Gerard qualified as a Registered Nurse in 1993. His clinical career pathway took him from Staff Nurse to Matron within a large acute NHS Trust. Gerard secured clinical governance experience as a senior manager within an NHS Primary Care Trust in 2009. Within this role he advised on the development of an Urgent Care Centre, took the lead on the commissioning and quality management of Urgent Care (Out of Hours commissioning) and managed quality and patient safety issues related to commissioned services within a variety of providers of health care such as Foundation Trusts, Independent Hospitals, General Practitioners and Pharmacies. Additionally he took the lead on Prison healthcare and worked closely with the healthcare team of a local prison in the setting and monitoring of standards within the Healthcare wing.
Gerard led on Medical Revalidation and Clinical Support for an NHS Primary Care Trust between 2011 and 2013. He sat as a voting member on the poor performance group, regularly interacted and supported clinicians/performers in difficulty and liaised with senior representatives of the General Medical Council and the General Pharmacy Council. Gerard has been trained by the National Clinical Advisory Service as a Case Investigator.
Between 2013 and December 2014 Gerard was employed as a Quality and Patient Safety Manager working at a Strategic level within the NHS. He regularly worked with and supported colleagues and organizations in difficulty. Within this role Gerard took the strategic lead for Serious Incidents and worked with five acute NHS Trusts (Two were Keogh Trusts) and seven Clinical Commissioning Groups. Gerard has been retained as a Specialist CQC Clinical Assessor with an focus on acute care since 2013. Gerard secured further experience between December 2014 and April 2015 as the Interim lead for Adult Safeguarding within an NHS Clinical Commissioning Group.
Gerard has significant clinical and managerial exposure within the both primary and secondary healthcare. He has managed difficult and sensitive investigations within the healthcare sector. His experience includes providing support to two of the organizations identified in the NHS Keogh review of 2013.
Trained in 2008 as a Medico Legal Expert Witness Gerard has vast experience in preparing Medico Legal reports and is frequently instructed by leading UK law firms including Capsticks, Clyde & Co, Leigh Day and Bevan Brittan. Gerard is comfortable both in judicial and quasi judicial environments. Gerard draws on his clinical and medico legal experience in the preparation of Independent Review reports.
In summary Gerard has significant clinical credibility within Healthcare, particularly within Emergency Care and Acute Medicine. Since 2009 his work has been immersed in managing patient safety issues, including medical governance, leading on quality and patient safety and managing Serious Incidents within commissioned services. Gerard left the NHS in 2015 and now offers an unbiased, independent and impartial service drawing on his vast clinical, management and medico legal experience.