Surgeon guilty of marking his initials into patients’ livers

ASURGEON has admitted assaulting two patients by marking his initials on their livers during transplant operations.

Simon Bramhall, 53, (pictured) admitted two counts of assault during operations at Birmingham’s Queen Elizabeth Hospital in February and August 2013

On Wednesday, he pleaded not guilty to alternative charges of assault occasioning actual bodily harm at Birmingham Crown Court.

Prosecutor Tony Badenoch QC said the Crown accepted the medic’s not guilty pleas in a case which was “without legal precedent in criminal law”.

Bramhall was granted unconditional bail and will be sentenced on January 12.

Mr Badenoch said: “This has been a highly unusual and complex case, both within the expert medical testimony served by both sides and in law.

“It is factually, so far as we have been able to establish, without legal precedent in criminal law.”

The barrister added that Bramhall was employed as a consultant surgeon at the time of the transplant operations and that both patients had been under anaesthetic. The pleas of guilty now entered represent an acceptance that that which he did was not just ethically wrong but criminally wrong,” Mr Badenoch told the court.

“They reflect the fact that Dr Bramhall’s initialling on a patient’s liver was not an isolated incident but rather a repeated act on two occasions, requiring some skill and concentration. It was done in the presence of colleagues.”

Describing the offences as an abuse of position, Mr Badenoch said they had been carried out with a disregard for the feelings of unconscious patients.

The prosecutor said of the assaults: “It was an intentional application of unlawful force to a patient whilst anaesthetised. His acts in marking the livers of those patients were deliberate and conscious acts. Suffice to say, for current purposes, these pleas meet the broad public interest. “It will be for others to decide whether and to what extent his fitness to practise is impaired.”

The offence of “assault by beating” was brought against Bramhall to reflect the act of marking the liver and there is no suggestion that he was responsible for physically “beating” either

patient.