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Alexander Antelme KC

Call 1993 • KC 2014

"A superb advocate...calm,unflappable, terribly charismatic"
(Chambers UK 2019)

Clinical Negligence

Alex acts for Claimants, the NHSR and the defence unions. His cases are the most complex or of the highest value. Most are worth more than £10m and several more than £25m. As well as catastrophic injuries or death, he is experienced in dealing with multiple causes of injury, several parties and large numbers of experts. He regularly brings to clinical negligence cases his expertise in group litigation and in product liability. He is a highly successful trial advocate but has a reputation of achieving a satisfactory resolution of cases where the issues between the parties have appeared incapable of compromise. He is retained to advise and act in complex appeals.

He has dealt with most areas of clinical practice, including obstetrics, gynaecology, cardiology, accident and emergency medicine, neurosurgery, neurology, oncology, orthopaedics, colo-rectal surgery, ophthalmology, ENT surgery, the contraction of MRSA, the conduct of out-of-hours GPs and the treatment of epilepsy.

Alex has been nominated as 2021 Clinical Negligence ‘Silk of the Year’ by Chambers and Partners. He was previously nominated for Personal Injury and Clinical Negligence ‘Silk of the Year’ for the Legal 500 Awards in 2017.

Selected Cases

  • Hewes v West Hertfordshire Hospitals and others (2020) – Alex is retained to appear in the Court of Appeal for the GP defendant in this matter where the Claimant suffers permanent injuries because of cauda equina syndrome. The defence was successful at first instance and the Claimant appeals.
  • MMM v Royal Berkshire Hospital NHS Trust (2020) – Alex acted for the Claimant in this catastrophic birth injury case. Alex succeeded in obtaining an interim payment of just under £1m to allow a suitable property to be purchased. The case was ultimately resolved with a negotiated settlement.
  • Marshall v Schembri (2020) – Alex was instructed in the Court of Appeal for the GP against whom it was alleged that failure to recognise a pulmonary embolism led to the death of the Claimant’s wife. The case reviewed the use of statistics and inferences in clinical negligence cases.
  • Daniels v Dr Williamson (2019) – Alex acted for the Defendant in which the Claimant developed an infection and required quadruple limb amputations to save her life. It was alleged that her GP did not recognise the infection timeously. Causation was particularly complex. The matter was settled.
  • Rectal mesh (2018) – Alex acts for a surgeon who faces a series of complaints about colo-rectal surgery and the use of rectal mesh.
  • Yates v Worcestershire Acute Hospitals NHS Trust (2016) – Alex acted for the Defendant. The Claimant suffered from a congenital heart problem and developed infective endocarditis. He suffered a stroke. He blamed the Trust’s clinicians for failing to recommend surgery earlier and for providing antibiotic treatment for too long. At trial, at the conclusion of the cross examination of the Claimant’s experts, the case was abandoned.
  • X (a child) v Maidstone and Tunbridge Wells NHS Trust (2016) – Alex successfully defended a claim for an alleged failure to identify and treat meningitis. The case was based on flawed expert analysis and this was demonstrated at trial.
  • Rallison v North West London Hospitals NHS Trust (2015) – Alex acted in this key authority on proportionality and interim payments on account of costs.
  • Baker v Epsom and St Helier University Hospitals NHS Trust (2015) – Alex acted for the Defendant in a case involving allegations regarding the approach to a lower limb amputation. The claim was dismissed at trial.
  • Crofton v NHSLA – Alex was led by John Grace QC in this leading Court of Appeal authority on the public funding of care and its relevance to personal injury actions.
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“A fantastic advocate – he is really amazing, very slick, sharp and has the ear of the court.” “He has an absolute eye for detail, is extremely no-nonsense and gets very good results. His opinion is very much respected.”

Chambers & Partners, 2022

“A living legend of product liability practice; extremely sharp, sees bigger picture, speaks with authority and technical brilliance.”

Legal 500, 2022

“A very affable silk with a rapier-like intelligence and the willingness to fight points other QCs might not want to take on.”

Legal 500, 2021

“Detailed and thorough analysis of complex legal and factual issues. Tremendous knowledge of personal injury and product liability issues.”

Legal 500, 2021

“A remarkably astute, highly-experienced and technically brilliant QC whose dedication, focus and legal precision is exemplary.”

Legal 500, 2021

“A very measured, sensible and effective advocate who inspires confidence.”; “A very persuasive advocate with great tactical acumen.”; “His cross-examination of experts is very good indeed.”

Chambers & Partners, 2021

“Really at the top of his game – his advocacy is extremely good and he has a really good commercial head on him.” “A first-class advocate who pays great attention to detail.”

Chambers & Partners, 2020

“Superbly intelligent, with an incredible insight and lightning fast responses. “

Legal 500, 2020

“He’s really a superb advocate; he’s calm, unflappable and terribly charismatic…great intellect…charming, civilised and fair…first-rate operator”

Chambers & Partners, 2019

“A great advocate who knows his stuff…first-class advocate, one of the leading silks in the product liability field”

Legal 500, 2019

“A barrister of great intellect who has a large caseload of complex high-value matters…very experienced, approachable and good with clients…provides clear, realistic advice…meticulous preparation…a formidable advocate…very robust…excellent technical skills…dominant force at the negotiating table”

Chambers & Partners, 2018

“A passionate advocate who communicates persuasively”

Legal 500, 2018

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