British Surgeon Who Branded His Initials On Patients' Livers Fined £10000

Simon Bramhall a specialist surgeon leaves Birmingham Crown Court

A DISGRACED surgeon who "betrayed the trust" of his patients by burning his initials on to the livers of two unconscious transplant patients has been spared jailed.

Prosecutors accepted his not guilty pleas to the more serious charges of assault occasioning actual bodily harm.

The Crown Prosecution Service (CPS) said Bramhall marked his initials on the patients' livers without their consent "for no clinical reason" using a medical instrument created to seal bleeding blood vessels.

But Worcester antiques dealer Jeff Hughes, who had two liver section operations carried out by Dr Bramhall, at Queen Elizabeth Hospital Birmingham in 2010 and 2011, said the case should have been thrown out.

Acknowledging it hadn't caused either of the patients' organs to fail, Badenoch then told the court: "This case is about his practice on two occasions, without the consent of the patient and for no clinical reason whatever, to burn his initials on to the surface of a newly-transplanted liver".

Passing sentence at Birmingham Crown Court in central England, judge Paul Farrer said Bramhall displayed "professional arrogance of such magnitude that it strayed into criminal behavior".

The court heard that a surgeon colleague was "taken aback" when he discovered the initials SB on the patient's liver when removing it after it failed.

"What you did was an abuse of power and a betrayal of trust that these patients had invested in you", the judge said.

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Bramhall's initials, which measured 1.5 inches (4 cm), were subsequently spotted by another surgeon.

Mr Badenoch said of the initial transplant operation: "Mr Bramhall had to work exceptionally hard and use all of his skill to complete the operation".

"I accept that on both occasions you were exhausted and stressed and I accept that this may have affected your judgement".

A nurse who saw the initialling queried what had happened and Bramhall was said to have replied: 'I do this'.

She said: "The full horror hit me when a medical professional at the Queen Elizabeth Hospital informed me that it was in fact me. Why did he think that it was appropriate to do this to me?"

Bramhall's actions came to light when one of the patients had further surgery a week later.

One of Bramhall's branded patients, an unnamed woman, wrote a victim impact statement shared during the sentencing hearing, The Mirror reports.

He told police it had been a misguided attempt to relieve the tension in the operating theatre.

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