A liver surgeon who branded his initials on the livers of two patients has been fined £10,000.
Simon Bramhall, 53, used an argon beam machine to write his initials on the organs of the anaesthetised patients in 2013 while working at Birmingham’s Queen Elizabeth Hospital.
Bramhall, of Tarrington, Herefordshire, admitted two counts of assault by beating at Birmingham Crown Court.
He was also sentenced to a 12-month community order.
One of the victims, referred to in court as Patient A, received a donor organ in a life-saving operation carried out by Bramhall.
But the donor liver failed about a week later – for reasons unconnected to its implantation – and another surgeon spotted Bramhall’s initials “SB” branded on the organ.
A photograph of the 4cm-high branding was taken on a mobile phone and Bramhall, who now works for the NHS in Herefordshire, later admitted marking Patient A’s liver.
Bramhall, 53, resigned from his job at the hospital in 2014.
The consultant pleaded guilty to two counts of assault by beating in December after prosecutors accepted his not guilty pleas to charges of assault occasioning actual bodily harm.
Prosecutor Tony Badenoch QC said one of the two victims was left feeling “violated” and suffered ongoing psychological harm.
The court heard the surgeon’s actions were a “naive and foolhardy” attempt to relieve tension in the operating theatre during transplant operations in February and August 2013.
Acknowledging that Bramhall’s actions had not caused either patient’s new liver to fail, Mr Badenoch said: “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.”
A nurse who saw the initialling questioned what had happened and Bramhall was said to have replied: “I do this.”
Judge Paul Farrer QC, who said Bramhall would carry out 120 hours of unpaid work, told the defendant: “Both of the operations were long and difficult.
“I accept that on both occasions you were tired and stressed and I accept that this may have affected your judgment.
“This was conduct born of professional arrogance of such magnitude that it strayed into criminal behaviour.
“What you did was an abuse of power and a betrayal of trust that these patients had invested in you.
“I accept that you didn’t intend or foresee anything but the most trivial of harm would be caused.”
Birmingham’s Queen Elizabeth Hospital said Mr Bramhall had made “a mistake”.
“We can reassure his patients that there was no impact whatsoever on the quality of his clinical outcomes.”