5 Things Solicitors Should Know When Handling Skin Cancer CN Claims

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Drawing on his medico-legal experience, Consultant Clinical Oncologist Dr Stephen Falk shares five practical issues solicitors should consider when investigating delayed diagnosis and skin cancer claims.

Skin cancer claims can look relatively straightforward where there has been an obvious delay in referral, diagnosis or follow-up.


But the existence of a delay does not, by itself, establish that the claimant suffered a recoverable loss.


For solicitors, the more important question is often whether the cancer was already sufficiently advanced that the same treatment or outcome would probably have followed anyway. That means separating breach from causation, identifying the right counterfactual and making sure the expert evidence addresses what actually changed because of the delay.


Download The Guide Here >


Dr Falk has worked as a medico-legal expert since 2004, providing opinions on causation, condition and prognosis for claimant and defendant solicitors, alongside more than 30 years’ experience in clinical oncology.


Based on his INNEG webinar, Skin Cancer Clinical Negligence Claims: Causation, Delay & Prognostic Uncertainty, the guide focuses on the issues most likely to affect whether a claim is viable, how it should be investigated and what should be put to the expert.


Inside you’ll learn:

  • Why delay alone may not establish causation.
  • How to build a chronology that actually tests outcome.
  • How to frame the “but for” treatment pathway.
  • When treatment burden may matter more than life expectancy.
  • Why melanoma prognosis needs current evidence.
  • How to choose the right oncology specialist.
  • When another discipline may also be needed.


A key theme throughout the guide is that the length of the delay is not enough on its own. The real issue is whether earlier diagnosis would probably have changed treatment, progression or prognosis.


It also explains why expert instructions should test the likely counterfactual, rather than simply asking whether the delay caused harm.


For melanoma claims, current treatment outcomes can materially affect both causation and quantum, while expert selection is equally important: “oncology” may be too broad where the case requires a site-specific specialist or additional evidence from dermatology, pathology or surgery.

About The Author

Dr Stephen Falk

Dr Stephen Falk

Consultant Oncologist

Dr Stephen Falk is a Consultant Clinical Oncologist who has undertaken medico-legal work since 1998, preparing reports on causation, condition and prognosis across a broad range of oncology claims. He completes around 200 medico-legal reports each year, acting for claimants, defendants and on joint instructions, and has experience preparing joint statements and giving evidence at trial.

His specialist expertise includes colorectal, upper gastrointestinal, hepato-biliary and pancreatic cancers, lung cancer, lymphoma, neuroendocrine tumours and skin cancer, alongside chemotherapy and radiotherapy.