Dr Orr has been a Partner in General Practice since 2003, including seven years as a Senior Partner, with extensive experience in clinical governance, complaint resolution, and multidisciplinary decision-making. Over the course of his career, he has participated in more than 100 appeal meetings, demonstrating particular expertise in disability and fitness-to-work assessments, and the evaluation of complex medical evidence in contested cases.

He accepts instructions from both Claimants and Defendants in personal injury and clinical negligence matters, maintaining a balanced 50/50 caseload, and has pending trial dates in several ongoing cases. Dr Orr is undertaking Bond Solon Expert Witness training and adheres strictly to Civil Procedure Rules Part 35. His medico-legal work includes the preparation of detailed, CPR-compliant reports and joint statements, and he can provide evidence in court when required.

Dr Orr has completed numerous expert reports covering issues such as delays in referral and recognition of symptoms, the standard of care in General Practice, mismanagement following diagnosis, and the appropriateness of clinical decision-making. His reports are noted for their clarity, independence, and robust reasoning, and he is experienced in working to tight deadlines while maintaining the highest professional standards.

With a special interest in Cardiovascular Medicine, Dr Orr has produced comprehensive reports addressing the management and prevention of cardiovascular disease (CVD), Atrial fibrillation (AF), and Hypertension. He also draws upon his experience as a senior clinical decision-maker during the Covid-19 pandemic to provide expert comment on the standard of care and decision-making within primary care settings under unprecedented pressures.

Dr Orr has extensive experience in cases associated with:

Delayed diagnosis of:

• Spinal tumours
• Dementia
• Cervical/breast/lung/skin cancer
• Diabetes
• Sepsis
• Tetanus
• Gangrene
• Appendicitis
• Diverticulitis
• Myocardial infarction/angina
• Pneumonia
• Stroke
• Subarachnoid haemorrhage
• Parkinson’s disease
• Heart attack (acute coronary syndrome (ACS))
• Heart disease
• Chronic obstructive pulmonary disease (COPD)
• Chronic pain syndrome/fibromyalgia
• Thyroid disease
• Dyslipidaemia
• Ectopic pregnancy
• Inflammatory bowel disease (IBD/Crohn’s/UC)
• Cauda Equina Syndrome (CES)

Standard of care/impact of patient function/recovery when patient presents:

• Swelling/inflammation
• Bone fractures (e.g. scaphoid, wrist/arm, clavicle)
• Bruising and soft tissue injuries
• Laceration injuries
• Antalgic gait
• Limb ischemia
• Sleep apnoea
• Spasms/numbness in limbs
• Sciatica
• Musculoskeletal injuries (muscle/bone/joints)
• Limb and joint pain (knee/hip/ankle)
• Whiplash/neck strain
• Shoulder/rotator cuff injuries

Inadequate referral/omitting to refer following:

• Cognitive issues (memory impairment)
• Cervical bleeding
• Neurological symptoms
• Neck/back/shoulder pain
• Loss of balance
• Headaches
• Pre-diabetic symptoms
• Paraesthesia
• Mobilisation deterioration

Mental health conditions:

• Depression
• Suicide
• Anxiety
• Psychosis
• PTSD
• Bipolar disorder
• Insomnia

General:

• Aseptic technique
• Electrocardiogram (ECG) analysis
• X-ray analysis
• Audiometry
• Offshore Oil and Gas Medicals
• Spirometry
• Work-related vaccination
• Covid-19
• Vaccine Damage Payment Scheme (VDPS)
• Failure to prescribe required medication
• Fracture reduction
• Wound management
• Drug Testing
• Advanced airway management
• Blood testing for various ‘at risk’ occupations
• Thrombolysis for acute stroke and acute myocardial infarction
• Acute surgical and medical emergencies and acute paediatrics

Mismanagement following diagnosis of:

• Spinal cord compression
• Asthma
• Arthritis
• Bladder/kidney/urine infections
• Osteoporosis
• Endometriosis
• Irritable bowel syndrome (IBS)
• Appropriate referral to clinicians: neurologist/orthopaedics/gyanecologist/physiotherapist

Dr Orr appointment availability is 2 weeks and his report turn around time is 4-6 weeks.