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Rayner a simple example:

Nursing care fails to prevent worsening pressure sores when by appropriate use of the Waterlow scale and appropriate mattresses and turning etc could have. Result is deep infection into the bone necessitating removal of the calcaneus.

Breach of duty - nursing expert

Causation - vascular surgeon

Damage - orthopaedic and possibly plastic depending on the extent of the wound. You may also need a podiatrist to comment on footwear needs albeit that would not be a consultant.

In no aspect will a registrar be able to comment. This is because the appropriate standard (apart from the nurse) is that of a consultant.

Remember that causation is critical and a huge issue in most cases.

In simple terms a Consultant opinion trumps that of a Registrar.