Dr Bradley Hillier

Dr Bradley Hillier’s professional qualifications, accreditations and memberships

• BMBCh MA(Oxon)
• MScPH(LSHTM)
• MFFLM
• FRCPsych

Professional experience

Dr Bradley Hillier is an experienced and respected consultant psychiatrist based in London and Jersey, Channel Islands. Dr Hillier has been practising medicine and psychiatry for over 20 years, during which he has developed extensive expertise in the diagnosis and treatment of mental disorders and mental health problems. He has worked both in the UK and internationally, in the NHS, various charitable and international organisations including the UN and CPT, and privately. Dr Hillier also carries out medicolegal work for the criminal and civil courts.

Dr Hillier completed his medical degrees (BMBCh MA(Oxon)) in 2004 at Trinity College, University of Oxford, and subsequently trained in psychiatry at a number of prestigious institutions including the Maudsley Hospital, Bethlem Royal Hospital, Imperial College London, Chelsea and Westminster Hospitals, University College London Hospital, The Whittington Hospital, and Broadmoor High Secure Psychiatric Hospital, amongst others.

Personal statement

I understand how the decision to see a psychiatrist can be very difficult and can occur after a period of significant distress and concern, both for the individual seeking help, and for those close to them. I know that it often comes at the most challenging time in someone’s life and that they may need to talk about some of the most sensitive matters. I have had my own experience of how mental health problems can impact on people’s lives, both personally and in those close to me, and this strongly informs my practice. I strive to create a safe, compassionate, confidential partnership with my clients, that is free from judgement and focused on recovery.

I approach the treatment of mental health conditions by undertaking an initial thorough and sensitive psychiatric assessment, including a detailed background personal and medical history and characterisation of the main concerns and symptoms. I recognise the importance of physical health and the interaction with mental health, as well as remaining mindful of the role of individual circumstances in reaching a shared understanding, or formulation, of the problem. Following this, we will discuss whether there is a diagnosis, and agree a treatment plan. This will consider a variety of approaches including pharmacological, psychological and lifestyle interventions to help with the key issues, and what the requirements are for follow-up. I have an emphasis on being informed by evidence-based treatment and place significant value on the role of psychological and psychotherapeutic approaches to recovery. This means that I may recommend engaging in psychotherapy for example as part of your multi-disciplinary care plan.

I am very happy to provide an initial 15-minute discussion on the telephone free of charge for those who are considering booking an appointment with me and may have questions or concerns that they would like to explore before committing to a more comprehensive assessment and/or treatment.

Additional information about research, publications and interests

Publications

1. Hillier, B (2024). Measurement of person-centred care. In: Oxford Professional Practice: Handbook of Quality Improvement in Healthcare Ed. Lachmann, P. Oxford, 2024; online edn, Oxford Academic, 1 Feb. 2024), https://doi.org/10.1093/med/9780192866387.003.0016
2. Hillier, B, Carthy E, Kalk N, et al. Developing a coordinated response to chemsex across health, justice and social care settings: expert consensus statement. BJPsych Bulletin. Published online 2024:1-8. doi:10.1192/bjb.2024.46
3. Hillier, B., Hughes, P., & Thomson, S. (2023). Psychological Techniques Toolkit. In S. Thomson, P. Hughes, & S. Gnanapragasam (Eds.), Volunteering in Global Mental Health: A Practical Guide for Clinicians (pp. 85-101). Cambridge: Cambridge University Press. doi:10.1017/9781108920728.011
4. Carthy, E. & Hillier, B. (2023). Forensic Psychiatry and Adult Inpatient Secure Settings. In M. Khwaja & P.Tyrer (Eds), The Prevention and Management of Violence: Guidance for Mental Health Professionals. Cambridge: Cambridge University Press. doi:10.1017/9781911623274.015
5. Hillier, B., & Hales, H. (2023). Criminal and Youth Justice Liaison and Diversion Systems. In M. Khwaja & P. Tyrer (Eds.), The Prevention and Management of Violence: Guidance for Mental Healthcare Professionals (pp. 272-285). Cambridge: Cambridge University Press. doi:10.1017/9781911623274.023
6. Murphy, P., Lachmann, P & Hillier, B., (Eds). (2022) The Oxford Handbook of Medical Leadership and Management. Oxford: Oxford University Press. https://doi.org/10.1093/med/9780192849007.001.0001
7. Hillier, B. MHTRs – orders without any home. BJPsych 2022. Doi:10.1192/bjp.2021.202.
8. Carthy E, Hillier B, Tracy DK, et al. Chemsex-related crime and vulnerability: A public health and criminal justice priority. Medicine, Science and the Law. 2021;61(4):247-249. doi:10.1177/00258024211049490
9. Walters, P., Hillier, B., et al (2021) Diagnosis and Management of Substance Use Disorders in Athletes. Advances in Psychiatry and Behavioral Health, Volume 1, Issue 1, 135 – 143
10. Hillier, B., Lambourne, C. & Taylor PJ. (2018). Pathways through secure services within the European Union. Chapter in “Handbook of European Forensic Psychiatry” Ed. Goethals, K. Springer Publishing, London.
11. Curtis, P., Hillier, B., Souster, R., and Sethi, F. (2016). “The use of coercive measures in the forensic psychiatric setting: in “Coercion and factors associated with it in the inpatient psychiatric setting” . Ed. Vollm and Nedopil. Spring, UK.
12. Hillier, B. & Anwar, S. (2015) Psychiatry. In Basic Sciences in Core Medical Training and the MRCP. Ed. Wilkins, R. & Herring, N. Oxford University Press.
13. Hillier, B., & Murphy, P. (2015). BMJ Rapid Response “Preventing Sex Offending – the Dunkelfeld Project. BMJ 2015;350:h2648
14. Taylor, P.J., Walker, J., Hillier, B., Murphy, P. & Gunn, J. (2015). Research for forensic mental health – looking to the future. Criminal Behaviour and Mental Health; 25:81-7. PMID 25891291 DOI 10.1002/cbm.1963
15. Hillier, B., Cherukuru, S., & Sethi, F. (2015). Care pathway process proposal and rationale for the assessment and management of firesetting in the inpatient setting. Journal of Psychiatric Intensive Care.doi:10.1017/S174264641400193
16. Bhavsar, V, Sethi, F, and Hillier, B. (2014). Medical guidelines for PICU seclusion reviews . Journal of Psychiatric Intensive Care, 10:40-50. doi:10.1017/S1742646413000198.
17. Hillier, B., & Sethi, F. (2014). Two case reports: ‘delusions’ arising in virtual reality . Journal of Psychiatric Intensive Care, 10:51-56. doi:10.1017/S1742646413000174.
18. Spencer, S., Gilluley, P. & Hillier, B. (2013). Foreign National Mentally Disordered Offenders’ pathway through Secure Services . The Psychiatrist 37:331-335.
19. Arnold, F., Iacopino, V, Allen, S., Reyes, H, Chalmers, I, et al.(2013) Open letter to President Obama on hunger strikers in Guantanamo. The Lancet 381:2166. doi:10.1016/S0140-6736(08)61345-8
20. Hillier, B., Lambourne, C. and Larsen, T. G. (2012), Mapping offender-patient pathways in the different jurisdictions of the European Union. Criminal Behav. Ment. Health, 22: 293–296.
21. Lee, W., Thomson, A., Acosta, C., Ashraph, M. et al (2012) Royal College Examination Fees surplus. Letters to the Editor. The Psychiatrist, 36:273-274. doi:10.1192/pb.36.7.273b [accessed 25th June 2013]
22. Gilluley, P., Tucker, S., & Hillier, B. (2011) The Future of Quality in Healthcare Provision and the role of the Peer Review Process: Quality Networks. MSIG Newsletter October 2011.
23. Hillier, B. (ed.). (2011), Standards for Relational Security, Royal College of Psychiatrists, London.
24. Hillier, B., Wright, L., Strydom, A., and Hassiotis, A. Use of the HoNOS-LD in identifying domains of change. The Psychiatrist (2010) 34: 322-326.
25. Hillier, B. Re: Ana Attia’s Story – failed by her keepers. Letters to the Editor, Independent on Sunday, 29th August 2010. http://www.independent.co.uk/opinion/letters/iiosi-letters-emails–online-postings-29-august-2010-2064731.html (accessed 14th October 2013).

Reported legal cases

1. Marcantonio v R. (Rev 1) [2016] EWCA Crim 14
2. Gasztony, R (on the application of) v Secretary of State for the Home Department & Anor [2019] EWHC 2879 (Admin)
3. T v AG [2024] JRC 111
4. Lomas v Republic of South Africa (No.4) [2024] EWHC 1642 (Admin)
5. Lomas v Republic of South Africa [2024] EWHC 2210 (Admin) (23 August 2024)

Special interests

Dr Hillier’s areas of special interest include:

• Mood disorders (such as Depression, Recurrent Depressive Disorder, and Bipolar Affective Disorder)
• Anxiety Disorders (such as Generalised Anxiety Disorder and Panic Disorder)
• Obsessive Compulsive Disorder (OCD)
• Neurodevelopmental disorders (such as Attention Deficit and Hyperactivity Disorder – ADHD; and Autism Spectrum Condition/ Disorder – ASC/ASD/Aspergers Syndrome);
• Psychosis (such as Psychotic Episode, Drug-induced Psychosis, Psychotic Depression, Mania with Psychosis, Acute and Transient Psychotic Disorder, Schizoaffective Disorder, and Schizophrenia)
• Trauma conditions (such as Post Traumatic Stress Disorder and Complex Post Traumatic Stress Disorder, and Adjustment Disorder)
• Dissociative Disorders (such as depersonalisation and derealisation disorder – DPDR)
• Personality problems (such as Borderline and Emotionally Unstable, and Antisocial Personality Disorder)
• Substance use and addictive behaviours (such as problems with the use of Alcohol, Cocaine and other stimulants, Chemsex, Gambling, Opioid Use, Internet Use, Problematic Sexual Behaviour and Pornography etc)
• Specialist experience in minority stress, and the mental health of members of the LGBTQI+ community

Media

1. NHS Practicus, The future of mental health – can STPs help achieve ‘parity of esteem’
2. Radio 4 Today Programme 9.4.15, Sexual Offending and Families