Meet Our Team

Julie Gardner

Julie Gardner

Business Director/Registered Manager of Care & Case Management Services Ltd.

Julie has over 20 years experience in a senior management role within the communications industry covering areas of quality and audit control, project management and overall customer experience with a further 16 years of senior management experience in the health and social care industry and degree level management training. Her experience began when she set up her own domiciliary care agency in 2007, supporting both adults and children with learning and physical disabilities in the North East until 2013.

She has extensive operational experience supporting clients with nursing and clinical needs in their own homes and has held the post of Registered Manager in two settings over a period of 7 years. Her most recent role was in business development across the UK where she was building trusted working relationships with local health authorities, solicitors and case management companies to further enhance and diversify the services provided which is where she gained a very good understanding of the case management industry.

Headway is the UK-wide charity that works to improve life after brain injury, Julie chaired the regional Headway Hartlepool charity where she gained knowledge and understanding of the effects of brain injury and a passion to continue with providing an excellent level of support in this field.

Julie holds a dual Business Director for CCMS and also JSP, both case management companies are part of the Active Care Group.

Julie is the registered Mental Health First Aider, Diversity and Inclusion champion, Safeguarding and GDPR Lead for CCMS.

Georgina Petty

Georgina Petty

Clinical Lead / Senior Case Manager

Georgina (aka George) has over 25 years’ experience working with children and young people. She currently has a background in Education working in both mainstream and Special Educational Needs settings, including the role of Special Educational Needs Co-ordinator (SENCo) and undertook further training in Makaton, Portage and speech and language programmes. In 2000 she moved from Education to Social Care undertaking the multi-disciplinary role of Family Keyworker for children with multiple disabilities and/or complex health needs. This role included undertaking integrated needs assessments, coordinating and implementing care plans, complex discharge planning, referring to other services, arranging and chairing MDT review meetings, accessing funding and advocacy including DWP benefits and SEN appeals.

George is a member of BABICM and has practised as a Case Manager since 2005, further developing skills in coordinating complex packages of rehabilitation and care. She has experience in providing case management to clients who have acquired a brain injury, traumatic brain injury and spinal cord injury. George has experience working both on a joint and single instruction basis, supporting clients during the litigation process and post-settlement, in the fields of personal and serious injury, clinical negligence and criminal injury cases. George supervises and provides support to colleague Case Managers in her role as Clinical Lead.

Download – Georgina Petty CV

Sarah Rayner RNLD

Sarah Rayner RNLD

Adult Lead / Senior Case Manager/ Expert Witness

Sarah has extensive experience, since 2003, supporting adults with Learning Disabilities and complex health needs within a group home setting. During her nurse training, she has worked with a variety of complex clients both in the community and inpatient settings, directing her learning and placement experiences towards challenging behaviour prevention and intervention. She has also worked with children and adults with complex and multiple disabilities i.e. cerebral palsy, gastrostomy and epilepsy. Sarah previously worked at York House, Specialist Neurobehavioral brain injury hospital in York, where she gained extensive experience of working with people with acquired brain injury.

She has worked as a Case Manager with CCMS since 2012 and has gained significant experience in the varied work of case management including undertaking initial assessments, providing costed reports and implementing multi-disciplinary rehabilitation packages to maximise client potential. She has experience in providing witness statements and liaising with professionals to support the litigation process.

In addition, Sarah has responsibility for medication management, gastrostomy feeding and epilepsy care plans and risk assessments along with the delivery of training in cerebral palsy and challenging behaviours.

Sarah is registered with the Nursing and Midwifery Council (NMC) Pin: 10H0808E, She is a member of BABICM and is also a Committee member of the Yorkshire Acquired Brain Injury Forum and Headway Leeds.

Sarah Rayner CV – Feb 2021

Minnieke Vorster

Minnieke Vorster

Case Manager/ Expert Witness

Minnieke has 13 years’ experience as an Occupational Therapist working in a variety of settings. She has experience of providing assessment and treatment to adults with stroke, brain injury, progressive neurological conditions, amputations, burns and a variety of orthopaedic conditions. Minnieke has a special interest in the cognitive and behavioural problems associated with acquired / traumatic brain injury.

Minnieke joined CCMS in 2016 as a Case Manager, bringing her experience as an Occupational Therapist in providing initial assessments, planning and delivering rehabilitation packages, and working within a multi-disciplinary team. She is taking a lead role in CCMS supporting team members with housing assessments and manual and handling assessments. Minnieke is also taking an active role in providing Brain injury training to support workers.

Minnieke is registered with the Health and Care Professions Council (OT 42279), is a member of the College of occupational therapists, the Specialist section for Neurology and a member of the British Association of Brain Injury Case managers (BABICM). Minnieke was involved in establishing a Headway Group in the Harrogate and Rural District area.

Minnieke-Vorster CV – Feb 2021

Lauren McAvoy

Lauren McAvoy

Case Manager

Lauren qualified as an Occupational Therapist in 2010. She began her career working in the NHS in a Stroke Rehabilitation Unit and quickly progressed to Senior OT within the same team. During this time Lauren worked with patients from the acute stages of treatment across the care pathway to discharge and community rehabilitation. She became highly proficient in completing in-depth holistic assessments, planning and delivering treatment, completing environmental assessments and providing equipment. Lauren has gained an excellent understanding of neuroplasticity and the benefits of early rehabilitation. Her areas of specialist interest are cognitive dysfunction and upper limb rehabilitation.

Lauren joined CCMS as a Case Manager in 2017. She brings her experience and understanding of Acquired Brain Injury rehabilitation and working closely with a multi-disciplinary team. Lauren works efficiently and professionally to support both adults and children who have sustained ABI through personal injury and clinical negligence in both settled and litigation cases. Lauren has experience working on both single and joint instructions, coordinating complex rehabilitation packages and supervising support workers.

Lauren is registered with The Health and Care Professionals Council (OT61560) and a member of the British Association of Brain Injury Case managers (BABICM). Lauren is a Committee Member of Headway Teesside and is the Mental Capacity Act/Deprivation of Liberty Lead for CCMS Ltd.

Download – Lauren McAvoy CV

Jo Proffitt

Jo Proffitt

Case Manager

Joanne (Jo) qualified as an Occupational Therapist in 1995. She began her career working in the NHS in a basic grade rotational post and then a Senior post in Neurological Rehabilitation. Following this, Jo specialised in stroke rehabilitation and became a team manager working both clinically and in a leadership role across acute and community pathways. She developed her skills in completing complex holistic assessments and planning and delivering treatment. Jo has an excellent understanding of rehabilitation, neurological recovery and multi-disciplinary roles. Her areas of specialist interest are cognitive rehabilitation and the psychological impact of brain injury.

Jo joined CCMS as a Case Manager in 2018. She brings her wealth of knowledge and experience of Acquired Brain Injury and rehabilitation. Jo works collaboratively and professionally to support both adults and children who have sustained ABI through personal injury and clinical negligence. Jo has experience in supervising support workers and developing excellent relationships with families to identify and meet her client’s changing needs.

Jo is registered with The Health and Care Professionals Council (OT24249) and a member of the British Association of Brain Injury Case managers (BABICM).

Download – Joanne Proffitt CV

Kerry Turner

Kerry Turner

Case Manager

Kerry has nearly 20 years’ experience as a Children’s Nurse. She has worked in a variety of settings including surgical, medical, neurosurgical wards and in the community as a Nurse Team Leader. She has gained extensive knowledge and training in caring for children with ABI, enteral feeding, CP, Moving and Handling, epilepsy, oxygen management, promoting continence including catheterisation, administration of regular and emergency medication, CPR, end of life care, oral and nasal suction, home IV’s, attending MDT’s, risk assessment, pain management, devising and implementing guidelines and policies.

Kerry joined CCMS as a Case Manager in 2018, she brings a wealth of knowledge in assessing, planning, implementing and evaluating care within a package of care. She has experience of recruiting, training and supervising support workers caring for a child with complex needs.

Kerry is registered with the Nursing and Midwifery Council (NMC) pin: 96D1226E and is a member of the British Association of Brain Injury Case Managers (BABICM)

Download – Kerry Turner CV

Georgia Morrison

Georgia Morrison

Case Manager

Georgia joined CCMS as a case manager in 2021, prior to this, she worked as a Junior Psychologist, providing in depth and high-quality assessments and support to adults in the workplace with physical disabilities, mental health conditions and learning disabilities. These assessments were conducted to help adults with a range of disabilities to maximise their potential and flourish within the workplace. Georgia has a great deal of experience working with vulnerable adults, through which she has developed her interpersonal and communication skills, developing her eclectic, person centred approach to care. Georgia has an extensive knowledge surrounding physical aids, mental health support, assistive technology and human support and the benefits of interconnecting these with one another. In doing this previous role, she became very experienced with assessing the suitability of work environments, problem-solving and recommending any support, adaptations and equipment as required.

Additionally, Georgia provided one to one coaching for disabled and vulnerable adults in the workplace. Sessions were aimed around the client and their needs, often adopting a holistic approach to their support. Georgia encouraged independence and resilience by focusing on problem areas for clients such as pain management, chronic fatigue, mental health resilience, sleep and goal setting.

Georgia brings with her, experience in assessing, planning, and providing client support. Georgia can confidently co-ordinate individual plans to meet clients’ needs, including in difficult situations. Georgia uses her professional and interpersonal skills and knowledge to identify any barriers to be addressed and to highlight the appropriate action needed to ensure her clients reach their full potential.

Georgia is registered with the BPS (559960) and is a member of the British Association of Brain Injury Case Managers.

Download – Georgia Morrison CV

Lisa Horseman

Lisa Horseman

Case Manager

Lisa qualified as an Occupational Therapist in 1999. Starting her career on a junior rotation she soon progressed to a senior position within an intermediate care service. She has 22 years’ experience working in the NHS, predominantly in adult community services delivering rehabilitation in both patient facing and operational leadership roles. Having worked with, and leading multi-disciplinary teams for many years she has an excellent understanding of rehabilitation, neurological recovery, and multi-disciplinary roles.

Lisa brings with her experience of providing holistic assessment and planning treatment to adults with stroke, brain injury, progressive neurological conditions, and frailty at varying stages of their recovery. Working with clients to achieve maximum functional independence and quality of life, through rehabilitation programmes, adaptive equipment or embedding new techniques and strategies. She is client centered, outcome focused, a good problem solver, and is excellent at working collaboratively in challenging circumstances.

Lisa has experience of recruiting and supervising support workers and delivering training to a range of health and social care personnel. She has also worked as Specialist Clinical Advisor to the Care Quality Commission (CQC) and been active in the inspections of NHS Trusts, community services, residential and nursing care homes.

Lisa is registered with The Health and Care Professionals Council (OT.30128) and a practitioner member of BABICM.

Download – Lisa Horseman CV

Carolyn Bircham

Carolyn Bircham

Office Manager

Carolyn has been with CCMS since 2012 and has responsibility for the management of all of the in house office processes, to include all financial transactions and administrative management for the business, supervision and management of office staff and inclusion within the management team to ensure overall compliance and uniformity of back office and case management structure.

Case Management Team

The Case Management Team support and regularly liaise with Case Managers and our clients in a wide variety of duties which include identifying properties to rent or purchase for our clients, client property maintenance, booking and sourcing holidays to meet our client’s needs, purchase or rental of adapted vehicles etc. They also liaise with therapists and suppliers to source appropriate equipment and adaptations as recommended for our clients.

They organise Multi-Disciplinary Team meetings and professional meetings, facilitate appointments for case managers to visit clients, typing of notes and reports for solicitors, reconciling and maintaining client accounts.

Support Team

The team assist and support the Support Workers and the Clients they are employed by. They safely recruit the Support Workers in response to the specific needs of the Client involving the Client, where possible, in the recruitment process and induct / train them in accordance with the requirements of the Care Certificate.

They deal with all aspects of employment throughout the lifespan of the Support Workers including Job Offer, Contract of Employment, payroll, annual leave, HR queries and ongoing training and development.

The Support Team ensure a Care Plan / Individual Programme is in place for all Clients together with associated Protocols and Risk Assessments to keep them safe; all of which have been created focusing on the Person Centred Care of the individual Client by the Case Manager.

All aspects of work undertaken by the Support Team is in compliance with Care Quality Commission (CQC) regulations.