On average I produce 10 reports per year. I turn down a similar amount as I feel they fall outside of my subspecialty (for instance, paediatric / cranial oncology). The majority of accepted instructions are in relation to complex spinal trauma, road traffic collision related spinal injury and work related spinal accidents. The rest relate to cranial trauma. I am normally able to see a client within 2 weeks of receiving instruction and acceptance of terms. I aim to turn around a report within 5 working days.

At the (minimum) 1 hour appointment the client will be asked to provide photographic ID and any records of previous assessments. Their medical records and any imaging should have been included in the instructions. The appointment will cover a detailed history and relevant neurological /spinal examination. Depending on how the case progresses and any progression in symptoms / disability a further appointment may be required but this is often a shorter process than the original assessment.