Helen Neale 

Case Manager – BSc (Hons) OT

Specialisms
Complex trauma, Amputees, Upper and lower limb injuries,
Brain injury, Pain and associated psychological conditions,
Sensory loss

Location 
London and the surrounding counties

Helen qualified as an Occupational Therapist in 2009 and has worked for Lewisham Council gaining a wide variety of experience with a number of different client groups and diagnosis, as highlighted above. She worked with clients in their own homes or local community and carried out timely and accurate assessment reports and coordinating rehabilitation to meet the clients’ specific needs.

Helen has experience both in children, adults and transitional cases, often working with cerebral palsy, learning disabilities and neurological conditions in clients from their late teens/early 20s into adulthood. Helen has a sound knowledge of child development, in order to be able to clearly differentiate between expected age-related development, and condition related difficulties.

Much of Helen’s caseload have neurological impairments either as a result of a traumatic event or through acquired brain injury. This commonly results in associated cognitive deficits and mental health complications. Helen has presented at Vulnerable Adult Panels for approval and funding and has developed pathways for discharge to long term residential and nursing care where required.

Some of Helen’s clients also have medical needs following internal injuries and therefore require health related equipment, such as catheters, stoma and PEG feed systems. These require ongoing management in the community which Helen co-ordinates. Helen also provides support to clients at varying stages of kidney failure, as well as those who are ventilated or require oxygen due to respiratory conditions.

As Helen worked with clients who have chronic and lifelong conditions, she is skilled at managing their changing needs over a long period of time. This will sometimes ultimately conclude with her supporting the client and their family with end of life/palliative care.

Helen also reviews the appropriateness of care packages for clients needing care at home. This involves care reviews, post discharge from acute hospital settings, setting up new simple and complex high-level care packages (including 24-hour care support), adjusting existing care packages and reviewing all single and double handed care plans including applications for direct payment funding.

Helen has robust working knowledge of the litigation process through her work as a Care and Occupational Therapy Expert Witness, she writes quantum reports for the Courts, attends expert meetings and pretrial conferences. This knowledge assists her to guide and manage client expectations realistically.

Memberships and Registrations

• HCPC – registration number OT48156
• BAOT – registration

Education and Qualifications

• BSc (Hons) in Occupational Therapy

Career History

Integrated Case Management Ltd, September 2025 – present
Case manager

Jacqueline Webb & Co Limited – present
Care Expert Witness

Lewisham Council, Adult Community Health & Social Care, 2006 – present
Occupational Therapist

Lewisham Council, Children’s Services, 2009 – present
Occupational Therapist

South London & Maudsley NHS, Assertive Outreach Team, 2004 – 2006
Occupational Therapy Assistant

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