Rachael  Fletcher
      • Rachael Fletcher
      • Chartered Physiotherapist
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      • 9 Chess Business Park
      • Moor Road
      • Chesham
      • Buckinghamshire
      • HP5 1SD
      • 01494 792711

Rachael Fletcher

Chartered Physiotherapist


BSc (Hons) Physiotherapy


  • Paediatrics including: Cerebral Palsy, Acquired Brain Injury, Erbs Palsy, Orthopaedics


I graduated from the University of Birmingham in 2008 with a first class BSc (Hons) Physiotherapy degree and I have worked predominantly in the NHS since qualifying. In 2017 I started to work in the private sector. Currently I work part time in the NHS as a Senior Specialist Paediatric Physiotherapist and part time privately as a Specialist Paediatric Physiotherapist. I have specialised in the area of Paediatrics since 2010.

My professional development has been enhanced by extensive post graduate education, and I have specialist expertise in the Bobath concept of rehabilitation for children with developmental delay linked to neurological conditions, namely cerebral palsy. In both roles I manage extensive clinical caseloads, working with children of all ages with a wide variety of neurological, developmental, orthopaedic and genetic conditions in numerous clinical and community settings.

My NHS work consists of assessment and treatment of 0-19 age children, with a wide variety of conditions such as cerebral palsy, erb’s palsy, muscular dystrophy, developmental delay, prematurity, respiratory, cardiac, and many other complex neuro/developmental conditions. Implementation of treatment is in clinics, and numerous educational settings, with support and training given to staff. Multidisciplinary team working is a key aspect to ensure effective holistic management of each patient, requiring excellent communication skills, both verbal and written. I am required to provide reports to support education and health care plans and to support the diagnostic process.

My private work is around the assessment, treatment and holistic management of 0-19 year old children, with specialist skills in neurological rehabilitation. I treat patients with a wide variety of complex diagnoses, such as cerebral palsy, traumatic brain injury, spina bifida, various other neurological, developmental and genetic conditions, and rehabilitation following selective dorsal rhizotomy. An important part of my role is writing thorough reports, including costing recommendations and analysis of outcome measures, to support the care of my patients. Collaboration with case managers and solicitors is a significant aspect of this work load.

Treatment in both roles is delivered through hands on therapy, 24 hour postural management, group therapy / play sessions, hydrotherapy, gait analysis, and I have expert knowledge in the use of manual handling equipment.

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.