Orthopaedic injuries including complex and multiple fractures.
- Upper and lower limb amputations.
- Spinal injuries.
- Internal injuries including renal complications.
- Neurological conditions including adult Cerebral Palsy, Parkinsons, Multiple Sclerosis, Dementia and Myalgic Encephalomyelitis.
- Oncology and palliative care.
- Multi pathology medical management, including arthritic conditions, heart disease, respiratory disease, diabetes, sensory loss, cellulitis, poor skin integrity and pressure management.
- Moving and handling.
- Associated hand injury.
- Associated psychological trauma following traumatic events.
Clinical Currency Statement
As at March 2022, I am engaged in the role of Case Manager for Unite Professionals Limited for an average of 88 hours per month.
Specific Injuries Experience
As an Advanced Clinical Practitioner in the NHS for over 20 years, Elaine has worked in Orthopaedics, Falls, Community Rehabilitation, Rapid Response, Intermediate Care, Oncology and Palliative Care.
From 2016 to 2019, Elaine was Clinical Lead for Trauma and Orthopaedics at Warrington and Halton NHS Foundation Trust, where she regularly assessed and treated orthopaedic trauma and elective patients, amputees, oncology and palliative care patients.
Now as an independent Case Manager in private practice, Elaine continues to work with clients who have experienced complex life changing orthopaedic injuries, internal injuries (some requiring medical devices/equipment), burns, chronic pain, and psychological trauma.
Previously, Elaine attained an Allied Health Professionals Certificate in oncology and palliative care in 2008, and she was Group Head for a Care Home Group who specialised in dementia and physical conditions which had become too severe and difficult to be managed in the domiciliary setting. Elaine has experience of adult Cerebral Palsy and has completed work for the charity Scope.
When working in community rehabilitation Elaine assessed and treated patients with multiple sclerosis, Parkinson’s Disease, ME and dementia using rehabilitation techniques, equipment and adaptations, linking with the supporting specialist teams. She has completed a Masterclass in therapy provision for Parkinson’s Disease and also in dementia care.
Elaine works as an independent Case Manager, supporting clients with a wide range of catastrophic injuries which commonly results in associated life changing effects that impact on movement, mobility/transfers, work, social/leisure, driving, domestic living and personal care.
Elaine is highly competent in the provision of in-depth assessments using standardised tests, including Assessment of Motor and Process Skills (AMPS) to fully give an understanding of the level of impairment/disability affecting the person.
Elaine assesses to identify each client’s needs and then co-ordinates and facilitates their rehabilitation to recover as much of their pre-trauma abilities and lifestyle as possible. Elaine is highly competent in the employment of private services and clinical professionals and has developed strong working multi-disciplinary teams that she co-ordinates, oversees and supervises. Elaine will co-ordinate and work with both the private and public sector to maximise the services available to her client. This gives her an excellent knowledge of what is available and services that need to be provided privately or to ‘top up’. This is also in relation to functional as well as medical equipment.
Elaine will support clients from the start of their trauma event to their recovery when optimised and they are ready for discharge by continually re-assessing/reviewing and engaging the client and care team to achieve the individual’s recovery/goals.
Elaine is highly skilled in assessing the need for care, equipment and adaptations and ensures that where possible the client is enabled within their environment and with equipment to maximise independence and the opportunity to engage fully in rehabilitation.
Elaine also works for the Care Quality Commission and assists them in their inspections and report writing.
Prior to becoming a Case Manager, Elaine was Clinical Lead for Trauma and Orthopaedics at Warrington and Halton NHS Foundation Trust, where she would assess and treat orthopaedic trauma and elective patients with a wide range of conditions and multiple pathologies. Elaine was responsible for complex discharge planning, assessment and prescription of specialist equipment, moving and handling, specialist seating, management of deteriorating conditions and complex medical conditions.
Elaine has a special interest in implementing clinical research into practice and is a Panel Member of NICE Adoption & Impact Programme (National Institute of Clinical Excellence) and the training and teaching of other professionals, with excellent feedback and learning outcomes.
She can assess and work in a variety of settings and has experience in community/domiciliary care, care homes, clinics, prison and hospice settings.
She completed trainer training in Moving and Handling in 2015 and has regularly assessed and prescribed highly specialist equipment.
Qualifications and Membership
- BSc (Hons) 2:1 Occupational Therapy, The University of Liverpool (1999).
- The University of Liverpool, Access to Occupational Therapy Course (1996).
- Health and Care Professions Council (HCPC).
- British Association of Occupational Therapists (BAOT).
- Royal College of Occupational Therapists – Specialist Section – Orthopaedic (RCOTSS-IP).
- Case Management Society UK (CMSUK).
Care Expert Witness
Jacqueline Webb & Co Limited
Unite Professionals Limited
Clinical Lead Occupational Therapist
Trauma and Orthopaedics at Warrington and Halton NHS Foundation Trust
Group Head Occupational Therapist
Newcare Projects Limited
Advanced Clinical Occupational Therapist
Bridgewater NHS Community Trust
Enablement Occupational Therapist
Enablement Service for Physically Disabled Adults
Rotational basic grade (rotations included Parkinsons, Joint Assessment and Discharge Team, Acute Elderly Care and Rehabilitation)
- 2015: Presentation for research in ‘Managing Distressing Symptoms of Advanced Dementia with Specialist Seating’, 4th Horatio Festival of Psychiatric Nursing, Canada.
- 2009: Poster presentation at the World Congress Oncology and Palliative Care for ‘Stairway to Heaven’.
- June 2000: Key speaker and organiser of a major tripartite conference, hosted by The Hope Hospital, COT and The Cochrane Collaboration. Presented on ‘The Cochrane Collaboration and Occupational Therapy: An Emerging Partnership, which was later published in the British Journal of Occupational Therapy.
- 2002: My clinical work with post-stroke clients featured in the Stroke Association Guide for Good Practice.