Brain Injury, Breach of Duty Continuing Health Care Assessments Dementia Care Elderly Patients Stroke Tissue Viability


State Enrolled Nurse 1979
State Registered Nurse 1996
Diploma in Mentoring and Assessing in the Clinical Setting (Coventry University)
BSc Hons in Gerontological Nursing (1st Class) 2006 (Royal College of Nursing)
Full member of the Royal College of Nursing (RCN)
Member of the RCN Management and Leadership forum
Member of Headway UK
Case Management Society UK (CMS(UK)
Briish Association of Brain Injury Case Managers (BABICM)
Tissue Viability Society
Infection Prevention Society
Spinal Injuries Association
The Brain Injury Social Work Group (BISWG)
EPUAP (European Pressure Ulcer Advisory Panel)


I am a registered adult nurse with over 30 years of extensive clinical nursing experience. My experience has ranged from working within neuro-rehabilitation, elderly rehabilitation medicine, and a dedicated stroke unit.

I provide expert witness nursing care reports. I am aware of my responsibilities as an expert witness under the Civil Procedure Rules. I prepare quantum and liability nursing care reports.

The types of cases I report on include traumatic brain injuries,this includes varying levels of physical and/or cognitive impairments resulting from brain injury and varying levels of Prolonged Disorder of Consciousness (PDOC), issues regarding care of older people, and matters concerning Continuing Health Care (CHC) assessments.

Liability nursing reports include incidents involving pressure area care, infection prevention, falls, and general nursing.

Immediate past nursing posts include the role of Resettlement Coordinator for the neuro-rehabilitation services at Central England Rehabilitation Unit (CERU), a national centre of excellence based at Leamington Spa Hospital. I was in post for a period of six years to end of May 2017. This facility provides a patient focused neuro-rehabilitation service to communities throughout the UK. It is the largest Level 1 accredited facility available and has a unique ethos to offer goal focused rehabilitation tailored to meet individual patient needs and is recognised as a centre of excellence for providing patients with specialist rehabilitation. CERU take an interdisciplinary approach to managing complex physical and cognitive difficulties resulting from brain injury.

It was my responsibility to facilitate patient’s discharges home or resettlement into further placement in a timely manner, reducing risks and ensuring on-going identified needs are fully met. Discharges from this unit are invariably very complex, due to the nature of our patient’s diagnosis and prognosis and patient and families’ long term expectations and hopes. On a regular basis I needed to efficiently and effectively coordinate and action communication between the Neurological Rehabilitation Interdisciplinary Team (IDT) and external agencies that provide on discharge; including but not limited to health and social care, commissioners of services, community/voluntary sectors, case managers, housing departments, medical and health equipment suppliers. In addition I was responsible for promptly informing relevant IDT members should any difficulties arise in the discharge process or commissioning of services. Patients and relatives were at the centre of all that I did and I met with them on a regular basis to keep them fully informed all through the discharge/resettlement process. I considered this to be an extremely important element of my role. I am very proud of my excellent communication skills, which were vital for my work in resettlement.

During my career I have gained considerable nursing management experience whilst working as Deputy Ward Manager on a dedicated Stroke Unit and as Ward Manager on an elderly rehabilitation GP-led unit. In both posts I was heavily involved in both assessment of care needs and delivery of care. I was also responsible for introducing and maintaining management systems, which ensured high level evidence-based care was delivered to our patients and that this level of care was maintained at all times. During my time as Ward Manager on an elderly rehabilitation GP led unit I also gained invaluable experience of working closely with GP’s and community services.

I have gained specialist in-depth knowledge regarding all aspects of Gerontology (study of ageing and older adults) during my degree studies. I completed this degree via Distance Learning with the Royal College of Nursing (RCN), and as such I perfected my skills of time/self-management during this time, as this was vital to ensure all assignments were completed on time and to the best of my abilities. In addition to gaining a First Class degree I was also presented with a special award from the RCN in recognition of gaining the highest marks in all assignments.

During my role as a Resettlement Coordinator I gained invaluable experience in working closely with consultants in neuro-rehabilitation and specialist neuro rehabilitation therapists to assess and plan on-going care needs for people with brain injuries. I have also gained a wealth of experience of leading with Continuing Health Care applications and assessments/report writing/Decision Support Tool (DST) meetings and documentation. I have a great deal of experience of working closely with Clinical Commissioning Group’s from all over the UK regarding funding and discharge/placement issues. I am also experienced in advising patients and families regarding benefit claims and accessing community/voluntary services. In addition, I have a very good working knowledge of Deprivation of Liberty Safeguarding (DoLS) procedures.

I attend regular training courses and conferences in order to continue my professional development.

Work History

Enrolled Nurse 01/07/1979 – 01/07/1987 for South Warwickshire NHS Foundation Trust
Enrolled Nurse 01/06/1992 – 31/08/1996 for Westminster Health Care
Completed Conversion Course to become State Registered Nurse whilst working for Westminster Health Care.
Staff Nurse on 28 bed elderly adult rehabilitation ward 09/09/1996 – 31/12/2006
Deputy Ward Manager on Stroke Unit 03/01/2007 – 28/02/2010
Ward Manager on GP led adult rehabilitation ward 01/03/2010 – 30/06/2011
Resettlement Coordinator for Neuro Rehabilitation wards at CERU 01/07/2011 to 31/05/2017

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