Specialisms
- Orthopaedic injuries including complex fractures, lower limb reconstruction or amputation, plastic surgery for tissue loss.
- Medical/surgical complications.
- Internal injuries following trauma or surgery.
- Abdominal, gastro-intestinal and colorectal surgery (stoma care, nutritional/feeding issues).
- Associated pressure sores/pressure care.
- Associated spinal injuries including fractures.
- Associated pain and mental health.
Clinical Currency Statement
As at November 2023, I am engaged in the role of Case Manager with Unite Professionals Case Management for an average of 55 hours per month.
Signed
Specific Injuries Experience
Angela has worked at a senior level within the NHS and social care for many years and has significant experience of discharging clients to the community with high care needs following life-changing surgery and functional deterioration caused by complex medical conditions. Angela also has experience of supporting clients who have suffered a combination of trauma injuries, including orthopaedic injury and lower limb amputation.
Angela was an integral part of the medicine and surgery team at Nottingham University Hospitals NHS Trust from 2008 to 2023. The hospital is a clinical nutrition specialist centre for the region and therefore Angela has regularly worked with patients who have bowel, bladder and medical nutrition needs. She has experience of supporting individuals who have undergone amputation surgery, following trauma and/or as an elective procedure, and is competent in facilitating the assessment and recommendation of assistive equipment, environmental adaptation, specialist seating and wheelchairs to facilitate safety in the community.
Angela is skilled in devising realistic and workable packages of care for individuals following colorectal and gastro-intestinal surgery who experience difficulties with stoma care and have nutritional needs necessitating enteral or parenteral feeding. Angela is skilled in identifying and mitigating risk to ensure individuals do not come to harm.
As a Case Manager, Angela now supports a range of clients including those who have sustained orthopaedic injuries and require complex revision surgeries and extensive rehabilitation. This includes clients who require lower limb reconstruction and plastic surgery for tissue loss, clients who have sustained pelvic injuries and clients with spinal fractures requiring metalwork fixation.
Employment Profile
After qualifying with first class honours in 2002, Angela worked across NHS and social care settings in Nottingham as an Occupational Therapist. Most recently, she worked for Nottingham University Hospitals Trust as Band 7 Team Leader Occupational Therapist on the medical and surgical wards. She held this position from 2014 to 2023 having been part of the team since 2008. Her role involved supporting the more complex patients, following significant and often life-changing surgeries or medical issues, back into the community.
In this role, Angela led a team of clinicians and had oversight of their caseloads, ensuring that they were supported and trained to deliver an evidence based and high-quality service to clients. This included devising and delivering training programs, completing audits and liaising with multi-disciplinary agencies to ensure processes and procedures were fit for purpose in supporting the needs of clients.
Angela also worked as part of the Harm Free Care forum in the Trust and led on improvement projects within Therapies.
Angela has a high level of knowledge in understanding the likely progression of clients and is competent in setting up a realistic and workable package of support, including care and specialist nursing assistance, provision of aids adaptations, and therapeutic interventions.
In 2022, Angela started working as a Case Manager for Unite Professionals Limited. Her work involves providing support to clients following personal injury. This includes identifying their immediate needs and managing their rehabilitation by setting up packages of care and therapeutic interventions. The role requires Angela to lead and co-ordinate the team of clinicians and carers who have been commissioned to support the client in their recovery.
As a Case Manager, Angela completes immediate needs assessments to determine the required support for her clients. This will include home visits to ensure the recommendations she makes are tailored to the individual’s unique needs and goals for rehabilitation. Her assessments include standardised measures alongside functional assessments.
Angela has worked as a Care Expert Witness with Jacqueline Webb & Co since 2018. She has attended numerous Case Conferences, participated in Expert Meetings, and in 2020 attended Courtroom Skills Familiarisation with Inspire MediLaw.
Qualifications and Membership
Qualifications and Membership
- BSc (Hons) Occupational Therapy, Brunel University (2002).
- BA (Hons) Sociology and Social Policy, Durham University (1995).
- Member of Health and Care Professions Council (HCPC).
- British Association of Occupational Therapists (BAOT).
- Member of the Royal College of Occupational Therapists (RCOT).
- Case Management Society UK (CMSUK).
- British Association of Brain Injury Case Managers (BABICM).
Notable Training/Learning
- Manual handling and assistive equipment updates (September 2023).
- Mandatory training: manual handling, safeguarding adults/children, infection control, information governance, (September 2023).
- QSIR (Quality, Service, Improvement and Re-design) NHS England (2020).
- Pressure ulcer prevention, Derby University, MOOC (2020).
- BAPEN (British Association of parenteral and enteral nutrition) E-Learning Modules (2019).
– Disease related malnutrition.
– Nutritional support.
– Ethical and legal issues relating to nutrition support.
- Coloplast training in stoma care and management (2019).
- Irwin Mitchell Study Day (November 2023) Considering Surgical, Rehabilitation and Prosthetic Pathways Following Upper Limb Injuries
- BABICM conference (December 2023) Keep up the good work (vocational rehabilitation)
Career History
Present
Care Expert Witness
Jacqueline Webb & Co Limited
Present
Case Manager
Unite Professionals Limited
2014-2023
Band 7 Occupational Therapist, Medicine and Surgery Team Leader
Queens Medical Centre, Nottingham University Hospitals Trust
2008-2014
Band 6 Occupational Therapist, rotational post
Nottingham City Care and Nottingham University Hospitals Trust
2002-2008
Band 5 Occupational Therapist
Nottingham University Hospitals Trust and Nottinghamshire Healthcare Trust