IN SUBMISSION FOR ACCEPTANCE AS
EXPERT WITNESS
FOR MEDICO-LEGAL REPORTS IN PSYCHIATRY

DR. DARRYL JOHN JOSEPH BRITTO
MBBS, MRCPsych, CHSM




Qualified Medical Practitioner, registered with the General Medical Council (GMC), London. Member of the Royal College of Psychiatrists (1991), UK. Accorded status of a Specialist in Psychiatry by the GMC, under the European Specialist Medical Qualifications Order, 1995. Approved by the Secretary of State UK under Section(12) of the Mental Health Act, 1983, in having special expertise and knowledge in the diagnosis and treatment of mental disorders. Member of the British Association for Behavioural and Cognitive Psychotherapies and Member of EMDR Association UK & Ireland.

Present appointments: Consultant Psychiatrist Cygnet Hospital Bierley; The BMI Huddersfield Hospital; Cygnet Hospital Harrogate; Force Consultant Psychiatrist Merseyside Constabulary, Liverpool;  and Consultant Clinical Advisor to Pruhealth, UK.

Previously Consultant Psychiatrist: St. Luke's Hospital, Huddersfield - South West Yorkshire Mental Health NHS Trust and Clinical Tutor appointed by the Royal College of Psychiatrists, London, for the Halifax Hospitals, Honorary Senior Clinical Lecturer, Department of Psychiatry, University of Leeds and Undergraduate Examiner in Psychiatry, for the Leeds University Medical School.  

	PROFILE OF MEDICO-LEGAL REPORTS (as at March 2012)	No.
1	Medico-legal reports done to date	3530+
2	Medico-legal reports - personal injury/medical negligence  (Claimant & Defence)	2625+
3	Medico-legal reports - Criminal cases (Defence & Prosecution)	395+
4	Medico-legal reports - (Family & Contact Proceedings, Mental Health Review Tribunals, Disability Living Allowance, Industrial/Employment Tribunals, Teachers' and local authority pension/injury award)	510+
5	Court Appearances for Personal Injury Cases, Family/Child Care Proceedings	32
6	Court Appearances for Criminal Cases	19
7	Proportion of work – Claimant Personal Injury Cases (pre/post-CPR)	55%
8	Proportion of work – Defence Personal Injury Cases (pre-post CPR)	25%
9	Proportion of work – joint instructions	20%
10	Joint instructions since the implementation of CPR, approximately	530+

Specialist areas of work
       
Psychiatry: accident victims, rape/sexual abuse victims, assault victims, crime victims, Post-Traumatic Stress Disorder, Psycho-somatic Disorders/Munchausen, violence/self-harm/suicide, criminal behaviour, serious offender assessment, psychiatric assessment of criminal responsibility, fitness to plead, witness assessment/testamentary capacity, trauma assessment, abnormal behaviour, dangerousness/risk assessment, psychiatric care. Occupational stress, alcohol abuse, anxiety disorders, depression.
       
Mental Health Act: Assessment of individuals for Mental Health Act, 1983, Mental Health Review Tribunals, Health Care Management/records/disputes: medical competence/medical negligence: medical practice, suicide investigations, psychiatric aftercare.
       
Experience of:-
       
Accident Victim Assessment
Post-Traumatic Stress Disorder for Claimant and Defence cases.
Assessment of individuals in prison for criminal responsibility and pre-sentence reports.
Mental Health Review Tribunals (attendance)
Giving evidence in court
Child Protection Case Conferences
Legal Aid cases undertaken
Court Diversion scheme for mentally abnormal offenders/held in remand/custody.
       

Number of reports written in last 12 months	200+
Number of new instructions a week	4+
Geographical areas of work

All areas, prison/court/custody and domiciliary visits undertaken, now accepting work in London/South.
       
Professional Qualifications and memberships
       

Bachelor of Medicine and Bachelor of Surgery	1983
Member of the Royal College of Psychiatrists	1991
Member of the Institute of Health Service Managers	1993
Certificate of Health Service Management	1993
UK Register of Expert Witnesses	2000 to date
The Expert Witness Directory – Sweet & Maxwell Checked	2000 to date
Member of British Association for Behavioural and Cognitive Psychotherapies	2010 to date
Member of Eye Movement Desensitization and Reprocessing Association (EMDR)	2010 to date

BIODATA
   

Surname Forenames Date of birth Address Academic Qualifications Registration (GMC London) as a Specialist Doctor European Specialist Registrationr Medical Qualifications Order 1995 Pre-Professional Education Medical Education Post Graduate Education And General Professional Training Higher Professional Specialist Training General Management Training and Qualificationg Post-Graduate Management Training Section 12(2) Mental Health Act 1983 Continuing Professional Development British Association for Behavioural & Cognitive Psychotherapies Bond Solon and Cardiff University Expert Witness Training Prizes/Awards/Distinctions

Britto Darryl John Joseph 11 March 1959 14 Thornhill Rd, Edgerton, Huddersfield HD3 3DD Tel&Fax. 01484 428 656 Email  d.britto@ntlworld.com MBBS, MRCPsych, CertHSM Full Registration (Principal List No: 3516850) Psychiatry Date of Admission. 3 May 1996 University Of Poona, India B J Medical College, 1983 University of Poona, India Manchester and Leicestershire Psychiatric Training Schemes West Midlands Regional Rotational Training Scheme for Senior Registrars Certificate Health Service Management, Elected Member of The Institute of Health Service Management,     London 1993 Completed Foundation year of MBA, University of Durham 1997 Five year re-approval from December 2011 Royal College of Psychiatrists (to date) Membership Number 110197 Passed written Examination and Cross Examination courses 2004 Bal-Chintoba Prize: First in Forensic Medicine, 2nd year MBBS examination, University of Poona, India, 1979.

Scientific Publications

 

1. 'Diabetes Mellitus', in B.P. Apte (ed.), COMMON DISEASES DIAGNOSIS AND THERAPY, Cosmos Publications, Pune, India, 1985, Pg 82-90. Dr. N.J. Nayak and Darryl Britto.
2. Etoposide compared with the combination of Vincristine, Doxorubicin and Cyclophosphamide in the treatment of small-cell lung cancer. Thorax 1989; 44:215-219, Centre: Marsden Hospital, Burnley, Lancashire (Research Collaborator).
3. A double blind parallel group study to compare the management of moderate and severe Chronic Obstructive Airways Disease with Salbutamol Rotacaps 2mg, 1mg and 400ucg each given four times daily. Summary Report of High Dose Ventolin Studies. Internal Report: SALHR/AH87/SD: ALLEN and HANBURYS LIMITED U.K. 
4. Social support: Heredity, Environment and Conditional Associations. Current opinion in Psychiatry, (1992) Vol.5, No 2. Traloch S Brugha and Darryl Britto.
5. Psychosis in Indian Immigrants [L], British Journal of Psychiatry,(1992) Vol.160,718-719.
6. Asian Doctors and the MRCGP Examinations[L], British Medical Journal (1992) Vol.305, 368.
7. The training of Psychiatrists for the developing world [L], Psychiatric Bulletin (1992)  Vol.16 No.9 570-571. Darryl Britto and Rameez Zaffar.
8. Overseas doctors - training ethos [L], Psychiatric Bulletin, (1992) Vol.16, No.10, 665-666.
9. Health, Race and Culture: Case Study. Psychiatry in Practice, (1993) Vol.12, No.2, 21-23. Lynda Randall and Darryl Britto.
10. GP Fundholding & Psychiatric Practice[L], Psychiatric Bulletin (1993) Vol.17, No.8, 500-501.
11. Training needs of Psychiatrists in non-training posts. Psychiatric Bulletin (1993) Vol.17, No.9, 520-521. Darryl Britto.
12. Care Programme Approach in Shropshire District [L], Psychiatric Bulletin (1994) Vol.18, No.3, 181-182. Darryl Britto and G. Critchlow.
13. When the Bough Breaks: The future of Parent and Baby Day Units, Journal of Reproductive and Infant Psychology, (1995) Vol. 13, 237-240. L.Boath, B.Barnett, Darryl Britto, J.L. Cox.
14. Liaison Psychiatry in Shropshire - 'A burning need an unmet demand', (1996), commissioned and submitted to Shropshire Health Purchaser and Provider Units (unpublished). Darryl Britto.
15. Anorexia Nervosa and Bulimia Nervosa - Sibling Sex Ratio and Birth Order, A defined catchment area study, International Journal of Eating Disorders, Vol. 21, Issue 4, 335-340. Darryl Britto, D.H. Myers, R.L. Palmer and J.Smith.
16. The Leicester 500 Project - Social Support Systems and the Development of Postnatal Depressive Symptoms, a prospective cohort study (Psychological Medicine 998; 28:63-79).Brugha T S, Sharp H M, Cooper S A, Wisender C and Britto D, Shinkwin R, et al.
17. Network Alliances in Mental Health Service Provision, Winter Issue, Psychiatry in Practice,  1999.  Darryl Britto

 

Clinical Research Experience

1. A double blind parallel group study to compare the management of moderate and severe Chronic Obstructive Airways Disease with Salbutamol Rotacaps 2mg, 1mg and 400ucg each given 4 times daily (Conducted at the Marsden Hospital, Marsden Road, Burnley).
2. Social support and development of Psychiatric disorder after childbirth, Research Collaborator guided by Prof. Brugha, University of Leicester (1989-1991).
3. Mphil Thesis, Eating Disorders : University of Leicester (unpublished), Retrospective Casenote study of 500+ Eating Disorder patients referred to tertiary Specialist Eating Disorder Service - Academic Dept. of Psychiatry, University of Leicester.
4. Research Collaborator and interviewer for National Psychiatric Morbidity Survey, Department of Health, London, UK (1991-1992).
5. A 12810104 A phase IIIb, 12 week, Multicentre Double Blind, Double Dummy, Randomised Parallel Group Study comparing the effects of Ziprasidone (40-80 mg bd) –v- Olanzapine (5-20 mg od) on quality of life in the treatment of Schizophrenia and Schizo-affective Disorder.

Lectures and Teaching – affiliation to universities

Post-Graduate Education Approved lectures (several) in Liaison Psychiatry, Trans-cultural psychiatry, Psychiatric Emergencies/Suicide/Deliberate self harm to Junior doctors in Psychiatric Training Schemes, specialist Registrars at Post-Graduate Education Centres in District General Hospitals and other settings, Consultant colleagues and General Practitioners.

Undergraduate and Post-Graduate Psychiatric Tutor in Psychiatry at Halifax, for University of Leeds (1996-1999). Training of medical students and junior doctors in Psychiatry. Lectures to Post-Graduate Students in Clinical Pharmacy, University of Leeds. Several lectures to General Practitioners in the North of England on psychiatric topics, specially Post-Traumatic Stress Disorder, Depression and related topics.

Speaker at National Conference of Occupational Health Physicians, Cheshire.
Keynote speaker International Conference: Gibraltar Health Authority, Gibraltar.
Lectures in Psychiatry, University of Bangalore, India.
   
Work experience

Present consultant appointments
   

• Consultant Psychiatrist    Cygnet Hospital Bierley, Bradford (2006 to date); The BMI Huddersfield Hospital, Huddersfield (1997 to date); Force Consultant Psychiatrist Merseyside Constabulary (2001 to date) and Consultant Clinical Advisor, Psychiatric Claims, Pruhealth UK (2003 to date).

Previous consultant appointments - April 1995 to January 2006

• Consultant Psychiatrist - St. Luke's Hospital - South West Yorkshire Mental Health NHS Trust (1 Feb 2000 to 31 January 2006);
• Consultant Psychiatrist - Calderdale Healthcare NHS Trust (August 1996 to May 1999) - Community Mental Health Development, service provision for Liaison Psychiatry. Honorary Senior Clinical Lecturer, Department of Psychiatry, University of Leeds; Clinical Tutor for Halifax Hospitals in Psychiatry appointed by Royal College of Psychiatrists, London.
• Consultant Psychiatrist in General Adult Psychiatry, with special interest in Liaison Psychiatry, April 1995 to August 1996, Shropshire's Mental Health NHS Trust, Shrewsbury.

Higher Professional Specialist Training in Psychiatry – 1992 to 1995

• Senior Registrar - in Adult General Psychiatry with special interest in Community Psychiatry and Liaison Psychiatry, Shrewsbury
• Acting Consultant - Adult General Psychiatry with special interest in Community Psychiatry, Combined Health Care Trust, Stoke-on-Trent
• Senior Registrar - Adult General Psychiatry with special interests in Community Psychiatry and Post-Partum mental illness, Professorial Unit, University of Keele/City General Hospital, Stoke-on-Trent. 'The Hospital Doctor of the Year Award Team', experience in child protection case conferences.
• Senior Registrar - Adult General Psychiatry, Royal Shrewsbury Hospital - Shelton, Shrewsbury.       

Post-Graduate Professional Training in Psychiatry – 1989 to 1992

• Registrar - Academic Department of Psychiatry, University of Leicester with special interest in social and community Psychiatry.
• Registrar - Learning Disability, Acute General Psychiatry, Child and Adolescent Psychiatry, Forensic Psychiatry and Social and Rehabilitation Psychiatry. Experience in Forensic Psychiatry included working in a 45 bed Regional Secure Unit. Competence was gained in the assessment of behavioural abnormalities, the writing of reports for the court, understanding and using security as a means of control and treatment, a knowledge of the Mental Health Act and the range of services available for the mentally abnormal offender. Visited prisons and special hospita - Salford Psychiatric Post graduate rotational training scheme, and Burnley General Hospital.

General Professional Training – 1983 to 1989

• Senior House Officer - General Medicine, with special interest in Respiratory Medicine: Burnley, Pendle and Rossendale Health Authority.
• Senior House Officer - General Medicine at Queen Elizabeth II Hospital, Welwyn Garden City.
• Resident Senior House Officer - Academic Department of Gastroenterology and Hepatology, Intensive and Coronary Care Unit and Academic Department of Medicine, St John's Medical College Hospital (John Mccormack Health Centre) University of Bangalore, India.

    
Languages spoken
           
1.    English            2.    Hindi            3.    Marathi
4.    Urdu                5.    Konkani        6.    Kannada
7.    Punjabi            8.    Gujarati (can understand)