Breach of Duty, General Nursing Neurology Non-medical prescriber
PROFESSIONAL QUALIFICATIONS & MEMBERSHIPS
Registered General Nurse
Neurology Nurse Specialist
Specialist in continence care and pain management
Independent non-medical prescriber
Committee member for the Quality Standards Committee at NICE
Executive committee member of the Primary Care & Community
Neurology Society, providing education, training and development of
services for people with a neurological condition
Contributor to the Multiple Sclerosis Society and Motor Neuron
Member of the Royal College of Nursing
Member of BABICM
|1. Nursing and Midwifery Council
2. Royal College of Nursing
3. Queen’s Nurse Institute
4. British Society of Lifestyle Medicine
5. Primary Care and Community Neurology Society
I am a senior nurse with over 25 years’ experience in neurosciences. I have set up, developed and manged a community based service for patients with a neurological condition. I am currently practicing as an Independent Neurology Nurse Consultant and non – medical prescriber. I have considerable experience in providing nursing care to patients in the community who have complex neurological conditions from diagnosis to palliative care.
I have experience of managing a multidisciplinary team and developing that team to ensure that the needs of the patients are met.
In my role as a Neurological Nurse Consultant, I hold a case load of patients with a variety of complex problems. I can provide symptom management and treatment, review of the condition and co-ordination with other health professionals to provide a holistic package of care.
During my work in the community I was awarded the title of Queen’s Nurse for my work with those affected by a neurological condition. This is a great honour and I value the ethos of the QNI in maintaining a high standard of good quality care to all y patients and clients.
I am a nurse expert witness and have experience writing a wide variety of medico-legal reports for both defendants and claimants. I have written liability, care and prognosis, quantum and needs based assessments. From this work I have a sound understanding of the medico-legal process. I have actively participated in the CHC process from check list to appeal. I have a sound understanding of completing assessments for a variety of statuary services and benefits. I have also participated in high level discussions and meetings with regard to the provision of care services.
Having worked with NICE and NHS England, I have a sound understanding of policy development and implementation.
More recently, I have undertaken an active role in the British Society of Lifestyle Medicine, the Brain and Spine Foundation and provided education on a variety of neurological topics.
As a case manager I am keen to provide an excellent standard of care and support to my clients.
|Britannia Pharmaceuticals Ltd
My role is Specialist Nurse in Apo-Go Therapy. The role is to provide ongoing support to patients with parkinson’s disease receiving Apo-Go Therapy. This requires receiving referrals form health professionals and initiating the treatment. Once treatment is started, the role is to provide education, training and advice to the patient, their family and carers to ensure that the therapy is consistent.
I am employed as a Disability Assessor
This role involves assessing claimants against the criteria set by the Department of Work and Pensions for Personal Independence Payment. This role involves both face to face and telephone assessments with individuals who have a mental health, physical or learning disability and to ensure that they have a fare and measured assessment, whilst treating them as an individual. The work is required to a very high standard in all report writing and claimant contacts.
Maggie Sargent and Associates
I work as a Nurse Expert Witness. This involves evaluating medical and nursing records and formulating a detailed report for clinical negligence and personal injury for neurosciences and general nursing. I am able to complete reports for both Defendant and Claimant cases for various needs such as care and prognosis, future care, quantum and liability. The reports are all part 35 complaint and intended to inform the court. All reports are required to be detailed and accurate.
Community Case Management Services Ltd
I am employed as a treating professional/neurology nurse specialist to provide advice, guidance, treatment options and liaison to clients who have experienced a traumatic brain injury. In addition, I provide professional support to case managers in the development of care packages, treatment options and support any aspect of the client’s care. This involves liaising with statutory services such as DWP, PIP, CHC, Social Services and taking part in the assessment of other such needs and services.
Apex Health Associates Ltd
I have been working with Apex Health Associates Ltd as a Nurse Expert Witness since July 2016. I have completed numerous short advisory reports, breach of duty reports, care and prognosis and quantum for both Claimant and Defendant for General Nursing Care and Neurosciences. I have also provided client nursing assessments to determine and inform the legal team of the required care needs. My reports are Part 35 compliant and intended to inform the Court.
Apex Health Associates Ltd
I was appointed Head of Practice and Director to oversee the smooth running of the office processes and to ensure that all aspects of the business were managed accordingly. This included business development, staff management and recruitment. I also had responsibility for all the case work in the business and ensuring that a high standard was maintained in every aspect. This also involved ensuring that all nursing staff employed by the business were registered and fulfilling their obligation to the court. I also provided training to new nurses on the role of the nurse expert and actively supported clients and law firms to find the most suitable expert.
|2015||Present||Independent Neurology Nurse Consultant
Since leaving the NHS, I have set up my own Private Practice for patients with a neurological condition. This can be TBI, MS, PD, MND, Epilepsy and any other neurological condition. I provide specialist advice, support, management and treatment of neurological conditions. This includes symptom management, medication review and prescribing. As part of my role, I can provide expert input into CHC, DWP, PIP and other statutory services and benefits. I also provide education and training on Neurological conditions and service development and re-design. I am trained in the management of continence, pain and non-medical prescribing and have continued to enhance my professional practice by attending conferences and taking part in online forums. I have also provided talks and education to other health professionals on a variety of subjects
|2004||Present||Primary Care Neurology Society
I have been a member of the steering group since 2004. In 2013 I took the position of Secretary to the organisation. I am actively involved in the development of neurological services, advice and support to health professionals. I have been involved in projects for NHS England and other Neurological Charities looking at ways to work more collaboratively. I have a specialist interest in palliative care for non-cancer and have represented the organisation at events to support neurological conditions.
Standing Member of the Quality Standards Committee.
This role involved assisting in the development and review of Quality Standards at NICE and ensuring that all aspects are covered fully, and nothing is omitted.
|2016||Present||MS Society UK
I am a member of the Medical and Research Expert panel for policy development.
|2016||2018||St Ivo school – St Ives
Anglia Ruskin University – Cambridge
This role is to ensure that all examinations are conducted under strict conditions as set by the exam boards and that all candidates have equal and consistent assess as needed to complete their exams.
|2004||2015||Norfolk Community Health and Care NHS Trust (West)
Lead Nurse Specialist in Neurology Band 7
I was responsible for the safe and effective delivery of specialist neurological nursing service in West Norfolk. I was responsible for the development and expansion of the Neurology Team to provide a dedicated specialist multidisciplinary service. In addition, I provided an education service to other health professionals, social services and to the Medical School. During this time, I successfully led two CQUIN projects as well as service improvements in line with new guidelines and trust policy. I also provided direct patient care to our client group. This involved setting up nurse led clinics in the acute hospital, community settings and also seeing patients in their own homes or places of work. This also included providing input into DWP, PIP, CHC and other statutory benefits and services. I was also responsible for maintaining the local links with other Specialist hospitals providing disease modifying treatments and ensuring that all patient data was fed to them in a timely and effective manner as part of the ongoing regional monitoring system.
Multiple Sclerosis Nurse Specialist H grade/band 7
This was a new role within the Trust. My main responsibility was to develop a new service for people affected by Multiple Sclerosis in the community. I worked extensively with the Neurologists and the GP practices across West Norfolk to establish the level of need and design a safe and effective service. The service was very successful and served over 400 patients in the first three years.
|1996||2001||SCA Hygiene Products Ltd
Nurse advisor/Regional account manager East of England
SCA Hygiene, manufactured and distributed adult incontinence products. My role was to provide educational support to customers (Nurses, Hospitals, Care Homes and other healthcare settings) in the form of Continence Education and Product selection and monitoring. As Regional Manager I was responsible for account monitoring and financial management.
|1993||1996||Addenbrookes Hospital, Cambridge
Staff Nurse / Snr Staff Nurse / Deputy Sister
I worked as part of the Nursing Team caring for Neurological and Neurosurgical inpatients, requiring specialist nursing care for medical and surgical interventions. During my time on the ward I progressed to Deputy Sister, taking on more responsibility for staff development and management as well as completing specialist training. I managed the ward on a day to day basis to ensure high quality effective care.
|1989||1993||Cambridge and Huntingdon Dept. Nurse Education
Registered General Nurse Training
|1982 to 1989||Kesteven and Grantham Girls School||7 O levels
2 A Levels
|2012||Queen’s Nurse Institute||Awarded the Title of Queen’s Nurse for my work in the Community with people with neurological problems.|
|2010-2011||Norfolk Community Health and Care||Courses on: Recruitment and Selection; Root Cause Analysis; Managing Sickness and Absence; Critical Incident Training; Risk Assessment.|
|2008||University of East Anglia- Cambridge||Diploma in Pain Management in Clinical Practice.|
|2005||University of East Anglia- Kings Lynn||Independent Non-Medical Prescribing|
|2004||Norfolk PCT||Business and Staff Development|
|2003||Norfolk PCT||PD Specialist Course|
|2001||Norfolk PCT||MS Specialist Course|
|1997||SCA Hygiene Products||Sales and Marketing Skills Course|
|1996||Peterborough Dept. Nurse Education||ENB Continence Nursing in Clinical Practice|
|1994/5||Addenbrookes Hospital Cambridge||ENB Neurological and Neurosurgical Nursing|
|1993||Addenbrookes Hospital Cambridge||ENB Teaching and Assessing in Clinical Practice|
|ACNR Magazine||2009, September||The Correlation between fatigue, depression and cognition in Multiple Sclerosis.|
|MS; Fast Facts||2015||Review / critique and quote for Back Cover|
|MS; Fast Facts||2016||Review / critique and quote for back cover|
|2002||ABPI Conference||Washington DC USA|
|2003||MS Trust Conference||Harrogate UK|
|2005||Biogen Idec Nurses Meeting||Prague, Czech Republic|
|2006||International Nurses Meeting for Neurosciences||Copenhagen, Denmark|
|2006||P-CNS Annual Conference||London UK|
|2006||ABN Conference||London UK|
|2009||Pain Management Symposium||London UK|
|2010||Parkinson’s and Mental Health||Norwich UK|
|2010||Prescribing in Primary care (NHS Norfolk)||Norwich UK|
|2011||Neurosciences Care and Treatment Update||Cambridge UK|
|2012||Neurology in Primary Care||Kings Lynn UK|
|2014||NICE annual conference||Birmingham UK|
|2015||NICE annual conference||Liverpool UK|
|2016||Community Care and Commissioning Conference||Birmingham UK|
Best practice in Nursing
2018 NAIDEX/Care Homes Birmingham UK
2018 Neuro Congress London UK
2019 Care Home and Dementia Birmingham UK
2019 AVMA Conference Leeds, UK
2019 Best Practice in Nursing Birmingham UK
What our clients say...
Dear Kathy … I just wanted to say thank you so much for your patience and assistance over the past few days. Your evidence was excellent
Sinead Swan – Ivor Fitzpatrick
Thanks for your support on this. You may like to note that the case settled for a value that reflected the evidence Mr Webb gave being accepted in full by the court
Simon Harrington, Irwin Mitchell
Dear Jodie, I would like to extend my sincere thanks to you for the ‘work’ which you put into my case and endeavoured to help the case come to a successful conclusion. it is wonderful that my two daughters and rest of my family now have some Justice for Bryan’s untimely death. Somewhat difficult to believe what has just happened after five years. Very many thanks, kind regards and good wishes for Christmas
PS Client Feedback
Hi Sue, you were first class. Also regards to Maggie Sargent and her premier quality team!
Philip Smith – Beauchamps
Maggie Sargent is a star – not just a leader in her field but a legend – her experience is unmatched, her knowledge impressive and her application sophisticated.
Paul Paxton – Stewarts
Can I take this opportunity in thanking you on behalf of our client and his parents. You did a tremendous job. We could not have achieved such a high settlement without your skill, expertise, and input. The family are very grateful to you
Paul McNeil – Fieldfisher
I have worked with Maggie Sargent for more that 25 years. She is the best expert I have ever instructed. She is exceptional in court and brilliant with clients. I cannot recommend her highly enough.
Partner, Field Fisher
‘The Claimant’s evidence as to the value of the nursing care she provided to Mr Grant was given by Ms Jodie Brookes. She is a registered nurse. The majority of her career has been spent managing care facilities in the private sector. She specialises in palliative care and has considerable experience nursing patients with mesothelioma. Ms Brookes gave careful and impressive oral evidence. She made concessions where appropriate, yet demonstrated that her conclusions were based on a careful review both of the medical notes and of what the Claimant had told her when she visited’.
Judgement of Martin Chamberlain QC
On Friday 28th June 2019 I was visited by one of your colleagues, Mrs Sue Tomkinson. I would like to take this opportunity to say thank you, and how both my wife and I were very pleased with Mrs Tomkinson. We have never been in this situation before, and the thought of a stranger asking questions, some of them very personal questions, and poking around in our private lives was a thought that quite frankly filled us with dread. Our fears were soon quelled, and we were put at ease by the empathic way in which she asked her questions. We feel that all the aspects of our needs were thoroughly assessed in a very professional and friendly manner. She is a credit to your company, and I would like her permanent record to reflect our comments, thanking you
DWG Client Feedback
Dear Kathy – This is just to let you know that my client has accepted a significant seven figure sum to conclude his case. Both he and I wanted to thank you for your invaluable contribution towards his case because he could not have achieved such a good result without your skilful clinical assessment and attention to detail. Kind regards
Dickinson Solicitors Ltd