At Tessa Gough Associates, we provide trusted expert witness reports across a wide range of clinical disciplines. Whether you’re preparing for a personal injury, clinical negligence or industrial disease claim, we make it straightforward to access the insight, clarity and professionalism you need.
Every expert in our network is a registered nurse or occupational therapist with deep experience in their specialisms. We hand-select each expert, and they all complete our in-house training programme to ensure every report meets the highest professional standards - clear, defensible and tailored to your case.
Our Core Services
We offer a range of reports to support your case, including:
Quantum Reports
Our Quantum Reports (Care, Aids and Equipment) assess how an injury has affected an individual’s daily life and what support is needed going forward. These reports include:
- ›Past, present and future care requirements
- ›Challenges to daily living and independence
- ›Recommendations for aids, equipment, adaptations and services
- ›Referenced care, equipment and service costs
- ›Rehabilitation and quality of life considerations
Liability Reports
We offer both short form screening reports and full court-compliant liability reports. These reports provide:
- ›A clear analysis of potential breaches of duty
- ›Full review and analysis of medical records
- ›Expert commentary applying NICE guidelines, legal tests and clinical knowledge
Reports for Coroners
In cases involving death, we provide expert reports for coroners, including:
- ›Analysis of systems and standards of care
- ›Identification of material contributions to a death
- ›Commentary on potential risks, ongoing concerns and reasonable precautions
Loss of Service Reports
When an injury or illness prevents someone from contributing to home life, our loss of service reports assess:
- ›The extent of domestic, social and childcare dependency
- ›Recommendations for replacement services
- ›Provision of alternative care arrangements
- ›The broader impact on the household
Initial Needs Assessment
Ideal for early-stage case planning, our initial needs assessments provide:
- ›A review of immediate medical and personal circumstances
- ›Identification of key issues, risks and urgent needs
- ›Suggested interventions, adaptations and case management requirements
Areas of Expertise
We support both adult and paediatric instructions across a wide range of case types, including but not limited to:
- ›Brain injury
- ›Spinal injury
- ›Amputation
- ›Cerebral palsy
- ›Chronic regional pain syndrome
- ›Mental health and sexual abuse
- ›Brachial plexus injury
- ›ADHD, autism and other learning disabilities
- ›Industrial disease
We also provide liability reports in areas such as:
- ›Tissue viability and pressure sores
- ›Falls, fractures and risk management
- ›Prescribing errors and delayed referrals
- ›Midwifery and neonatal care
- ›Mental health, suicide and safeguarding
- ›Custody and prison service care
- ›Residential and nursing home standards
Who You Can Instruct
Our expert witness team includes:
Occupational Therapists
Our occupational therapists support individuals in regaining or maintaining the ability to carry out everyday tasks. Their goal is to promote independence, improve quality of life, and enable meaningful daily activity.
They are experts in functional ability, home adaptations, care and rehabilitation planning - with experience across hospital, community, NHS and private settings.
Registered General Nurses (RGNs)
Our RGNs bring a wide range of experience from across different healthcare settings and multi-disciplinary teams.
They are experts in care needs, nursing standards, clinical practice and liability assessment - they include prescribing nurses and specialists in various areas of practice.
Mental Health Nurses
Our mental health nurses provide care and support to individuals experiencing conditions such as PTSD, depression, anxiety and other complex mental health needs.
Many of our mental health expert witnesses also specialise in learning disabilities like ADHD and ADD, and have experience in complex cases involving vulnerable individuals, sex workers, sex offenders and asylum seekers.
They are highly knowledgeable about the Mental Health Act, Mental Capacity Act, and Deprivation of Liberty Safeguards.
Making it easy to instruct an expert
We understand that legal professionals need information quickly and clearly. That’s why we make it easy to access the experts and reports you need.