PGDip Public Health Nursing | L9 Cert Community Oncology
Green Belt LEAN/Six Sigma | PGDip Spec Intensive Care
HDip Neuroscience Nurs | Dip Nurs.
Green Belt LEAN/Six Sigma | PGDip Spec Intensive Care
HDip Neuroscience Nurs | Dip Nurs.
SOME WORDS ABOUT US
Well-coordinated teamwork speaks About Us
Paula Kelly - Expert Nurse Witness
Specialist Insight Rooted in Governance and Care Standards
With 30 years of nursing leadership and specialist practice in Neurosurgery, Intensive care, Older Persons Care, Public Health Nursing and as Chief Clinical Officer for digital technology in healthcare, I offer independent, evidence-based expert reports in legal cases involving standards of nursing care.
My position on the HSE National Working Group for Public Health Nursing Quality Care-Metrics, under the Office of the Nursing and Midwifery Services Director (ONMSD)has equipped me with a deep understanding of care measurement, clinical governance, and accountability. I draw directly on these nationally recognised metrics, including those for documentation, clinical assessment, and safe care delivery, when evaluating cases involving alleged deviations from standard practice.
The development of the 2018 National Guideline for Quality Care-Metrics Data Measurement in Public Health Nursing has shaped a national framework for evidence-based care evaluation and data accountability. As a contributor to this project, I developed a critical understanding of how structured metrics, such as child welfare assessments, wound care documentation, and timely follow-ups—translate into measurable standards of safe, effective care. This evidence-based insight now underpins my medico-legal analysis, enabling me to evaluate practice against national standards, policy, and professional codes.
In addition, I served as Chairperson of the HSE Local Placement Forum (LPF) for the allocation of patients to nursing homes under the Fair Deal Scheme. This role requires detailed application of the Care Needs Assessment and Nursing Home Support Scheme policy, ensuring that decisions are ethically justified, person-centred, and aligned with clinical need. This experience has further strengthened my ability to assess decision-making, capacity considerations, documentation standards, and multidisciplinary care planning—all of which are essential in evaluating care standards in medico-legal contexts.
Together, these leadership roles ensure that I bring a uniquely qualified, objective, and policy-informed perspective to my work as an Expert Nurse Witness, committed to supporting justice through professional integrity and clinical excellence.
Expert Nurse Witness
Upholding Standards in Wound Care and Clinical Practice
As a registered nurse with extensive clinical experience I offer independent, evidence-based expert opinion in legal cases where the standard of nursing care is in question. My specialist knowledge in wound care, wound assessment, and care planning is grounded in both frontline practice and national policy implementation. I have worked in alignment with the HSE National Wound Management Guidelines (2018), which provide the benchmark for safe, effective, and person-centred wound care delivery across Irish healthcare services.
In my role, I assess the adequacy of wound assessment, dressing selection, documentation, and escalation of care. I bring a critical understanding of wound aetiology, pressure ulcer prevention, and the importance of multidisciplinary input—core elements that underpin best practice and patient safety. My expert opinion is informed by current clinical evidence, regulatory standards, and the ethical duty of care owed to all patients.
Services
Expert Nurse Witness
Clinical Innovation with Governance and Patient-Centred Care
As an Expert Nurse Witness with a background in advanced community nursing practice, I bring both clinical and systems-level insight to my medico-legal work. I was instrumental in the design and implementation of the first community-based CVAD (Central Venous Access Device) service in the Midlands of Ireland, enabling patients requiring long-term chemotherapy or Total Parenteral Nutrition (TPN) to receive safe, specialist care at home. This significantly reduced hospital admissions and improved patient quality of life.
My role encompassed policy and protocol development, clinical risk assessment, staff education, and close collaboration with hospital-based clinicians and multidisciplinary teams. I applied the PDCA (Plan–Do–Check–Act) quality improvement cycle, ensuring that care delivery was evidence-based, measurable, and continuously evolving. The service is now embedded and thriving, with proven outcomes in both safety and patient satisfaction.
This depth of experience strengthens my ability to assess care standards, particularly in cases involving device-related care, infection control, clinical governance, and professional accountability.
"As an Expert Nurse Witness, I provide clear, objective analysis based on national guidelines, clinical policy, and ethical nursing practice, supporting fair legal outcomes and the upholding of care standards across both hospital and community settings"
Patient Assessment
Patient Assessment
A face-to-face appointment will be arranged at the client's residence to carry out a comprehensive assessment as per instruction...
More Details Analysis of Medical Records Documentation
Review of Medical Records Documentation
A structured, forensic review of all relevant medical records and documentation will be completed...
More Details Cost of Care Reports
Cost of Care Reports
The cost of care report is a comprehensive document that outlines the current and projected expenses associated with an individual's ongoing medical and supportive care needs...
More Details Clinical Practice Assessment
& Standard of Care Review
Clinical Practice Assessment involves the systematic evaluation of a healthcare professional's practices against established clinical guidelines and standards...
More Details Expert Nurse Witness Court Testimony
Expert Nurse Witness Court Testimony
As an Expert Nurse Witness, I provided independent, clinically grounded testimony in medical negligence and personal injury cases...
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