Case Examples

Examples of Cases Covered

Chronic Illness & Medical Concerns

HIV-positive individual – assessing implications of removal to a country with inadequate healthcare.

Rheumatoid arthritis patient – evaluating treatment continuity and long-term disability impact.

Nigerian patient with neurological and mobility issues – assessing medical needs, fitness to fly, and safety of deportation.

Russian national with multiple chronic illnesses – evaluating physical and psychological effects of return to a conflict-affected country.

Mental Health & Psychological Impact

Individual with known mental health conditions and suicidal ideation – assessing risk if deported.

Detainee developing suicidal thoughts in custody – evaluating the impact of detention and loss of UK mental health support.

Patient from Bangladesh with memory loss and inconsistent history – assessing psychological stress and memory-related disorders.

Child affected by parent’s deportation – analysis of short- and long-term emotional and developmental impacts.

Kurdish asylum seeker – mental health evaluation and fear of return to a war-torn region.

Patient from Kolkata with undiagnosed sexual abuse and PTSD – in-depth trauma and psychological assessment.

Age-Related & Dependency Factors

Elderly patient with dementia (from Bangladesh) – assessing suitability of return and continuity of care.

Primary caregiver at risk of deportation – analysing consequences for the dependent partner’s wellbeing and health access.

Cultural & Social Vulnerability

LGBTQ+ individual from Pakistan – assessing psychological impact and risk due to persecution in home country.

Kurdish asylum seeker – repeated case focus on psychological trauma and safety in conflict zones.

Behavioural & Situational Assessments

Passenger arrested for aggression and alcohol use during flight – assessing underlying factors such as claustrophobia, anxiety, and alcohol misuse during air travel.

Report Process

What You Receive: Step-by-Step Process

1. Discussion with Instructing Solicitor (if required)

A 15-minute pre-instruction discussion with legal team to clarify legal instructions, key case questions, and the scope of assessment.

2. Pre-Assessment Research

Review of past medical records and immigration history

Country-specific medical and mental health research relevant to the client’s situation

3. Comprehensive Face-to-Face Assessment

A 2-hour assessment exploring:

Physical and mental health

Medical history and current treatments

Cultural, social, and environmental risks

4. Detailed Medico-Legal Report

Tailored, legally compliant expert opinion

Structured answers to solicitor’s questions

Professional, evidence-based conclusions

10–12 hours of preparation time typically invested per report for simple cases (complex cases will incur extra hours)

5. Report Delivery

Delivered by email within 7 working days, assuming full instructions and medical records are received

Fast-track service available on request

6. Amendments to Report

Amendments requested within 5 working days of delivery are included at no extra cost

Later amendments subject to £300/hour charge (with prior agreement)

Fees and Payment Terms

At Regency Medical, we offer transparent, discounted fixed pricing for our pre-paid immigration medico-legal reports, with options for both routine and urgent services. These fees have been reduced and only apply for pre-payment and non-complex cases. Upon review of letter of instructions and records, these fees may increase depending on complexity. Please see our Terms and Conditions.

For legal aid cases please contact us for bespoke terms and conditions.

Standard (Routine) Service

Appointments booked 2 weeks or more in advance

Report delivered within 7-days after assessment

Invoice due 14 days or more before the scheduled assessment date

Urgent Service

Appointments booked less than 2 weeks

Report delivered within 7-days after assessment

Full payment due on the day of booking

From £1200

From £1800

Additional Work

For extra work outside the agreed scope

Includes extended solicitor queries, re-assessment, late amendments, or detailed rebuttals

Payment due prior to booking any extra additional work

£300 Per Hour

Frequently asked questions

What is an immigration medical expert witness report?
An immigration medical expert witness report is an independent, objective assessment prepared by a qualified healthcare professional. It provides expert evidence on an individual’s physical or mental health relevant to immigration or asylum proceedings, such as corroborating claims of trauma, assessing risk on return, or commenting on treatment needs.

Who can write an immigration medical expert witness report?
Reports may be written by doctors, psychologists, or other regulated healthcare professionals with relevant expertise and experience. The clinician must outline their credentials, training, and experience in the report to establish their authority as an expert witness.

What should be included in the instructions to the expert?
Instructions should be clear, specific to the individual, and detail the type of report required. They must include all relevant documents (e.g., medical records, witness statements, tribunal determinations) and highlight any inconsistencies or credibility issues in the case.

Who can write an immigration medical expert witness report?
Reports may be written by doctors, psychologists, or other regulated healthcare professionals with relevant expertise and experience. The clinician must outline their credentials, training, and experience in the report to establish their authority as an expert witness.

What does the report typically cover?
A standard report may include:

• Background and history of trauma

• Physical injuries (if relevant)

• Mental health overview

• Clinical plausibility of reported symptoms

• Treatment, recommendations, and prognosis

• Ability to give evidence or be interviewed

• Risk in detention or on return to country of origin

• Suicide risk or vulnerability (if relevant)

How is the independence of the expert maintained?
The expert’s role is to provide objective evidence for the court or tribunal, not to advocate for either party. Reports must be unbiased, and experts should disclose if their opinion differs from other medical records, such as GP notes.

What standards should reports meet?
Reports should be prepared in accordance with recognised standards, such as the Istanbul Protocol for documenting torture. They must be printed on official letterhead, signed, and dated, and include the expert’s contact details and credentials.

How is medical evidence used in immigration cases?
Medical evidence is considered alongside other evidence to inform decisions about protection needs, credibility, and risk. The court or Home Office must give appropriate weight to expert evidence, especially when it helps explain inconsistencies or provides information the claimant could not convey in interviews.

Can a medical expert witness certify someone as 'fit' to give evidence?
No, a medical expert cannot certify that a witness is ‘fit’ to give evidence in immigration or asylum appeals. Their role is to provide an assessment of health and its impact, not to make legal determinations about fitness to testify.

How do I instruct an expert for a report?
Provide the expert with comprehensive, relevant documentation and clear instructions tailored to the individual’s circumstances. Avoid generic or copied instructions; each case should be treated uniquely.

What types of cases benefit from medical expert evidence?
Medical expert evidence can be crucial in cases involving physical or psychological trauma, mental health conditions, risk of harm on return, or where an applicant’s ability to participate in proceedings is in question.