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Dr Sam Creavin

GP MB ChB (Hons), MPhil, PhD, MRCGP, MRCP
Claimants and DefendantsHome AppointmentsRemote AppointmentsFace to Face AppointmentsDesktop Reports1+ Patients

Medico-Legal Experience

Dr Creavin is a General Practitioner and Expert Witness, and has completed the Cardiff University Bond Solon Civil Expert Certificate and is on the National Register of University Certificated Expert Witnesses. He has also completed the University of Aberdeen Bond Solon certificate for Scotland. He is instructed by both Claimants and Defendants in clinical negligence cases, and by the GMC as part of fitness to practice hearings.

Dr Creavin has been an expert witness for over four years and has completed over 200 reports in this time, he has a proven record of delivering timely, precise analysis for legal professionals, and has a reputation for his logical and reasoned approach.

He has extensive experience in reports dealing with delays in the diagnosis and management of sepsis, the diagnosis of cancer (including upper and lower gastrointestinal, skin and lung) and delayed diagnosis of spinal disorders, as well as prescribing errors in primary care.

Dr Creavin has experience of giving oral evidence in a Coroner’s court.

Dr Creavin has extensive experience in cases associated with:

  • Delayed diagnosis of conditions, such as:
    – Cancer
    – Inflammatory conditions
  • Serious acute conditions:
    – Infections (sepsis)
    – Appendicitis
    – Diverticulitis
    – Ischaemic limbs
    – Stroke
    – Heart attack (acute coronary syndrome)
    – Subarachnoid haemorrhage
    – Suicide
  • Endocrine conditions (Thyroid)
  • Inadequate management of conditions, such as:
    – Diabetes
    – Diabetic wounds
    – Leg ulcers
    – Kidney disease
    – Repeat medications (medication monitoring/ inadequate counselling regarding side effects)
    – Abnormal ECG or raised cholesterol/blood pressure
    Ectopic pregnancy (evaluation of delayed diagnosis)

  • Sensorineural hearing loss (SNHL) (diagnostic challenges and referral standards)
  • Conditions that raise the risk of harm, such as:
    – Atrial fibrillation (AF)
    – Pre-diabetes (increasing the risk of diabetes)
    – Hypertension (increasing the risk of heart disease and stroke)
  • Covid-19 related symptons:
    – Long Covid
    – Extended loss of sensation (taste/smell)
    – Prolonged respiratory issues
  • Operational issues in practices:
    – Reception signposting
    – Review or action of investigation results
    – Management of correspondence
    – Management of lab results
    – Failure to refer
    – Failure to arrange appropriate monitoring or follow up
  • Diagnosis of dementia
  • Range of care in the out-of-hours and in-hours setting
  • Spinal disorders including Cauda Equina Syndrome (CES) and Cervical myelopathy (assessing standard-of-care breaches leading to delayed treatment.)
  • Giant cell arteritis (GCA)
  • Prescribing errors (drug safety concerns)
  • Cardiac disorders (Ischaemic heart disease and arrhythmias, angina)

Dr Creavin’s availability is 1-2 weeks and has a report turnaround time of 4 – 6 weeks.

Clinical Experience

Dr Creavin is an experienced GP with particular expertise in diagnosis in practice. His scope of practice as a general practitioner includes work in a semi-rural practice of around 5,500 patients.

He has been a GP Partner since 2015 and Senior Partner since April 2021. He is also highly experienced in the out-of-hours GP setting.

Dr Creavin is also an NIHR Academic Clinical Lecturer at the University of Bristol, where he completed a PhD; here he contributes to cutting-edge research on dementia diagnosis in general practice.

He still continues to work regularly as a clinician both in-house and out-of-hours, and can offer thorough opinions on the range of care in general practice in the UK during the Covid-19 pandemic, and how this has developed over time.

Dr Creavin graduated with overall Honours, and the University Prize, having obtained the highest examination mark in every year of the undergraduate programme.

Frequently Asked Questions

Does Dr Creavin have experience in allergies/dermatology?

No, Dr Creavin does not have experience in this.

Can Dr Creavin comment on paediatric gastroenterology?

No, this is not something that Dr Creavin can comment on.

Publications

  • Creavin ST, Haworth J, Fish M, Cullum S, Bayer A, Purdy S, and Ben-Shlomo Y. Clinical judgment of GPs for the diagnosis of dementia: A diagnostic test accuracy study. BJGP open 2021;5.
  • Seume P, Bevan S, Young G, Ingram J, Clement C, Cabral C, Lucas PJ, Beech E, Taylor J, Horwood J, Dixon P, Gulliford MC, Francis N, Creavin ST, Lane A, Hay AD, and Blair PS. Protocol for an ’efficient design’ cluster randomised controlled trial to evaluate a complex intervention to improve antibiotic prescribing for children presenting to primary care with acute cough and respiratory tract infection: the CHICO study. BMJ open 2021;11:e041769.
  • Kenward C, Pratt A, Creavin S, Wood R, and Cooper JA. Population Health Management to identify and characterise ongoing health need for high-risk individuals shielded from COVID-19: A cross-sectional cohort study. BMJ open 2020;10:e041370.
  • Creavin S, Wisniewski S, Noel-Storr A, Cullum S, Noel-Storr A, Trevelyan C, Hampton T, Rayment D, Thom V, Nash K, Elhamoui H, Milligan R, Patel A, Tsivos D, Wing T, Phillips E, Kellman S, Shackleton H, Singleton G, Neale B, and Watton M. Cognitive tests to help diagnose dementia in symptomatic people in primary care and the community. British Journal of General Practice 2018.
  • Creavin S, Noel-Storr A, Richard E, Creavin A, Cullum S, Ben-Shlomo Y, and Purdy S. Clinical judgement by primary care physicians for the diagnosis of all-cause dementia or cognitive impairment in symptomatic people. Cochrane Database of Systematic Reviews 2017;2017.
  • Creavin S, Cullum S, Haworth J, Wye L, Bayer A, Fish M, Purdy S, and Ben-Shlomo Y. Towards improving diagnosis of memory loss in general practice: TIMeLi diagnostic test accuracy study protocol. BMC Family Practice 2016.
  • Creavin S, Wisniewski S, Noel-Storr AH, Trevelyan C, Hampton T, Rayment D, Thom V, Nash K, Elhamoui H, Milligan R, Patel A, Tsivos D, Wing T, Phillips E, Kellman S, Shackleton H, Singleton G, Neale B, Watton M, and Cullum S. Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Cochrane Database of Systematic Reviews 2016.
  • Creavin S, Fish M, Gallacher J, Bayer A, and Ben-Shlomo Y. Clinical history for diagnosis of dementia in men: Caerphilly Prospective Study. The British journal of general practice : The journal of the Royal College of General Practitioners 2015;65:489–99.
  • Creavin A, Creavin S, Brown R, and Harrad R. Why can’t my child see 3D television? British Journal of Hospital Medicine 2014;75:457–60.
  • Davis D, Creavin S, Noel-Storr A, Quinn T, Smailagic N, Hyde C, Brayne C, McShane R, and Cullum S. Neuropsychological tests for the diagnosis of Alzheimer’s disease dementia and other dementia’s: A generic protocol for cross-sectional and delayed-verification studies. Cochrane Database of Systematic Reviews 2013.
  • Creavin S, Gallacher J, Bayer A, Fish M, Ebrahim S, and Ben-Shlomo Y. Metabolic syndrome, diabetes, poor cognition, and dementia in the caerphilly prospective study. Journal of Alzheimer’s Disease 2012.
  • Creavin S, Gallacher J, Pickering J, Fehily A, Fish M, Ebrahim S, Bayer A, and Ben-Shlomo Y. High caloric intake, poor cognition and dementia: The Caerphilly Prospective Study. European Journal of Epidemiology 2012.
  • Creavin S, Rice C, Pollentine A, and Cowburn P. Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury. The American journal of emergency medicine 2012;30.
  • Muller S, Wynne-Jones G, Daniel R, Creavin S, Bishop A, and Mallen C. There is no association between a measure of clinical care and the response rate of GPs to postal surveys: A methodological study. European Journal of General Practice 2012.
  • Creavin S, Creavin A, and Mallen C. Do GPs respond to postal questionnaire surveys? A comprehensive review of primary care literature. Family Practice 2011;28.
  • Lefroy J, Brosnan C, and Creavin S. Some like it hot: Medical student views on choosing the emotional level of a simulation. Medical Education 2011.
  • Creavin A, Creavin S, and Khooshabeh R. Orbital swelling: A simplified guide. British Journal of Hospital Medicine 2010.
  • Creavin S, Dunn K, Mallen C, Nijrolder I, and Windt D van der. Co-occurrence and associations of pain and fatigue in a community sample of Dutch adults. European Journal of Pain 2010.
  • Creavin S, Mallen C, and Hays R. An intercalated research Masters in primary care: a pilot programme. Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors 2010;21:208–11.

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