Alexandra Penfold
      • Alexandra Penfold
      • Registered Mental Health Nurse
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    • Department

    • Address

      • 9 Chess Business Park
      • Moor Road
      • Chesham
      • Buckinghamshire
      • HP5 1SD
      • 01494 792711

Alexandra Penfold

Registered Mental Health Nurse


Dip in Mental Health Nursing, PG (Cert) Interprofessional Practice Education


  • Acute In-Patient Mental Health,
  • Suicide & Self Harm,
  • Medicines Management


I qualified as a registered mental health nurse in 2013 and began my career as a staff nurse in an adult acute inpatient mental health hospital. Since then, I have worked as a community psychiatric nurse for Child and Adolescent Mental Health Services (CAMHS), Lead Nurse for a Crisis Resolution and Home Treatment Team (CRHTT), Mental Health Nurse Educator for an Acute Medical Unit within a general hospital and as Deputy Ward Manager for a private mixed acute adult inpatient ward.

My specialist area is adult acute mental illness, predominantly in nursing those at risk of suicide, self-harm. I am experienced in nursing patients suffering from severe mental illness such as psychosis, Emotionally Unstable Personality Disorders (EUPD), Post-Traumatic Stress Disorder (PTSD), substance abuse issues and other illnesses. I have a wealth of experience in managing highly complex risk in acute care settings. Having worked across both community and inpatient services, I have a very good understanding of service structure and the different pathways through primary, secondary and tertiary mental health services. Although I have community experience within both adult and CAMHS, my specialist area is inpatient nursing. I have undertaken internal investigations of incidents such as those related to safeguarding issues, failure to return from Section 17 leave, medicines errors and incidents of self-harm or suicide or near-misses. I have extensive knowledge of the Mental Health Act 1983, Mental Capacity Act 2005 and deprivation of liberty safeguards and this has been strengthened by my experience in teaching post and pre-registration nurses on legal frameworks. I have strong leadership skills and management experience as a deputy ward manager and also led projects on wards such as interventions to reduce restrictive practice and improve patient and staff safety on inpatient mental health wards.

In addition, I also have a post-graduate certificate in Interprofessional Practice Education and a background in teaching registered and pre-registration nurses, in the care and treatment of acutely mentally unwell patients. I have excellent understanding professional standards of registered nurses under the Nursing and Midwifery Council (NMC) Code of Conduct.

In 2021 I left the NHS and I embarked upon a new journey and work part-time as an Equine Facilitated Psychotherapist. I am passionate about helping people recover from severe mental illness through psychotherapeutic work with horses. However, I still maintain my acute mental health nurse skills by working as an agency nurse with Seven Nursing Recruitment and continue to work within NHS and non-NHS inpatient services on a weekly basis.

I accept instructions 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.