I am a fully registered medical practioner with duel enteries on the GMC Specialist register under Forensic Psychiatry and General Adult Psychiatry having completed full higher training in both disciplines.
I have been working in psychiatry for 35 years since 1988 and have occupied the consultant role for 25 years from 1998.
I have worked for substantial amounts of time as a consultant in both of my specialities and across countries and cultures. The element of culture is a central element in psychiatric formulation and the understanding of a person's experience.
I lead a multidisciplinary team in the provision of mental health care to a highly culturally diverse borough.
Hounslow has a very high immigrant population and has a high population of asylum seekers in part due to the fact that many are placed in Hounslow in asylum seekers' centres.
I am therefore familiar with psychiatrically assessing asylum seekers who will often have experiences associated with psychiatric morbidity, but also the potentially confounding factor of the investment in mental morbidity that may support their asylum claim
I ran the forensic unit at St Anns Hospital, providing assessments and reports for the courts for the entire country of Trinidad and Tobago.
Courts would refer for assessment of defendents' fitness to plead and to be apprised of the mental state and disturbances at the time of the alleged offence and the implications for issues in respect to intent and capacity to form the requisite intent for a crime.
Issues of simulation of symptoms were a relatively frequent feature of cases.
I was based in a medium secure in-patient unit which principally took referrals from courts, but would also take patients from General Adult Services who were deemed to represent a significant risk to others.
Undertaking assessments and providing reports to courts was a major part of the role; as was giving oral evidence in court.
I would assess and report on pretrial issues such as Fitness to Plead; trial issues such as capacity to form requisite intent, the possibility of alternative intents as a consequence of mental disorder, legal insanity; and pre-sentence matters which would address risk, amenability to treatment and any particular vulnerabilities in respect to various possible disposals.
I also undertook assessments and reports in civil and family court proceedings on behalf of the courts or social services in childcare proceedings and cases of domestic violence.
During my time training in forensic psychiatry and as a consultant, I developed expertise in the subspeciality of sexual offending, both in respect to assessment and reporting to court and administering treatment via Sex Offender Treatment Groups in partnerhip with Probation Services.
I undertook many hundreds of reports and gave oral evidence in court on scores of occasions
I have experience in the assessment, diagnosis and management of a wide range of psychiatric conditions gathered over 35 years in psychiatry, 25 of those years as a consultant in various settings and cultures
I am very experienced and proficient at providing medicolegal reports for criminal, civil and family proceedings; addressing the matters the court requires in a manner that is understandable and the conclusions justified
My years in forensic psychiatry has given me skills in risk assessment which is a skill applicable to any context
Throughout my career I have worked in multidisciplinary teams and I am very comfortable and enjoy this context of the working environment I am skilled at both containing colleagues as well as facilitating their potential to the full