Mr Alistair Duncan

Mr Alistair Duncan is an Emeritus Consultant Gynaecological Surgeon, Oncologist and expert witness who practised at Northamptonshire University Hospital for 30 years, serving as Consultant Gynaecological Surgeon and Lead for Gynaecological Oncology from 1993 until his retirement from NHS practice in 2023.

His principal areas of subspecialist clinical expertise include gynaecological oncology, advanced gynaecological surgery, laparoscopic and minimally invasive surgery, pelvic ultra-sound and colposcopy.  He also has extensive experience in the investigation and management of complex benign and malignant gynaecological conditions, pelvic floor disorders and the management of endometriosis.

His clinical practice encompassed both elective and emergency gynaecology and included dedicated one-stop clinics using colposcopy and pelvic ultrasound for the assessment of suspected cancers of the vulva, cervix, endometrium and ovaries.

Mr Duncan held senior leadership roles in gynaecological oncology, leading multidisciplinary teams and mentoring colleagues in advanced open and laparoscopic pelvic surgery. He also served as a National Peer Reviewer of UK Cancer Services, and has over 20 years’ experience in medical education, including teaching on regional courses, examining for the postgraduate MRCOG exams, and as a Preceptor for the part 3 MRCOG course.

Mr Alistair Duncan has been undertaking medico-legal work since 2003, providing independent expert opinion in clinical negligence claims involving the diagnosis, investigation and management of benign and malignant gynaecological conditions. His practice encompasses instructions from both claimants and defendants, with experience attending court to give expert evidence.

He prepares screening and advisory, breach of duty, causation, and condition and prognosis reports. His medico-legal practice particularly encompasses gynaecological oncology, delayed diagnosis, colposcopy, specialist gynaecological ultrasound and complications associated with open, laparoscopic and minimally invasive pelvic surgery. He also accepts instructions involving endometriosis, pelvic floor surgery, urinary incontinence, postmenopausal bleeding and ovarian pathology, drawing on his broader general gynaecological experience. Mr Duncan provides clear, balanced and evidence-based opinions to help solicitors address the principal clinical and medico-legal issues in dispute.

Mr Duncan’s clinical expertise centres on the assessment and management of benign and malignant gynaecological conditions. His principal specialist interests are gynaecological oncology, colposcopy and gynaecological ultrasound, including the investigation of suspected cancers affecting the vulva, cervix, endometrium and ovaries. His approach combines clinical assessment with appropriate imaging, colposcopy and biopsy to support accurate diagnosis and inform treatment planning.

His surgical interests include advanced open and laparoscopic pelvic surgery, minimally invasive procedures and hysterectomy. Alongside his subspecialist expertise, he has broad general gynaecological experience in the assessment and management of endometriosis, postmenopausal bleeding, ovarian cysts and menstrual disorders. His experience also encompasses pelvic floor conditions, urinary incontinence and procedures involving tension-free vaginal tape and mesh sacrocolpopexy, approached as part of his generalist rather than subspecialist practice.

Mr Duncan has contributed to medical education and academic development throughout his career. He has co-authored textbook chapters on pelvic anatomy and the management of vaginal trauma in childbirth, published work in gynaecological oncology and imaging, and lectured on local and regional colposcopy and gynaecological oncology courses. He is a Founder Member of the British Society of Gynaecological Imaging and has served as a National Peer Reviewer of UK Cancer Services.