Specialisms
- Brain injury (acquired and traumatic).
- Complex cognitive impairment and challenging behaviours.
- Adult cerebral palsy.
- Long-term neurological conditions such as stroke and motor neurone disease.
- Secondary mental health.
- Associated Functional Neurological Disorder (FND).
- Associated orthopaedic injuries including lower limb amputation.
- Associated visual impairment or loss.
- Associated respiratory.
- Associated hand injuries.
Clinical Currency Statement
As at August 2025, I am engaged in the role of Case Manager for NeuroHealth Case Management for an average of 85 hours per month. I also work as a Consultant Occupational Therapist for High View Care Services for an average of 16 hours per month.
Signed
Specific Injuries Experience
Nicola is an experienced Case Manager specialising in the coordination of care for adults with acquired or traumatic brain injuries, long-term neurological conditions such as stroke, motor neurone disease and FND, and adult cerebral palsy. Her in-depth clinical knowledge enables her to understand the broad impact of brain injuries on daily living and function. She is particularly skilled in supporting individuals with complex cognitive impairments and challenging behaviours.
Many of Nicola’s clients present with additional needs including orthopaedic injuries, lower limb amputations, mental health conditions, respiratory issues, and visual impairments. Nicola has also worked with multiple clients who have a secondary diagnosis of FND alongside a brain injury. Many of these clients have had a history of other secondary mental health problems.
Nicola has extensive experience in establishing and managing comprehensive, long-term care packages. This includes identifying and introducing multidisciplinary therapy and support teams, recommending and costing equipment, coordinating housing adaptations or alternative accommodation, and sourcing and adapting vehicles. Nicola adopts a holistic approach, working closely with clients and their families to promote independence and quality of life. She supports return-to-work planning, community reintegration, and participation in leisure activities, including holidays.
Her work spans both pre- and post-settlement cases, providing her with a solid understanding of the litigation process and the importance of delivering evidence-based, goal-focused case management.
Employment Profile
Nicola currently works with NeuroHealth as a specialist Brain Injury Case Manager. Taking a holistic, goal centred approach, she works closely with the client and their family. Nicola will carry out a full and comprehensive functional assessment of the client – considering how they were pre-injury, how they are presenting now, and making appropriate recommendations to restore the client’s function by maximising their independence and quality of life so far as is possible.
Nicola has significant experience when it comes to setting up long-term packages of care. This includes recommending, costing and introducing therapy and support teams, equipment, housing adaptations, identifying alternative accommodation and assisting with sourcing and adapting vehicles. Nicola is able to consider the bigger picture and, where possible, work with the client and their family to plan for a return to work, access to the community and holidays.
She is responsible for co-ordinating and managing the provision of care and therapy teams for her clients. With experience in both directly employed and agency care, she has a sound understanding of both approaches which
helps when it comes to clinical reasoning and making decisions with the client around which route would best suit their care requirements. She routinely works with multi-disciplinary teams to ensure needs are met.
During her early career, Nicola worked at one of the leading specialist brain injury rehabilitation units in the South East of England, where she was supporting clients who had sustained an acquired or traumatic brain injury. She then joined the NHS as a Senior Occupational Therapist managing a large caseload of complex patients on a stroke, general medicine and cardiology unit. This role saw Nicola assessing and planning for safe discharge to meet the patient’s needs.
In 2012, Nicola relocated to the United Arab Emirates where she played an integral part in the commissioning of the first specialist neurological rehabilitation unit in the middle east. This involved working closely with the UAE government to write and implement standard policies for the provision of client rehabilitation. Alongside this, and whilst managing therapy services at the unit, Nicola continued her clinical practice by working in an advisory case manager role assessing and signposting clients through their rehabilitation journey.
She returned to the UK in 2021 and continued to specialise in complex brain injury – managing therapy services across 5 specialist brain injury units across the South of London. Since moving into case management, Nicola has continued to provide ad-hoc clinical advice to the service.
As a member of the Health and Care Professions Council, Royal College of Occupational Therapy and the British Association of Brain Injury and Complex Case Management, Nicola is committed to continual learning and development. Nicola attended the Bond Solon Courtroom Skills Familiarisation in 2025.
Qualifications and Membership
- BSc (Hons) in Occupational Therapy, Canterbury Christ Church University (2009).
- MSc in International Healthcare Leadership & Management, Sheffield University (2018).
- Royal College of Occupational Therapy (RCOT).
- British Association of Brain Injury and Complex Case Management (BABICM).
- Health and Care Professions Council (HCPC).
Career History
Present
Care Expert Witness
Jacqueline Webb & Co Limited
2022 to Present
Case Manager
NeuroHealth Case Management
2022 to Present
Consultant Occupational Therapist
High View Care Services Ltd, Kent
2021 to 2022
Therapy Services Manager
High View Care Services Ltd, Kent
2012 to 2021
Lead Occupational Therapist & Therapy Manager
Amana Healthcare, Abu Dhabi, United Arab Emirates
2011 to 2012
Senior Specialist Occupational Therapist
NHS South London Cardiac & Stroke Network
2009 to 2011
Rotational Occupational Therapist
Raphael Medical Centre (Neurorehabilitation), Kent