solicitors and barristers and has attended court on 12 occasions. Richard’s aim is to contribute towards rising standards of clinical care, and he is dedicated to improving patient safety through risk management and training. He enjoys teaching and training junior doctors in both clinical practice and surgery.

Outside of work, his hobbies include skiing, hiking in the alps and playing strategy board games with his family.

Click to view Richard’s CV

Specialty: Director & Consultant Gynaecologist

Degrees: MB BChir, FRCS(Ed), FRCOG

Training: Cambridge University