Dr Paul Dean

Consultant in Intensive Care Medicine | Chief Clinical Information Officer | Expert Witness

Expert Witness in Intensive Care Medicine and Clinical Informatics

As a current NHS consultant with over 15 years of consultant-level experience in Intensive Care Medicine, I provide authoritative, independent expert witness services grounded in frontline clinical practice, national leadership, and guideline development.

 

My work combines clinical expertise in critical care, sepsis, and deteriorating patients with senior roles in digital healthcare, patient safety, and national policy. I am regularly involved in the development of UK-wide standards and guidance, offering a unique perspective that bridges clinical care, systems leadership, and medico-legal analysis.

 

I am a trained expert witness having undertaken training with Bond Solon & Inspire Medical Law)

Areas of Expertise

Standards of ICU care & breach of duty

Ventilation, sedation/analgesia, sepsis bundles, antibiotic timing, escalation and ward-to-ICU transfers, deteriorating patients and NEWS scores

Causation

Impact of recognition and escalation delays, fluid resuscitation, ventilator-associated injury; rehabilitation and long-term outcomes.

Airway, ventilation, sedation & renal replacement therapy

Intubation/NIV, ARDS management (including proning), tracheostomy care, sedation weaning, ICU-acquired weakness and delirium.

Digital evidence, EPR & audit trails (CCIO)

Interpretation of electronic records, timestamps and alerts, decision support, governance and audit trail analysis.

Clinical Authority

Active NHS Consultant in Intensive Care Medicine since 2009

National Influence

Editor-in-Chief of national ICU guidelines

Legal Understanding

Formal expert witness training and case investigation experience

Report Quality

Clear, CPR Part 35 compliant, defensible opinions