Congratulations to Somek & Associates' Fiona Powell, OT expert witness and...
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Since qualifying as a Chartered Physiotherapist from the University of East Anglia in 2008, I have been fortunate enough to forge a career specialising in Amputees and Vascular Surgery. After developing broad therapeutic skills as a junior rotational physiotherapist at Broomfield Hospital and later as a senior therapist at Frimley Park Hospital (with a dual specialism in Critical Care and Vascular Surgery/Amputees), I was successful in securing my role as a Clinical Specialist Physiotherapist in Amputee Rehabilitation and Vascular Surgery at Frimley Park Hospital in 2012. I remain part-time in this role to date and also work part time at Dorset Orthopaedic Company Limited, providing prosthetic physiotherapy to amputee patients at the London Clinic.
Within my acute NHS role, I am responsible for the management of a large clinical caseload comprising of amputee, vascular and critical care patients. I act as the Clinical Coordinator for Amputees, liaising with multi-disciplinary team members and external services to ensure the short- and long-term needs of patients are fulfilled. I review amputee patients pre-operatively and determine the most appropriate level of amputation at Consultant's requests. In addition, I oversee rehabilitation from the acute stages of amputation through to prosthetic provision, liaising with prosthetists about prescription, providing gait re-education and assisting patients to achieve their full potential. I am also the Clinical Lead for Vascular Surgery, treating a wide range of patients who have had procedures to correct vascular insufficiency whilst also maintaining a clinical caseload of patients on Critical Care.
My role within the private sector at Dorset Orthopaedic Limited involves assessing a wide variety of amputee patients (including poly trauma patients and quadruple amputees), undertaking joint assessment and treatment sessions with prosthetists, providing prosthetic rehabilitation for upper limb and lower limb amputees, overseeing myoelectric rehabilitation and providing tailored phantom limb pain programmes for service users.
I am in the final stages of a MSc degree in Amputee Rehabilitation at the University of Southampton, undertaking research into the factors influencing pre-operative information provision for amputee patients. I have also commenced a role as a guest lecturer at the University of Winchester; sharing knowledge and facilitating teaching sessions on amputee rehabilitation. I am an active member of BACPAR (British Association of Chartered Physiotherapists in Amputee Rehabilitation) and was recently part of the working party responsible for the development of the NICE-accredited "Clinical Guidelines for the pre and post operative management of adults with lower limb amputation" (2016). I now have a key role in the working party responsible for the update of "Evidence based Clinical Guidelines for the Physiotherapy Management of Adults with Lower Limb Prostheses". I am also qualified in acupuncture and graded motor imagery, using these skills to help manage patients with complex pain or phantom limb pain.
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 the Civil Procedure Rules (CPR) pertaining to Expert Witnesses.