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Clinical Governance

Clinical Governance Delivering Clinical Excellence

At Speed Medical, we are wholly committed to delivering Clinical Excellence with our mission to lead the way with our exceptional clinical standards. Our market leading approach to Clinical Governance positions us at the forefront of the industry and demonstrates our dedication to continuous development and setting the standard. 

Benefits of a strong Clinical Governance framework:

  • Drives quality improvements
  • Expands general industry knowledge
  • Benchmarks expert standards

Clinical Advisory Board

As part of our real dedication to quality and excellence and driven by a directive to place a clinical governance culture at the heart of Speed Medical’s service delivery, we have invested heavily in the creation of our in-house Clinical Advisory Board.

Our Clinical Advisory Board (CAB) consists of a panel of eminent hand-picked clinical experts who are highly experienced in their field as well as the Medico Legal world with years of hand-on experience. The CAB serves to promote clinical leadership and engagement in the continuous development and delivery of Speed Medical’s governance, clinical and quality strategies.

Delivering exceptional quality is the goal in everything we do. Our Clinical Advisory Board supports and benchmarks our extensive expert panel, ensuring they are continually delivering the outstanding level of service and client care outlined in our Clinical Governance Framework.
Our experts and staff are our most valuable resource – by investing in them, we’re investing in you. 

"I fully appreciate your initiative to review my reports and give feedback following a complaint from the solicitor.

It was an excellent and productive meeting yesterday with very good feedback from all of you.

I will implement these changes with immediate effect to my methodology, examination, review of medical records and opinion." – Consultant Orthopedic Surgeon

Meet our Clinical Advisory Board Members:

Claire MunroWith over 17 years’ clinical experience, Claire joined Speed Medical in the newly created role of Head of Clinical Delivery in Summer 2017.

Having spent 10 years in cardiothoracic surgery as a Registered General Nurse at Manchester Royal Infirmary, Claire has gained a wealth of hands on experience. Leaving the NHS to pursue further development “and enhance lives”, she worked as a Rehabilitation Case Manager where she spent six years specialising in Multi-Trauma injuries, moving into senior management for a further three years before joining Speed Medical.

Claire is responsible for the management of the CAB and believes that with the diverse clinical expertise and combined industry experience of the members of Speed Medical’s CAB, a fresh perspective will be brought to the business and the services we offer, providing best clinical practice performance to our service users and customers alike.

Dr Bunstone has significant experience in both the Public and Private Sector from working in a variety of very senior roles. Acting as Chairman of the Warrington Clinical Commissioning Group (CCG) since 2015 and a board member prior to that, he has over 8 years’ experience with the CCG. In his position as Chairman, he has the overall responsibility of ensuring the £275 million budget is spent in the most efficient ways to obtain the highest possible quality of care for the residents of Warrington.

An innovative and entrepreneurial approach and a keen focus on patient experience has led to Dr Bunstone taking on the position of Chief Medical Officer for Push Dr, an online GP provider offering video consultations with NHS GPs. The robust systems that he has implemented have allowed the doctors working on the panel to benefit from increased support within their roles, positively impacting the quality of patient care.

Dr Bunstone is the lead GP of a practice in a high growth area of Warrington serving a population of around 5000 patients with a planned move to a much larger surgery and increased list size of around 9000 patients. Under Dr Bunstone’s directive, the surgery now delivers remote consultations including video link and an innovative model of care with plans to move into a variety of different options of direct access.

Through his work with Warrington Wolves Foundation (registered charity), Dr Bunstone has been a key figure in supporting the very successful "fit to tackle" programme which has led to him receiving an "Innovation in Healthcare" award.  The aims of Fit to Tackle are to address both obesity and inactivity through partnership with NHS providers and the professional Rugby club.  

The work he undertakes for Spire in the role of Educational Advisor, overseeing the GP Education Programme, allows Dr Bunstone to continuously gain additional experience in his field.  He also sits on the Medical Advisory Committee for Spire Cheshire Hospital where he uses his vast experience to ensure the delivery of best practice.

Dr Bunstone has worked closely with the team at Speed Medical since 2015 in his role as Chief Medical Officer and has been instrumental in maintaining a high quality of experts on the panel. Leading the regular audit of reports, he is able to feedback to experts about what is working well, and what needs improving. He is also responsible for identifying experts that may not be meeting the very high standards that Speed Medical demands and supporting experts who may have received unreasonable requests.

As Chief Medical Officer at Speed Medical, Dr Bunstone plays a pivotal role in supporting the direction of the Clinical Advisory Board, a new addition to the clinical support team.

Having worked with the NHS and in private practices as a Specialist Musculoskeletal Physiotherapist, Mr Andrew V. Cuff became the youngest Advanced Physiotherapy Practitioner (APP) in the country in November 2015.

Andrew qualified from Oxford Brookes University with a First-Class Honours degree in Physiotherapy and has an MSc in Physiotherapy from Sheffield Hallam University, where he finished at the top of his class.

Andrew’s clinical specialism is in the management of upper limb conditions, especially complex shoulder presentations. As a clinician, he is renowned both nationally and internationally for the treatment of persistent shoulder and elbow pain problems, particularly where the pain has not responded to previous treatment.

Alongside clinical practice, Andrew has been consistently published in the field of musculoskeletal medicine and is regularly invited to present his work at national and international conferences.

In 2018, Andrew was awarded an ACORN PhD Studentship from Keele University based in the Arthritis Research UK Primary Care Centre within the Research Institute for Primary Care and Health Sciences. 

With the patient at the centre of the journey and all decisions, his core focus is on always delivering best clinical practice guided by evidence.


Dr Hoskins studied Psychology and then Clinical Psychology at Plymouth University, qualifying in 1990. Following this she worked within the NHS as a Clinical Psychologist in a Mental Health resource centre for adults and elderly users. She had a range of responsibilities within a multi-disciplinary team, including inpatient and outpatient assessment and treatment of adults and elderly presenting with Mental Health Disorders. Dr Hoskins was also responsible for the training of other disciplines in psychological matters and liaison with GPs.

Alongside her NHS work, she started a private practice in 1992 and began carrying out medico-legal assessments as well as psychological treatment with adults and children. After completion of her Family Therapy training in 1993 and whilst working for the NHS, Dr Hoskins ran a Family Therapy clinic.

In 2000, Dr Hoskins set up Psycholegal Experts Ltd, a Psychology Consultancy, and is Clinical Lead for the nationwide network of Clinical Psychologists and CBT therapists who carry out medico-legal assessments and psychological treatment in the areas of Personal Injury and Occupational Health.

Dr Hoskins brings her professional knowledge and expertise to the Clinical Advisory Board to promote sound clinical practice related to psychology in the network of clinicians.

Qualifications: BSc DClinPsy DipFamTh CPsychol AFBPsS  

Mr Shah is a consultant at Wrightington Hospital, a high volume specialist orthopaedic Centre of Excellence where the Charnley total hip replacement, one of the most successful hips in the world was pioneered by Sir John Charnley in 1962.

Mr Shah has a special interest in complex trauma and the sequelae of trauma, especially in relation to Pelvic and Acetabular fractures.  He works as part of the regional specialist North West Pelvic Acetabular Surgery Service and performs this type of surgery in various adult and children’s major trauma centres in the North West. His elective interest at Wrightington is dealing with hip and knee joint replacement surgery, especially the revision of failed joint replacements, for which Wrightington is a renowned regional centre.

He has a keen interest in training and teaching. Mr Shah works as one of the Fellowship Coordinators for specialist trainees who wish to obtain advanced lower limb fellowship training in orthopaedics. He has also been the Educational Secretary for the British Indian Orthopaedic Society from 2015 onwards. Mr Shah has held the position of Clinical Director for trauma here from 2010-2012.

Due to his passion for continuous clinical development Mr Shah is committed to the delivery of training and teaching. He participates as Faculty on various National and International courses and meetings, such as fracture treatment courses run by AO UK (the leading trauma education organisation in the world).

As one of the overseas founder members of the Association of Pelvic Acetabular Surgeons in India, Mr Shah regularly conducts training courses and cadaveric / surgical workshops. These workshops are valuable in the training of young surgeons in India who wish to learn pelvic and acetabular surgery as well as joint replacement surgery.

Mr Shah has previously worked as a panellist member of the MPTS (Medical Practitioners Tribunal Service) which is the adjudication service for UK doctors. He is also actively engaged in clinical research and has published articles and book chapters in various journals and text books.

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