Professor
David Metcalfe
BSc MB ChB LLB MSc MA(Oxon) PhD
DCH DIMC MRCP MRCS FRCEM FEBEM
Independent expert opinion in emergency medicine and urgent care.
I am the Kadoorie Associate Professor of Emergency Medicine at the University of Oxford, Consultant in Emergency Medicine at the John Radcliffe Hospital, and Fellow in Pre-Hospital Emergency Medicine at Thames Valley Air Ambulance.
Clinical experience
My clinical practice spans the full spectrum of emergency medicine (adults and children) and urgent care. I regularly oversee the work of resident doctors, Emergency Nurse Practitioners (ENPs), and Advanced Clinical Practitioners (ACPs) working in Emergency Departments and Urgent Treatment Centres.I provide independent expert opinion on breach of duty and causation within this scope of practice, including:• Injury: full spectrum from “minor” injury and fractures to major trauma
• Time-critical conditions: early recognition and diagnosis
• Critical illness: recognition, management, resuscitation, and cardiac arrest
Medicolegal experience
I have provided independent medicolegal opinion across a range of settings, such as preliminary case assessments, breach of duty and causation reports in tort claims, coronial proceedings (including oral evidence), external clinical investigations, and the NHS Wales redress scheme.I hold a qualifying law degree with First Class Honours and have completed the Cardiff University Bond Solon (CUBS) Civil Expert Witness Certificate. I previously taught medical law at University College London and was a member of the Clinical Advisory Group that informed recent NHS Resolution reports on “High value and fatality related claims” and “Missed fractures”. My work on the legal status of clinical guidelines was awarded the British Orthopaedic Association Robert Jones Medal and Association Prize.
Teaching experience
I am a Non-Stipendiary Lecturer in Clinical Medicine at St John's College, Oxford, where I teach clinical reasoning, as well as Visiting Professor at the University of Pavia in Italy.I teach or have taught on nationally accredited courses including Advanced Life Support (ALS), Advanced Paediatric Life Support (APLS), and the European Trauma Course (ETC).I have previously taught at Warwick, Edinburgh, The Open University, St George’s University of London, and University College London.