Niccola is the Managing Director of Keystone Case Management Ltd and she also holds a small caseload, supporting catastrophically injured clients. Originally from Australia, Niccola relocated to the UK in 2001 and has worked in both private and public healthcare and insurance sectors. As an occupational therapist, she has specialised in the field of case management and has completed further post graduate study in case management, expert witness and business. Niccola has a natural leadership style, and she enjoys working collaboratively with all stakeholders, considering their needs and pressures. When she isn’t working, Niccola enjoys spending time with her young family, early morning running and Pilates.
Hugh is a Clinical Manager at Keystone Case Management Ltd and has an extensive background as a senior health and social care professional. Following previous senior social care roles as a service manager and commissioning manager, he moved to work in the private healthcare sector in 2011 as a Case Manager and Clinical Manager. Hugh is an occupational therapist and has worked with a broad range of clients. He has co-ordinated rehabilitation programmes and has experience of managing large care teams. He has prepared litigation reports addressing clients’ care and equipment needs since 2013. His current role involves supervision, training and mentoring of case management colleagues, with a focus on ensuring high quality standards of service delivery. Hugh is also the lead manager for safeguarding and risk management. For relaxation Hugh has travelled extensively worldwide in his motorhome.
Helen is Quality Manager for Keystone’s case management service. Qualifying as an occupational therapist (OT) in Australia, Helen came to the UK in 1989 and has worked in both the NHS and private sectors and volunteered in the charity sector. Specialising in neuro-rehabilitation, she was clinical specialist OT at the National Hospital for Neurology and Neurosurgery. Helen took up a quality assurance role in 2011, assisting a private healthcare company to obtain CARF accreditation. More recently Helen has overseen all aspects of quality governance in case management, such as standards of practice, audit, training and mentoring new associates, monitoring internal and external feedback and preparing for CQC registration. Recently a school governor, she has a post-graduate diploma in leadership and management in health and social care. Helen is a strong team player who is passionate about learning. She also enjoys Pilates, tennis, and gardening.
Susanna is Quality Manager for the expert witness service of Keystone Case Management Ltd with responsibility for assisting in the development and operation of the business. She has been an occupational therapist (OT) for over thirty years and remains convinced of its value in facilitating change in the lives of individuals who are differently able. Susanna has experience in business, research, project management and continues to prepare litigation reports. She has taught OTs internationally and worked clinically in both private and NHS services. Susanna also volunteers extensively within the charitable sector to initiate services for those with disabilities in low/middle income countries. Susanna’s home life includes taming a veggie patch, church activities and managing an extensive family with a variety of animals.
Kate is a case manager for Keystone Case Management and specialises in supporting clients with catastrophic injuries. Kate qualified as an occupational therapist (OT) in South Africa, where she worked as the sole OT in a rural hospital with over 20 wards and several outpatient adult and paediatric clinics to cover. Kate moved to the United Kingdom in 2009 and has worked in neurosciences in both the statutory and private sectors. She was team lead at St George’s Hospital in both neuro rehabilitation and acute neurology services, which included the major trauma pathway. Kate has worked as a case manager since 2019 and has extensive experience in supporting complex discharges, managing challenging behaviours and conflict within families, as well as setting up and managing complex care packages. Kate is a mum of three, and enjoys sewing, playing golf and hockey for her local club.
Helen is a case manager for Keystone Case Management and specialises in supporting clients with catastrophic injuries – in particular, brain injury, cognitive communication disorders and mental health difficulties. Helen qualified as a speech and language therapist in 2011 and gained extensive experience in acute and community neuro rehabilitation. As a case manager, she holistically assesses client needs, organises rehabilitation programmes, coordinates complex care packages and manages multidisciplinary teams in order to ensure her clients maximise their recovery and quality of life. In her spare time, Helen enjoys baking, walking, swimming in the sea and spending time with her young daughter.
Stella is a case manager for Keystone Case Management and specialises in supporting clients with catastrophic injuries, including brain injuries, complex orthopaedic injuries, spinal injuries and palliative care. Stella is a qualified nurse and has worked in the NHS, statutory community services and the charitable sector for more than 30 years. She is experienced working in multidisciplinary teams, in clinical leadership and senior management roles, including working as a CQC registered manager, has set up new services, supervised staff and managed large budgets.
Most recently, Stella worked in a community setting for the brain injury charity, Headway. She coordinated care, support, signposting and managed challenging behaviours and conflict with people and families living with traumatic and acquired brain injury. Stella has been a trustee for the charity Essex Carers Support for ten years and is passionate about supporting carers’ wellbeing.
In her spare time Stella enjoys reading, cooking, spending time with family and friends and walks on the beach.
Rachael is a case manager for Keystone Case Management and specialises in working with both adults and children with catastrophic injuries. Rachael has over ten years’ experience as a rehabilitation physiotherapist, working in a variety of private and public healthcare settings as well as planning and supervising graded return to work and facilitating active engagement in sport. Prior to qualifying as a physiotherapist, Rachael was employed as a support worker for people with learning difficulties.
As a case manager, Rachael takes a fully holistic approach to her clients’ management. She assesses all aspects of their needs, organises their rehabilitation and coordinates home discharge including care packages. Rachael works collaboratively with multidisciplinary healthcare professionals and service providers to ensure her clients maximise their recovery and enjoy an improved quality of life.
Outside of work, Rachael enjoys spending time with her family and friends, walking the dog and all manner of DIY.
Nichola is a case manager for Keystone Case Management and specialises in supporting clients with catastrophic injuries. Nichola qualified as an occupational therapist (OT) in 2016 and has worked in the NHS at St George’s Hospital in acute medicine and neurology, in a specialist community neurorehabilitation team across Wandsworth and Merton with clients with conditions including traumatic brain injury, spinal injury, neuro oncology and complex polytrauma, and in the complex team within Hammersmith and Fulham council where she assessed for and recommended major housing adaptations, assistive technology, equipment and rehousing. Nichola has a good working knowledge of key legislation, skills in working with people with reduced mental capacity, psychological, behavioural and social problems and in undertaking continuing health care and health needs assessments. Outside of work Nichola enjoys staying active by running and doing yoga.
Lorna is a case manager for Keystone Case Management and specialises in supporting children and adults with catastrophic injuries and complex needs, including neurological conditions such as brain and spinal injuries, cerebral palsy, learning disabilities, amputations, polytrauma and mental health conditions. Lorna is a registered social worker with experience working in community statutory services, the charitable sector, and voluntary services abroad, including leading multidisciplinary teams. As a case manager she assesses for and commissions packages of care, engages treating professionals, monitors budgets, and identifies and manages risk and challenging behaviour. Lorna works closely with clients, members of their multidisciplinary team, family members and legal parties to ensure clients achieve their goals. In her spare time, Lorna likes to learn French. She also enjoys swimming and has a keen interest in yoga and mindfulness.
Megan is a case manager for Keystone Case Management and specialises in supporting adults with catastrophic injuries and complex needs including brain injuries, other neurological conditions including disorders of consciousness and cognitive communication disorders, polytrauma and post-traumatic stress. Megan is a registered speech and language therapist who has worked in leadership positions in the NHS coordinating acute and critical care teams and managing a community multidisciplinary rehabilitation team. She works closely with clients, their families and significant others, rehabilitation staff including therapists, and support workers and carers. In her spare time, Megan enjoys relaxing on her canal boat with her cat, Pan. She also enjoys being creative by making small gifts for her friends and family at her pottery classes.
Lauren is a case manager for Keystone Case Management and specialises in supporting adults and children who have sustained catastrophic injuries. Qualifying in sports therapy in 2011, Lauren has extensive experience working in injury rehabilitation in both the private and public sectors, as well as lecturing on undergraduate courses. Lauren focuses on treating each person as an individual. This includes holistically assessing client needs, co-creating with the client immediate, short-term, and longer-term goals, sourcing and coordinating relevant rehabilitative services, advocating for a client’s bespoke needs and liaising effectively with litigation and multidisciplinary healthcare teams. Outside of work Lauren enjoys playing netball, and spending time with her young family.
Miranda is a case manager for Keystone Case Management and specialises in supporting adults and children with catastrophic injuries – in particular limb loss and limb difference, polytrauma and musculoskeletal injuries. Miranda qualified as a physiotherapist in 2007 and has wide-ranging experience clinically in the UK and internationally, in research and in a voluntary role for charities. She works with both adults and children, holistically assessing needs, coordinating rehabilitation programmes and collaborating with multidisciplinary teams, legal parties and stakeholders, and enjoys supporting her clients to achieve their personal aspirations and maximise their quality of life. In her spare time, Miranda loves a water sports adventure or encouraging her friends into an “escape room”.
Lorna is a case manager for Keystone Case Management and specialises in supporting adults and children with catastrophic injuries – in particular brain injury, spinal cord injury, cerebral palsy, amputations, polytrauma and autistic spectrum disorders. Lorna qualified as an occupational therapist in 2011 and has wide-ranging experience in community rehabilitation and case management. As a case manager, she holistically assesses client needs, organises rehabilitation programmes, coordinates complex, including 24 hour, care packages and works collaboratively with multidisciplinary teams and stakeholders to ensure her clients maximise their recovery and quality of life. In her spare time Lorna enjoys riding, dressage and walking her dogs.
Kelly works as a case manager for Keystone Case Management. An occupational therapist with over 20 years’ experience working with adults with neurological diagnoses, she has worked in inpatient, outpatient and community settings. Her clinical work has included assessment of people with complex neurological disabilities, provision of intensive rehabilitation programmes and co-ordinating complex discharges including care packages, often with clients lacking mental capacity and with challenging social circumstances. A case manager since 2012 and an expert witness since 2019, Kelly works with adults who have complex neurological conditions, spinal injuries and orthopaedic conditions. She coordinates and manages rehabilitation programmes, complex care packages and supported living trials to maximise her clients’ recovery and quality of life. She is highly skilled at working with complex cases and facilitating the best outcomes for her clients. In her spare time, Kelly enjoys running, bootcamp, all things DIY and being with family and friends.
Catherine works for Keystone Case Management as a case manager. She is an experienced case manager, occupational therapist and senior healthcare manager with specialist expertise in working with clients with brain injury and complex neurological disability. Catherine has worked in clinical roles in the NHS, private hospitals and healthcare services in the UK and Saudi Arabia, the charitable sector and in community private practice. Since 2009, Catherine has worked as a case manager with adults and children with acquired brain injuries, spinal injuries, amputations, complex orthopaedic injuries, psychological issues including post-traumatic stress disorder, and oncology diagnoses. She co-ordinates rehabilitation programmes, manages care packages and works effectively with clients with challenging behaviour. In her spare time, Catherine enjoys writing and telling children’s stories.
Anna works as a case manager and expert witness for Keystone Case Management. Qualifying in Australia, she has over 20 years of clinical experience as a neurological occupational therapist and has worked in a variety of public and private healthcare settings in clinical, managerial and educational roles, with a focus on adults with brain injuries. Anna has worked as a case manager and expert witness since 2017. She has experience of working with adults and children who have complex and catastrophic neurological and orthopaedic conditions and amputations. As a case manager on behalf of her clients, Anna coordinates and manages rehabilitation programmes, complex care packages, supported living trials and arranges vocational rehabilitation to maximise their recovery and quality of life. As a care and occupational therapy expert witness, Anna also provides litigation reports for catastrophically injured clients. In her spare time, Anna enjoys travelling and gardening and outdoor activities.
Karin is a case manager for Keystone Case Management and specialises in supporting children and young people with catastrophic injuries and complex needs including brain injury, cerebral palsy, amputations, genetic and congenital conditions, autism and learning difficulties. Prior to qualifying as an occupational therapist in 2014, Karin worked as a carer, a care team manager, and manager of a Sure Start children’s centre. Karin brings a wealth of knowledge and experience of working with young people, managing care teams and multidisciplinary working and thoroughly enjoys working with children, their families, carers, and the wider multidisciplinary team around each child. She continues to work clinically as an OT with paediatric clients and, in her spare time, she loves taking her dogs on long walks, reading, travelling, and she is learning to paddle board.
Carolyn is a case manager for Keystone Case Management and specialises in supporting adults with complex and catastrophic injuries, in particular brain injury, spinal cord injury, amputations, polytrauma and post-traumatic stress. Qualifying as an occupational therapist in 1992, Carolyn has many years of clinical experience, with over ten years’ experience as a case manager, and has held managerial roles including supervising and training new case managers. As a case manager, Carolyn holistically assesses client needs, prepares reports, coordinates rehabilitation programmes, arranges complex care packages and works closely with clients and families, multidisciplinary teams and stakeholders to ensure her clients maximise their recovery and quality of life. For relaxation, Carolyn has a passion for music and sings regularly in various choirs. She also enjoys walking (currently making her way in stages along the South West Coastal Path) and travelling.
Amarta is a Technology Support Analyst with over ten years’ experience in the sector. She works closely alongside the senior team at Keystone Case Management to implement effective IT solutions that ensure the business is up to date with current technologies and enables efficient working. Amarta works with her colleagues to provide training and support in a wide range of IT applications and infrastructure. She uses her positive attitude and energy to encourage others to succeed. In her free time Amarta enjoys travelling, shopping, and visiting places of interest with her family.
Stephanie is PA to the clinical team at Keystone Case Management. She has experience in several industries and spent the last decade running the administration of a busy consultancy department for a prestigious professional services firm who prepare CPR Part 35 expert witness reports as well as non-litigation reports establishing causation and guiding remedial construction works. Stephanie holds an Executive PA and Secretarial Diploma and has been working with the KCM case managers and experts since 2023. Well organised, diligent and empathetic, with an excellent work ethic, she has experience providing support to all levels from junior staff up to senior management. In her spare time Stephanie enjoys cooking, television and film, podcasts and expanding her ever-increasing collection of Lego models.
