Congratulations to Dr Caz Lyall (Care & Occupational Therapy expert) for her...
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RGN, RM, MSc Chronic Disease Mgt, BSc (hons) Community Nursing (Practice Nurse)
I qualified as a Registered General Nurse (RGN) in Scotland in 1980 and a Registered Midwife in 1990. Since qualifying as an RGN I have worked in many different areas of nursing however the past 25 years has been spent in primary care. I became interested in chronic disease and long term condition management whilst working as a Practice Nurse. Progressing to become a Nurse Practitioner in General Practice I gained much experience in managing those patients who were at the mild to moderate spectrum of their disease.
In 2005 I obtained a Community Matron post at its inception, which meant that I could gain skills managing patients with multiple co-morbidities, especially those with severe disease and whose needs were complex, often in the last years of life. During my various roles I have held since, I have been able to take an active role in management issues and strategic development, including policy and decision making which affected service provision in our locality, and gave me a valuable insight into how policies affect patient care from a different angle. I am totally committed to providing a high quality service to patients and their families.
Despite holding several management roles I have continued to practice at a high clinical level working as an Advanced Nurse Practitioner (ANP). This has been within primary care for a number of years in a multitude of areas including Out Of Hours and Walk-in Centres, Primary Care Centres, Telephone Triage Centres, and General Practice. I regularly visit patients with acute illnesses within their own homes or in care homes for the GPs and make decisions on whether to treat the patient within their own home or admit to hospital. Working autonomously at this level I am able to accurately assess signs and symptoms, request investigations, analyse and interpret results and make sound clinical decisions on further management. This includes treatment and follow up in all adult patients with either acute or chronic illness but, in particular my clinical skills lie in first patient contact and managing elderly patients with long term conditions and highly complex needs.
I accept instruction from both claimant and defendant solicitors and insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under Civil procedure Rules (CPR) pertaining to expert witnesses.